A continuum of mental health care for children and adolescents

R. S. McKelvey

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


As an alternative to the confusing patchwork that often characterizes child and adolescent mental health care, the mental health program of a children's social welfare agency offers a continuum of inpatient and outpatient services on one campus. The program operates a 36-bed psychiatric hospital, a 38-bed residential treatment program, a partial hospital for ten children and adolescents, and a large outpatient service, and it can draw on the agency's foster care, emergency shelter, and home-based therapy services. Treatment in all the services is provided by multidisciplinary treatment teams, which have primary responsibility for coordinating a patient's transfer with other elements of the continuum and for initiating a patient's discharge. A case study illustrates some of the practical considerations that influence treatment decisions in the continuum.

Original languageEnglish (US)
Pages (from-to)870-873
Number of pages4
JournalHospital and Community Psychiatry
Issue number8
StatePublished - 1988

ASJC Scopus subject areas

  • Psychiatry and Mental health


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