Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends

Background It is preferable that children and adolescents requiring in-patient care for mental health problems are managed in age-appropriate facilities. To achieve this, nine...

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Main Authors: Philip Hazell, Titia Sprague, Joanne Sharpe
Format: Article
Language:English
Published: Cambridge University Press 2016-01-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472400001071/type/journal_article
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author Philip Hazell
Titia Sprague
Joanne Sharpe
author_facet Philip Hazell
Titia Sprague
Joanne Sharpe
author_sort Philip Hazell
collection DOAJ
description Background It is preferable that children and adolescents requiring in-patient care for mental health problems are managed in age-appropriate facilities. To achieve this, nine specialist Child and Adolescent Mental Health Services (CAMHS) in-patient units have been commissioned in New South Wales (NSW) since 2002. Aims To examine trends in child and adolescent in-patient admissions since the opening of these CAMHS units. Method Analysis of separation data for under 18-year-olds to CAMHS, adult mental health and paediatric units for the period 2002 to 2013 in NSW, comparing districts with and without specialist CAMHS units. Results Separations from CAMHS, adult and paediatric units rose with time, but there was no interaction between time and health district type (with/without CAMHS unit). Five of eight health districts experienced increased separations of under 18-year-olds from adult units in the year of opening a CAMHS unit. Separations from related paediatric units increased in three of seven health districts. Conclusions Opening CAMHS units may be followed by a temporary increase in separations of young people from adult units, but it does not influence the flow of patients to non-CAMHS facilities in the longer term.
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spelling doaj.art-7e2c0ff841cb4c57a2e08d8b26852a002023-03-09T12:28:36ZengCambridge University PressBJPsych Open2056-47242016-01-0121510.1192/bjpo.bp.115.000794Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trendsPhilip Hazell0Titia Sprague1Joanne Sharpe2Cert Accred Child Psychiatry (RANZCP), Conjoint Professor of Child and Adolescent Psychiatry, The University of Sydney, Sydney, NSW, AustraliaCert Accred Child Psychiatry (RANZCP), NSW Ministry of Health, Sydney, NSW, AustraliaNSW Ministry of Health, Sydney, NSW, Australia Background It is preferable that children and adolescents requiring in-patient care for mental health problems are managed in age-appropriate facilities. To achieve this, nine specialist Child and Adolescent Mental Health Services (CAMHS) in-patient units have been commissioned in New South Wales (NSW) since 2002. Aims To examine trends in child and adolescent in-patient admissions since the opening of these CAMHS units. Method Analysis of separation data for under 18-year-olds to CAMHS, adult mental health and paediatric units for the period 2002 to 2013 in NSW, comparing districts with and without specialist CAMHS units. Results Separations from CAMHS, adult and paediatric units rose with time, but there was no interaction between time and health district type (with/without CAMHS unit). Five of eight health districts experienced increased separations of under 18-year-olds from adult units in the year of opening a CAMHS unit. Separations from related paediatric units increased in three of seven health districts. Conclusions Opening CAMHS units may be followed by a temporary increase in separations of young people from adult units, but it does not influence the flow of patients to non-CAMHS facilities in the longer term. https://www.cambridge.org/core/product/identifier/S2056472400001071/type/journal_article
spellingShingle Philip Hazell
Titia Sprague
Joanne Sharpe
Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends
BJPsych Open
title Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends
title_full Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends
title_fullStr Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends
title_full_unstemmed Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends
title_short Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends
title_sort psychiatric hospital treatment of children and adolescents in new south wales australia 12 year trends
url https://www.cambridge.org/core/product/identifier/S2056472400001071/type/journal_article
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AT joannesharpe psychiatrichospitaltreatmentofchildrenandadolescentsinnewsouthwalesaustralia12yeartrends