Inappropriate admission of young people with mental disorder to adult psychiatric wards and paediatric wards: cross sectional study of six months' activity

doi:10.1136/bmj.38058.605787.AE

BMJ 2004;328:867 (10 April), doi:10.1136/bmj.38058.605787.AE (published 5 April 2004)

Paper

Inappropriate admission of young people with mental disorder to adult psychiatric wards and paediatric wards: cross sectional study of six months' activity

Adrian Worrall, senior research worker¹, Anne O'Herlihy, research worker¹, Sube Banerjee, professor of mental health and ageing², Tony Jaffa, consultant psychiatrist³, Paul Lelliott, director¹, Peter Hill, professor⁴, Angela Scott, research assistant¹, Helen Brook, research assistant¹

¹ Royal College of Psychiatrists' Research Unit, 6th Floor, 83 Victoria Street, London SW1H 0HW, ² Health Services Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London, ³ Phoenix Centre, Fulbourn Hospital, Cambridge, ⁴ Department of Psychological Medicine, Great Ormond Street Hospital for Children, London

Correspondence to: A Worrall aworrall{at}cru.rcpsych.ac.uk

The first 150 words of the full text of this article appear below.

Introduction

Child and adolescent psychiatric inpatient wards were establishedbecause young people with mental illness are often poorly servedby admission to general psychiatric wards owing to needs thatdiffer from those adults, different skills needed by staff,and difficulty ensuring young people's safety.¹ The admissionof young people with mental illness to paediatric wards alsoraises concerns about safety and the skills of staff. We estimatedthe number of inappropriate admissions of young people withmental disorder to adult psychiatric wards and paediatric wards.

Participants, methods, and results

We chose nine health authorities representative of England andWales in terms of location, population size, deprivation, andprovision of child and adolescent psychiatric wards (see tableon bmj.com). These health authorities served 1.13 million peopleaged under 18, representing 9% of the population of Englandand Wales (1999 projections of 1991 census).

We identified all adult psychiatric wards and paediatric wards.Consultant general psychiatrists and . . . [Full text of this article]

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