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ToolsHolland, Josephine, Lewis, Leonie, Wreford, Alice, Singh-Lalli, Hardeep, Roe, James and Sayal, Kapil (2024) The impact of child and adolescent inpatient psychiatric admissions out-of-area or to adult wards: A systematic review. British Journal of Hospital Medicine. ISSN 1750-8460
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Abstract
Aims/Background Child and adolescent psychiatric inpatient admissions out-of-area or to adult wards are frequently discussed in the national media. No previous systematic reviews have investigated the impact of such admissions. Methods Systematic searches of MEDLINE, Embase, CINAHL, PsycINFO, PsycArticles, King’s Fund, Google Scholar, The Health Foundation, Social Care Online, Cochrane Library, Royal College of Psychiatrists, Web of Science and Econ light databases were conducted alongside grey literature searches. All eligible studies investigating the impact of acute psychiatric inpatient admission out-of-area or to adult wards in children and adolescents were included. Risk of bias was assessed using an adapted version of the Hawker critical appraisal tool. Results 18 studies were included (4 reported on out-of-area admissions, 13 on adult ward admissions, 1 study reported on both). Study quality was variable. Out-of-area admission impacts included longer emergency department waits, higher travel costs for families, and were described as ‘time-inefficient’. For studies of admissions of under-18s to adult psychiatric wards the most commonly reported impact was on length of stay. Opinions from staff and young people of these types of admissions were mostly negative. Conclusion Further studies looking at the full range of impacts of these admissions over the long term are needed.
| Item Type: | Article |
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| Additional Information: | Availability of Data and Materials: Data are available upon reasonable request from the corresponding author. Funding information: Josephine Holland and James Roe are supported by the National Institute for Health and Care Research (NIHR) Applied Research Collaboration East Midlands (NIHR ARC EM). Alice Wreford is supported by the National Institute for Health and Care Research (NIHR) Applied Research Collaboration East of England (NIHR ARC EoE) at Cambridgeshire and Peterborough NHS Foundation Trust. |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School |
| Depositing User: | LivePure Connector |
| Date Deposited: | 12 Dec 2024 01:53 |
| Last Modified: | 12 Dec 2024 01:53 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/97974 |
| DOI: | 10.12968/hmed.2024.0466 |
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