title: [Effects of Ward Interventions on Repeated Critical Incidents in Child and Adolescent Psychiatric Inpatient Care].
abstract: Effects of Ward Interventions on Repeated Critical Incidents in Child and Adolescent Psychiatric Inpatient Care. The aim of this study was to evaluate the effects of several ward interventions (transition to an open ward concept, individualized treatment plans, tiered crisis-management, staff training, quality control) on repeated critical incidents, non-restrictive and restrictive measures. The outcome variables were compared in two time periods, 2007 and 2011. The study included 74 critical incident reports of 51 child and adolescent inpatients that had at least one hospital stay and one critical incident in the selected time periods. Aggressive, self-harming, and absconding incidents were included. The quantitative results suggest that ward interventions can contribute to a reduction of repeated critical incidents and restrictive measures. The qualitative evaluation suggests a cultural change of crisis management.
authors.forename: Christine
authors.initials: C
authors.lastname: Ulke
authors.forename: Annette M
authors.initials: AM
authors.lastname: Klein
authors.forename: Kai
authors.initials: K
authors.lastname: von Klitzing
mesh_terms: D000293:Adolescent; D000374:Aggression / Q000523:psychology; D002648:Child; D003131:Combined Modality Therapy; D003419:Crisis Intervention; D005858:Germany; D006801:Humans; D007318:Inservice Training; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D010347:Patient Care Planning; D011567:Psychiatric Department, Hospital; D011619:Psychotropic Drugs / Q000627:therapeutic use; D011786:Quality Control; D012149:Restraint, Physical; D012931:Social Environment; D013647:Task Performance and Analysis
chemical_list: D011619:Psychotropic Drugs
keywords: critical incident - child and adolescent psychiatry - ward intervention - tiered crisis management - quality control; kritisches Ereignis - Deeskalation - stationare Kinder- und Jugendpsychiatrie - strukturelle Interventionen - Qualitatsmanagement