Distribution and characteristics of in-patient child and adolescent mental health services in England and Wales

Little is known about the current state of provision of child and adolescent mental health service in-patient units in the UK. To describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales. Following identification of unit...

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Bibliographic Details
Published in:British journal of psychiatry 2003-12, Vol.183 (6), p.547-551
Main Authors: O'Herlihy, Anne, Worrall, Adrian, Lelliott, Paul, Jaffa, Tony, Hill, Peter, Banerjee, Sube
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Health Services - organization & administration
Adolescents
Censuses
Child
Child & adolescent mental health
Child & adolescent psychiatry
Child Health Services - organization & administration
Children
Commissioning
Eating disorders
Emergency admissions
England
Feeding and Eating Disorders - therapy
Health Care Surveys
Health services
Health Services Accessibility
Humans
Inpatient care
Learning Disorders - therapy
Mental disorders
Mental Disorders - therapy
Mental health
Mental health care
Mental health services
Mental Health Services - organization & administration
Patient admissions
Patients
Planning
Provision
Psychiatric Department, Hospital - organization & administration
Psychiatric units
Psychiatry
R&D
Research & development
Social Control, Formal
Specialized services
Substance-Related Disorders - therapy
Teenagers
Wales
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Summary:Little is known about the current state of provision of child and adolescent mental health service in-patient units in the UK. To describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales. Following identification of units, data were collected by a postal general survey with telephone follow-up. Eighty units were identified; these provided 900 beds, of which 244 (27%) were managed by the independent sector. Units are unevenly distributed, with a concentration of beds in London and the south-east of England. The independent sector, which manages a high proportion of specialist services and eating disorder units in particular, accentuates this uneven distribution. Nearly two-thirds of units reported that they would not accept emergency admissions. A national approach is needed to the planning and commissioning of this specialist service.
ISSN:0007-1250
1472-1465
DOI:10.1192/02-620