In-patient Child Psychiatry

Essential Reading for clinicians, managers and researchers in child psychiatry, this authoritative book provides accessible coverage of essential theory as well as clear practical guidance to inpatient child psychiatric treatment. This method of treatment has fallen out of fashion in recent years in favour of community-based care, but remains a useful setting for treating more seriously ill patients. Bringing together contributions from across the profession, this book covers the 'state-of-the-art' in current clinical treatment, and sets a bold new agenda for the future, arguing that inpatient child psychiatric units retain great potential for creative, effective, relevant treatment.

List of figures, List of tables, List of contributors, Acknowledgements, Preface, PART I. The current context, Introduction, 1. Current challenges, 2. Current practice: a questionnaire survey of in-patient child psychiatry in the United Kingdom, 3. Historical themes, PART II. Treatment process, 4. The process of admission, 5. Goal setting, 6. Initial assessment, 7. The treatment and discharge phases of admission, PART III. Therapeutic elements in in-patient treatment, 8. Engaging and working with the family, 9. The ward as a therapeutic agent, 10 Behavioural and cognitive therapies, 11. Psychodynamic psychotherapy in the in-patient setting, 12. Educational management, PART IV. Team organisation and dynamics, 13. The in-patient team: models from management theory, 14. Team dynamics in different phases of admission, 15. Staff supervision and support, PART V. Critical areas of management, WARD ISSUES, 16. Managing oppositional and aggressive behaviour, 17. Child maltreatment and in-patient units, 18. Unwanted effects of in-patient treatment: anticipation, prevention, repair, MANAGEMENT OF SOME SPECIFIC DISORDERS, 19. Externalising disorders: conduct disorder and hyperkinetic disorder, 20. Affective disorders and psychosis, 21. Obsessive compulsive disorder, 22. Neuropsychiatry in childhood: residential treatment, 23. Pervasive developmental disorder, DISORDERS OF PARENTING, 24. Severe breakdown in the parenting of infants, 25. Attachment disorders, 26. Some cognitive-behavioural approaches to parenting used in children's in-patient unit settings, PART VI. Research, 27. Research into efficacy and process of treatment, 28, Methodological issues and future directions for in-patient research, PART VII. Management and finance, 29. Childhood, mental health and the law, 30. Economic evaluation and child psychiatric in-patient services, 31. Commissioning and contracting: implications of the National Health Service reorganisation, PART VIII. Other residential options, Introduction, 32. Therapeutic children's homes, 33. A therapeutic school, PART IX. Conclusions, 34. Summary and conclusions: implications for the future, Subject index, Name index