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Non-forensic secure services for adolescents: what are we talking about?

Published online by Cambridge University Press:  21 October 2013

Benjamin Keene ,
Rakendu Suren  and
Rafik Refaat
Benjamin Keene*
Affiliation:
ST6 Specialty Registrar in Child & Adolescent Psychiatry, Department of Child & Adolescent Mental Health, Great Ormond Street Hospital for Children NHS Trust, London
Rakendu Suren
Affiliation:
Locum Consultant Child & Adolescent Psychiatrist, Newham CFCS, East London NHS Foundation Trust, London
Rafik Refaat
Affiliation:
Consultant Child & Adolescent Psychiatrist, Coborn Centre for Adolescent Mental Health, East London NHS Foundation Trust, London E13 8SP & Honorary Senior Lecturer, Barts & The London School of Medicine & Dentistry
*
Correspondence to: Dr Benjamin Keene, Department of Child & Adolescent Mental Health, Great Ormond Street Hospital for Children NHS Trust, London WC1N 3JH. E-mail: [email protected]
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Abstract

There is considerable variability in the ethos of the various adolescent in-patient units in Britain. Currently, there are few services within NHS settings able to manage acute behavioural disturbance in adolescents despite the prevalence of psychiatric disorder in this population group. Due to this variation, individual units around the country have developed their own bespoke services for managing disturbance. These services are given different names although may be operating with similar models. However, there is little consensus on these definitions, resulting in services with similar titles providing differing levels of service and varying capacity to manage violence or aggression. We attempt to define patient populations in need of such services and suggest a nomenclature for defining such services that could be universally adopted. We also describe the five-year review of admissions of one adolescent psychiatric intensive care unit and suggest how well its name fits with our proposed model.

Keywords

Adolescentintensive carehigh dependency
Type
Review Article
Information
Journal of Psychiatric Intensive Care , Volume 10 , Issue 1 , April 2014 , pp. 33 - 39
Copyright
Copyright © NAPICU 2013 

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