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Planning a Continuum of Care in Child Psychiatric Nursing A Collaborative Effort
Author(s) -
HERRICK CHARLOTTE A.,
GOODYKOONTZ LYNNE,
HERRICK ROBERT H.,
HACKETT BRENDA
Publication year - 1991
Publication title -
journal of child and adolescent psychiatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 35
eISSN - 1744-6171
pISSN - 1073-6077
DOI - 10.1111/j.1744-6171.1991.tb00488.x
Subject(s) - continuum of care , nursing , mental health , medicine , health care , nursing care , psychology , psychiatry , economics , economic growth
A guide for providing a continuum of care for children in need of psychiatric services from the least restrictive services (outpatient care), to a moderately restrictive setting (partial hospitalization), to the most restrictive setting (inpatient care) is described. Movement along the continuum is facilitated by the nurse case manager. Concepts from three theoretical frameworks are integrated to define goals, criteria, and expected outcomes for each level of care along the continuum. They are Neuman's (1982) systems model for nursing practice and education, Caplan's (1961) model for primary prevention of mental disorders in children, and Frances, Clarken and Perry's (1984) differential therapeutics. The continuum provides a guide for nurses and other health care providers to achieve high quality care as economically as possible. It also enhances self‐care and self‐responsibility for families of disturbed children by offering a sequential graded system of care along the health‐illness continuum.