Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient Unit
Addo Boafo,1– 3 Stephanie Greenham,1,2,4 Paula Cloutier,1,2 Shanika Abraham,1 Michele Dumel,1 Valerie Gendron,1 Derek Rowsell1 1Mental Health Program, CHEO, Ottawa, ON, Canada; 2CHEO Research Institute, CHEO, Ottawa, ON, Canada; 3Department of Psychiatry, University of Ottawa, Ottawa, ON,...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-09-01
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| Series: | Adolescent Health, Medicine and Therapeutics |
| Subjects: | |
| Online Access: | https://www.dovepress.com/development-of-a-clinical-pathway-for-the-assessment-and-management-of-peer-reviewed-article-AHMT |
| _version_ | 1818130550490136576 |
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| author | Boafo A Greenham S Cloutier P Abraham S Dumel M Gendron V Rowsell D |
| author_facet | Boafo A Greenham S Cloutier P Abraham S Dumel M Gendron V Rowsell D |
| author_sort | Boafo A |
| collection | DOAJ |
| description | Addo Boafo,1– 3 Stephanie Greenham,1,2,4 Paula Cloutier,1,2 Shanika Abraham,1 Michele Dumel,1 Valerie Gendron,1 Derek Rowsell1 1Mental Health Program, CHEO, Ottawa, ON, Canada; 2CHEO Research Institute, CHEO, Ottawa, ON, Canada; 3Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada; 4School of Psychology, University of Ottawa, Ottawa, ON, CanadaCorrespondence: Addo BoafoCHEO, Ottawa, ON, CanadaTel +1-613-737-7600 ext. 2507Email aboafo@cheo.on.caPurpose: This article describes steps taken by a mental health inpatient multidisciplinary team to develop a clinical pathway for the assessment and management of suicidality in a pediatric psychiatric inpatient unit.Patients and Methods: The setting for this project is a 19-bed inpatient psychiatry unit providing care for children and adolescents (6– 17 years of age) in a tertiary care pediatric hospital in Ontario, Canada. Three Lean methodologies were used: 1) The A3 process was used to articulate a problem statement and help clarify expectations, determine goals, and uncover, address and encourage discussion of potential issues; 2) Process mapping was used to show how work process activities are sequenced from the time of the patient’s admission to discharge; and 3) Standard work, where consideration was given to the breakdown of the work into categories which are sequenced, organized and repeatedly followed. Generally accepted methodologies for developing clinical pathways were used to create a framework and algorithm for the assessment and management of suicidality in psychiatrically hospitalized children and adolescents.Results: The clinical pathway development resulted in six steps from admission to discharge: intake process, inclusion/exclusion criteria, data integration and treatment formulation, interventions, determination of readiness for discharge, and the discharge process.Conclusion: This framework, developed with the aim to standardize care for psychiatrically admitted suicidal children and adolescents, may serve as a flexible template for use in similar settings and could be adapted according to local realities and resources.Keywords: adolescents, suicide, hospitalized, psychiatry |
| first_indexed | 2024-12-11T08:06:49Z |
| format | Article |
| id | doaj.art-52fe61aff00a4e27846c1e50faa4d5de |
| institution | Directory Open Access Journal |
| issn | 1179-318X |
| language | English |
| last_indexed | 2024-12-11T08:06:49Z |
| publishDate | 2020-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Adolescent Health, Medicine and Therapeutics |
| spelling | doaj.art-52fe61aff00a4e27846c1e50faa4d5de2022-12-22T01:14:59ZengDove Medical PressAdolescent Health, Medicine and Therapeutics1179-318X2020-09-01Volume 1112313357329Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient UnitBoafo AGreenham SCloutier PAbraham SDumel MGendron VRowsell DAddo Boafo,1– 3 Stephanie Greenham,1,2,4 Paula Cloutier,1,2 Shanika Abraham,1 Michele Dumel,1 Valerie Gendron,1 Derek Rowsell1 1Mental Health Program, CHEO, Ottawa, ON, Canada; 2CHEO Research Institute, CHEO, Ottawa, ON, Canada; 3Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada; 4School of Psychology, University of Ottawa, Ottawa, ON, CanadaCorrespondence: Addo BoafoCHEO, Ottawa, ON, CanadaTel +1-613-737-7600 ext. 2507Email aboafo@cheo.on.caPurpose: This article describes steps taken by a mental health inpatient multidisciplinary team to develop a clinical pathway for the assessment and management of suicidality in a pediatric psychiatric inpatient unit.Patients and Methods: The setting for this project is a 19-bed inpatient psychiatry unit providing care for children and adolescents (6– 17 years of age) in a tertiary care pediatric hospital in Ontario, Canada. Three Lean methodologies were used: 1) The A3 process was used to articulate a problem statement and help clarify expectations, determine goals, and uncover, address and encourage discussion of potential issues; 2) Process mapping was used to show how work process activities are sequenced from the time of the patient’s admission to discharge; and 3) Standard work, where consideration was given to the breakdown of the work into categories which are sequenced, organized and repeatedly followed. Generally accepted methodologies for developing clinical pathways were used to create a framework and algorithm for the assessment and management of suicidality in psychiatrically hospitalized children and adolescents.Results: The clinical pathway development resulted in six steps from admission to discharge: intake process, inclusion/exclusion criteria, data integration and treatment formulation, interventions, determination of readiness for discharge, and the discharge process.Conclusion: This framework, developed with the aim to standardize care for psychiatrically admitted suicidal children and adolescents, may serve as a flexible template for use in similar settings and could be adapted according to local realities and resources.Keywords: adolescents, suicide, hospitalized, psychiatryhttps://www.dovepress.com/development-of-a-clinical-pathway-for-the-assessment-and-management-of-peer-reviewed-article-AHMTadolescentssuicidehospitalizedpsychiatry |
| spellingShingle | Boafo A Greenham S Cloutier P Abraham S Dumel M Gendron V Rowsell D Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient Unit Adolescent Health, Medicine and Therapeutics adolescents suicide hospitalized psychiatry |
| title | Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient Unit |
| title_full | Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient Unit |
| title_fullStr | Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient Unit |
| title_full_unstemmed | Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient Unit |
| title_short | Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Inpatient Unit |
| title_sort | development of a clinical pathway for the assessment and management of suicidality on a pediatric psychiatric inpatient unit |
| topic | adolescents suicide hospitalized psychiatry |
| url | https://www.dovepress.com/development-of-a-clinical-pathway-for-the-assessment-and-management-of-peer-reviewed-article-AHMT |
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