The experience of adolescent inpatient care and the anticipated transition to the community: Young people's perspectives

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• 作者：Freya Gill ^{freya.gill.11@ucl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Stephen Butler ^{stephen.butler@ucl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Nancy Pistrang ; ^{n.pistrang@ucl.ac.uk" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Adolescent ; Inpatient treatment ; Mental health ; Psychiatric ; Qualitative
• 刊名：Journal of Adolescence
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：46
• 期：Complete
• 页码：57-65
• 全文大小：239 K

文摘

This study explored adolescents' perspectives of inpatient mental health care, focussing on aspects of the inpatient environment they anticipated would help or hinder their transition back home. Semi-structured interviews were conducted with 12 adolescent inpatients; transcripts were analysed thematically. Participants experienced inpatient treatment as offering a mix of benefits (e.g., supportive relationships) and drawbacks (e.g., living in a “fake world”). They anticipated the transition home as providing opportunities for personal growth and consolidation of new coping skills, but also posing challenges concerning re-entering the “real world” after the experience of being “wrapped in cotton wool”. Self-determination theory and attachment theory offer two potential frameworks for understanding these opportunities and challenges. Inpatient care has the potential to foster key mechanisms for adaptive development, creating a platform for developing positive future behaviours. Community teams should work closely with inpatient units to support the generalisation of the young person's newly acquired coping skills.