Problemi speciali
L’emergenza psichiatrica in etŕ evolutiva: tendere una rete tra territorio e ospedale
Psychiatric emergency in childhood: connecting territorial and hospital services
Antonella Liverani1, G. Barcia2, Teresa I. Ercolanese3, Giustino Melideo2, Enrico Valletta3
1Dipartimento di Salute Mentale e Dipendenze Patologiche
2UO di Neuropsichiatria Infantile e dell’Adolescenza
3Dipartimento Materno-Infantile, UO di Pediatria, AUSL della Romagna, Forlě
Ottobre 2014 - pagg. 519 -522
Abstract
Neuropsychiatric services usually take care of children and adolescents with mental disease
as outpatients. Although hospital admission for psychiatric disorders is infrequent, the
number of children and adolescents who arrive to emergency departments in acute psychiatric
crisis is increasing. Dedicated inpatient mental services for childhood are few
and not enough to take care of all patients in psychiatric emergency. A high proportion of
children are admitted to paediatric or adult medicine wards as well as to inpatient psychiatric
services for adults. Hospitals, in which a childhood psychiatric service is lacking,
must adopt clinical and organizing procedures to assure appropriate care in a pediatric
environment with the fundamental contribution of territorial mental and social services. A
network should be created that allows the continuity of care during the stay in hospital and
after dismission. This paper describes an experience of inpatient care of psychiatric acute
illnesses in a paediatric department focusing on main problems encountered and on possible
solutions.
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