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Implementation of Brief Admission by Self-Referral in Child and Adolescent Psychiatry in Sweden : Insights from Implementers and Staff

Johansson, Björn Axel LU ; Holmström, Eva LU ; Westling, Sofie LU orcid ; Eberhard, Sophia LU and Rask, Olof LU (2024) In International Journal of Environmental Research and Public Health 21(1). p.1-16
Abstract

Brief admission by self-referral, which allows patients to briefly admit themselves to a psychiatric ward, is a crisis intervention designed to reduce suicide and self-harm. This method was introduced in Sweden for adult patients in 2015, achieving high patient satisfaction and good acceptance among staff. In 2018, the method was adapted and implemented in pediatric psychiatry. The present study comprehensively describes the multifaceted strategies for implementing brief admissions, including planning, education, financing, restructuring, quality management, and policy implementation and reform. It also includes staff's opinions of the practice of brief admissions for young people. Neither of these topics has been addressed in the... (More)

Brief admission by self-referral, which allows patients to briefly admit themselves to a psychiatric ward, is a crisis intervention designed to reduce suicide and self-harm. This method was introduced in Sweden for adult patients in 2015, achieving high patient satisfaction and good acceptance among staff. In 2018, the method was adapted and implemented in pediatric psychiatry. The present study comprehensively describes the multifaceted strategies for implementing brief admissions, including planning, education, financing, restructuring, quality management, and policy implementation and reform. It also includes staff's opinions of the practice of brief admissions for young people. Neither of these topics has been addressed in the existing literature. During the study period (April 2018-April 2021), 63 brief admission contracts were established. The number of new contracts increased exponentially (12.7%) per quarter (p < 0.05), and staff satisfaction with both the implementation and its benefits for unstable patients was high. Brief admission by self-referral can be successfully implemented in pediatric psychiatry and appears to be a functional crisis management method for adolescents.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Environmental Research and Public Health
volume
21
issue
1
article number
35
pages
1 - 16
publisher
MDPI AG
external identifiers
  • scopus:85183085302
  • pmid:38248500
ISSN
1660-4601
DOI
10.3390/ijerph21010035
language
English
LU publication?
yes
id
9203427b-660a-4dc9-809e-7ed0a155fcb1
date added to LUP
2024-01-22 23:37:47
date last changed
2024-04-23 03:00:09
@article{9203427b-660a-4dc9-809e-7ed0a155fcb1,
  abstract     = {{<p>Brief admission by self-referral, which allows patients to briefly admit themselves to a psychiatric ward, is a crisis intervention designed to reduce suicide and self-harm. This method was introduced in Sweden for adult patients in 2015, achieving high patient satisfaction and good acceptance among staff. In 2018, the method was adapted and implemented in pediatric psychiatry. The present study comprehensively describes the multifaceted strategies for implementing brief admissions, including planning, education, financing, restructuring, quality management, and policy implementation and reform. It also includes staff's opinions of the practice of brief admissions for young people. Neither of these topics has been addressed in the existing literature. During the study period (April 2018-April 2021), 63 brief admission contracts were established. The number of new contracts increased exponentially (12.7%) per quarter (p &lt; 0.05), and staff satisfaction with both the implementation and its benefits for unstable patients was high. Brief admission by self-referral can be successfully implemented in pediatric psychiatry and appears to be a functional crisis management method for adolescents.</p>}},
  author       = {{Johansson, Björn Axel and Holmström, Eva and Westling, Sofie and Eberhard, Sophia and Rask, Olof}},
  issn         = {{1660-4601}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{1--16}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Implementation of Brief Admission by Self-Referral in Child and Adolescent Psychiatry in Sweden : Insights from Implementers and Staff}},
  url          = {{http://dx.doi.org/10.3390/ijerph21010035}},
  doi          = {{10.3390/ijerph21010035}},
  volume       = {{21}},
  year         = {{2024}},
}