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ABSTRACT
Objective: Inpatient care is the most widely used intensive care component of child and adolescent mental health services (CAMHS) internationally. In some studies, child and adolescent inpatient care has been shown to be effective and remains a neccesary function of a comprehensive child and adolescent mental health service. Our aim is to examine the treatment outcome of our newly opened CAMHS inpatient unit in terms of patients functioning levels via key variables which were measured at two time periods, namely (i) at admission to the unit and (ii) at discharge.
Methods: The data was collected from the individual case files of the patients who had inpatient care in the Dokuz Eylül School of Medicine CAMH Inpatient Unit between January 2006 and May 2008. The difference in the level of severity of psychopathology of the patient at admission and at discharge was examined with different variables. Moreover, psychiatric diagnosis of the patients, psychopharmacological treatment details and length of stay were also evaluated.
Results: Consistent with the previous research, the present study shows that all the measures of treatment response of young people admitted to our inpatient unit improved substantially from admission to discharge.
Discussion: We believe that it is crucial and valuable to demonstrate the positive outcome of child and adolescent inpatient treatment in our country, while new legislative bodies have been discussing the National Mental Health Act. (Archives of Neuropsychiatry 2009; 46: 143-8)
Key words: Inpatient treatment, treatment outcome, child and adolescent mental health
ÖZET
Amaç: Yatakli tedavi modeli, tüm dünyada çocuk ve ergen ruh sagliginda yaygi n olarak kullanilan yogun bir tedavi ve rehabilitasyon seklidir. Bazi çalismalarda, çocuk ve ergen ruh sagligi yatakli servislerinin etkili oldugu bulunmus ve çocuk ve ergen ruh sagligi bütüncül yaklasimlarinda önemli bir unsurdur. Bu çali smadaki amacimiz, yeni açilan servisimizde tedavi gören çocuk ve ergenlerin hastane dosyalarindaki bilgiler ve bulgulardan yararlanarak, iki önemli zaman diliminde; (i) yatista ve (ii) taburculuktaki bazi ölçümlerden yararlanarak tedavinin etkinligini göstermektir.
Yöntemler: Ocak 2006-Mayis 2008 tarihleri arasinda, Dokuz Eylül Üniversitesi Tip Fakültesi Hastanesi Çocuk ve Ergen Ruh Sagligi Servisi (ÇERSS)'nde yatarak tedavi gören ve taburcu edilen hastalarin kayitlari geriye dönük olarak incelenmistir. Hastalarin yatis ve çikista psikopatolojilerinin siddetini degerlendirmek amaci ile farkli degiskenlerden yararlanilmistir. Buna ek olarak, hastalarin psikiyatrik tanilari, psikofarmakolojik...