Notions of home within an adolescent inpatient unit

  • Research type

    Research Study

  • Full title

    ‘A home by any other name? A research study on the notions of home within an adolescent psychiatric inpatient unit and the subsequent implications for staff training.’

  • IRAS ID

    208725

  • Contact name

    Hannah J Sherbersky

  • Contact email

    hjs219@exeter.ac.uk

  • Sponsor organisation

    University of Exeter

  • Duration of Study in the UK

    1 years, 3 months, 20 days

  • Research summary

    Tier 4 child and adolescent mental health services (CAMHS) aim to meet the needs of children and young people with the most complex, severe or persistent mental health problems. Treatment within residential tier 4 inpatient units carries unique challenges. Whilst removal of a child with severe emotional difficulties from their home into an inpatient unit has potential benefits; (separation from possible negative influences in the family, access to an intensive treatment programme), the benefits must be weighed against the potential harm and negative effects of such a decision (Hersov, 1998). Most young people are admitted from and discharged back to their homes. This study investigates if and how young people, their family/carers and staff talk about the tier 4 unit as ‘home’, and explores the possible clinical implications for treatment and staff training.
    The study will explore how some concepts; such as ‘leaving home’ and a ‘secure base’ (Byng-Hall, 2008), have a bearing on the admission, treatment and discharge of a young person.
    These findings in turn, have implications for staff training. As the Programme Lead for the Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) Tier 4 project, I will also be drawing on the research findings to inform a staff training programme.
    One 12 bedded generic psychiatric adolescent inpatient unit has been chosen.
    I will conduct a series of focus groups with three distinct participant groups on the unit;
    1) Current patients on the unit
    2) The families/carers of these young people
    3) Current staff – drawn from the multi-disciplinary team
    I will conduct a qualitative analysis to understand the different way in which people describe the unit and home. Data will be analysed and comparisons and links will be made between these three distinct groups.
    Timescale – focus groups will be conducted over a period of 3 – 6 months.

  • REC name

    West Midlands - Black Country Research Ethics Committee

  • REC reference

    17/WM/0361

  • Date of REC Opinion

    18 Oct 2017

  • REC opinion

    Further Information Favourable Opinion