About the Book
This book reviews the history of inpatient psychiatric hospital (IPH) and acute mental health services for youth. In addition, it highlights current IPH care models for children and adolescents, demonstrating an increase in the development and implementation of evidence-based-informed (EBI) treatments in IPH and acute care settings. The book offers insights into program development, implementation, and measurement as well as considerations for sustainability. Chapters describe interventions designed to enhance the well-being of youth and their families who are experiencing a range of mental health concerns. The book shares practicable strategies for measuring outcomes and applying these results to meaningful clinical outcomes in IPH and acute care settings. It also provides treatment referral resources and information about the process of accessing and using such services. Finally, the book reviews additional treatment resources that may be necessary in the continuum of mental health care for youth.
Key areas of coverage include:
Developing and constructing the physical and safety environment of an IPH unit and suicide and safety planning.
Setting and monitoring treatment goals and discharge criteria.
Equity, diversity, and inclusion considerations in psychiatric inpatient units.
Program operations and therapy on a psychiatric inpatient unit for youth diagnosed with neurodevelopmental disorders.
Disaster preparation and impact on inpatient psychiatric care.
The Handbook of Evidence-Based Inpatient Mental Health Programs for Children and Adolescents is a must-have resource for researchers, professors, and graduate students as well as clinicians, therapists, and other professionals in developmental, clinical child, developmental, and school psychology, social work, public health, child and adolescent psychiatry, family studies, pediatrics, and all related disciplines.
Table of Contents:
Part 1. History and Overview.- Chapter 1. The Function and Evolution of Child and Adolescent Inpatient Psychiatric Hospitalization.- Chapter 2. Differences in Design: How the Care Environment Impacts Healing and Patient Well-Being.- Chapter 3. Developing and Constructing the Physical and Safety Environment of an Inpatient Psychiatric Unit.- Chapter 4. Integrating Diversity, Equity, and Inclusion in Inpatient Mental Health Settings.- Chapter 5. Seclusion and Restraint in Inpatient Psychiatry: History and Best Practices.- Chapter 6. Disaster Preparation and Effects on Inpatient Psychiatric Care.- Part 2. Training and Staffing.- Chapter 7. Training and Continuing Education in Inpatient Psychiatric Hospital Settings.- Chapter 8. Developing and Engaging Milieu Staff on Child and Adolescent Inpatient Psychiatric Units: Impact and Management of Staffing Factors. Part 3. Treatment and Treatment Planning.- Chapter 9. Assessment and Measurement-Based Care in Inpatient Psychiatric Settings.- Chapter 10. Schizophrenia and Psychosis Assessment: Diagnosis and Medication Evaluation.- Chapter 11. Setting and Monitoring Treatment Goals and Discharge Criteria.- Chapter 12. Adapting and Implementing Evidence Based Interventions on Inpatient Psychiatric Units.- Chapter 13. Positive Behavior Prevention and Intervention Strategies.- Chapter 14. Developmental Considerations for Treatment Adaptations in Inpatient Mental Health Settings.- Chapter 15. Schizophrenia and Psychosis: Treatment and Follow-Up.- Chapter 16. Trauma and Trauma Informed Care in Child and Adolescent Inpatient Psychiatry.- Chapter 17. Assessment and Treatment of Mood Disorders in Child and Adolescent Inpatient Mental Health Settings.- Chapter 18. Inpatient Behavioral Family Treatment for Psychiatrically Hospitalized Youth with Eating Disorders.- Chapter 19. Intellectual Disabilities and Neurodevelopmental Disorders.- Part 4. Care Coordination.- Chapter 20. Integrating Caregivers into Inpatient Psychiatric Hospitalization Treatment for Children and Adolescents: Strategies for Navigating and Engaging in Services.- Chapter 21. Education Services During and Post Child and Adolescent Inpatient Psychiatric Treatment.- Part 5. Alternatives to Traditional Inpatient Psychiatry Programs.- Chapter 22. Emergency Department Boarding, Diversion Programs, and Other Novel Interventions.- Chapter 23. Challenges with and Alternatives to Inpatient Psychiatric Hospitalization.- Chapter 24. The Rapid Stabilization Pathway: An Innovative Approach to Acute Inpatient Psychiatric Care for Suicidal Adolescents.- Chapter 25. Treating Subacute Populations on the Psychiatric Care Continuum: Nationwide Children’s Hospital Child and Adolescent Partial Hospitalization Program.- Part 6. Next Steps and Future Directions.- Chapter 26. Integrating Research on an Inpatient Psychiatric Unit.- Chapter 27. Future Directions in Inpatient Mental Health Care for Children and Adolescents.- Index.
About the Author :
Jarrod M. Leffler, Ph.D., ABPP, is an Associate Professor at Virginia Commonwealth University (VCU) and Chair of the Division of Child and Adolescent Psychology in the Department of Psychiatry. Dr. Leffler is involved in program development and implementation and clinical activities in outpatient, day-treatment, and inpatient settings at Virginia Treatment Center (VTCC) for Children and Children's Hospital of Richmond. He leads the inpatient Positive Behavioral Interventions and Supports (PBIS) program at VTCC. Before joining VCU, Dr. Leffler served as the primary psychologist on the 18-bed child and adolescent inpatient psychiatric unit at Mayo Clinic that provides a family-focused care model. During his 10 years at Mayo Clinic, Dr. Leffler was the co-director of the pediatric mood clinic. He also developed and directed the Child and Adolescent Integrated Mood Program (CAIMP), a two-week family-based Partial Hospitalization Program (PHP) for youth with mood disorders, and the Pediatric Transition Program (PTP), a traditional intensive outpatient program (IOP) program for youth with comorbid psychopathology. In addition, Dr. Leffler has provided inpatient psychiatry care to youth at Boston Children's Hospital. He provides clinical supervision to psychology and psychiatry fellows as well as staff members in inpatient, day-treatment, outpatient, and pediatric settings. Dr. Leffler has published on treatment models for youth and caregivers, He has also published on training staff on implementing EBTs. He served as the lead editor for two special issues focused on acute, intensive, and residential treatment services in the Journal of Evidence-Based Practice in Child and Adolescent Mental Health. Dr. Leffler is the co-editor of the Handbook of Evidence-Based Day Treatment Programs for Children and Adolescents (Springer). With Drs. Alysha Thompson and Aaron Vaugh, he created the Acute, Residential and Intensive Services Special Interest Group of the Society of Clinical Child and Adolescent Psychology of the American Psychological Association and is the past-Co-Chair. He served two terms as the President of the American Board of Clinical Child and Adolescent Psychology. Dr. Leffler received the 2024 Distinguished Career Award for Practice and Training from the American Psychological Association's Society of Clinical Child and Adolescent Psychology.
Alysha D. Thompson, Ph.D., is an Associate Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine and the Clinical Director and attending psychologist on the Psychiatry and Behavioral Medicine Unit at Seattle Children's Hospital, a 41-bed inpatient psychiatric unit for children and adolescents ages 4 to 17. She has also provided inpatient psychiatric care to children and adolescents at Bradley Hospital / Brown University, where she was an attending psychologist on the Adolescent Inpatient Unit and clinical assistant professor at the Warren Alpert Medical School of Brown University. Dr. Thompson provides clinical supervision to psychology practicum students, residents, and postdoctoral fellows as well as oversees a team of psychologists, master's level mental health therapists, and board certified behavior analysts who provide treatment to youth on the inpatient unit. In addition to her clinical work, Dr. Thompson has published clinical research on treatment models for youth in inpatient care, including adaptation and implementation of empirically based treatment in the inpatient psychiatry setting and use of behavior modification and dialectical behavior therapy strategies to prevent restraints and assaults on an inpatient unit. She served as a co-editor for two special issues focused on acute, intensive, and residential treatment services in the Journal of Evidence-Based Practice in Child and Adolescent Mental Health. Dr. Thompson is also actively involved in policy and advocacy work, including advocacy at the state level for funding to make partial hospital and intensive outpatient programs for youth a Medicaid funded benefit in Washington State. With Drs. Jarrod Leffler and Aaron Vaughn, she created the Acute, Residential and Intensive Services Special Interest Group of the Society of Clinical Child and Adolescent Psychology of the American Psychological Association, where she currently serves as Chair. She also received the Society of Clinical Child and Adolescent Psychology's 2022 award for Promoting Evidenced-Based Mental Health Services and has received numerous teaching awards for her training of psychology residents.
Shannon W. Simmons, M.D., MPH, is an Associate Professor at the University of Washington and the Medical Director of Inpatient and Acute Mental Health Services as well as attending psychiatrist on the Psychiatry and Behavioral Medicine Unit at Seattle Children's Hospital, a 41-bed inpatient psychiatric unit for children and adolescents ages 4 to 17. She helps oversee the educational experience of child and adolescent psychiatry fellows, psychiatry residents, and medical students and serves as Associate Training Director of Emergency Psychiatry for the University of Washington child and adolescent psychiatry fellowship training program. In addition to her clinical, administrative, and educational roles, Dr. Simmons is a recent past president of the Washington State Council of Child and Adolescent Psychiatry and an assembly delegate in the American Academy of Child and Adolescent Psychiatry. She has published in peer-reviewed journals on various aspects of inpatient care, including interdisciplinary education, the inpatient unit within broader systems of care, and interventions for restraint reduction.
