How to Admit Your Child to Inpatient Psychiatric Treatment

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Leaving your child at an inpatient psychiatric treatment program is hard for any parent to do. You might feel worried about the care they will receive, guilty for not being able to help them more, or angry about the distress they've caused you. But getting your child the help they need can also bring you relief and put your family on the road to healing. Start by paying close attention to your child's problem behaviors and finding a treatment program that meets your family's needs. When you admit your child to the program, ask lots of questions so you can provide the best support possible.

Part 1
Part 1 of 3:

Recognizing the Problem

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  1. If your gut instinct is telling you that something isn't right with your child, don't dismiss it. You know your child better than anyone else, and if they seem to be acting out of character – even if you can't put your finger on why – take it seriously. Don't be afraid to ask them how they're feeling as well. Open-ended questions can get them to open up. [1]
    • For example, if your child normally has good sleep habits, you should be alarmed if they seem to suddenly only need one or two hours (or less) per night. This could be a sign of a mood disorder.
    • Ask other members of your household, such as your other children or spouse, if they have noticed strange behavior as well. They may be able to confirm your gut suspicion.
    • Other people who have close daily interactions with your child, such as their coaches or teachers, may also be worth consulting.
  2. If your child regularly threatens to hurt themselves or others, acts defiantly with authority figures, or gets into fights, seek help for them. Any kind of out-of-control behavior is a red flag for a mental health disorder. [2]
    • Let's say your typically reserved child gets sent to the principal's office for mouthing off at the teacher. This may point to a significant behavioral change influenced by a mental disorder or other traumatic event.
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  3. If your child has been acting depressed for more than two weeks, it's probably not just hormones. Have your child's mental health evaluated if they've been acting sad or tearful, no longer participate in their favorite activities, or express feelings of worthlessness or guilt. [3]
    • Irritability and angry outbursts can also be signs of depression.
    • If your child talks about suicide or wanting to die, talk to them about your concerns right away, and get them mental health treatment sooner rather than later.
    • Reader Poll: We asked 264 wikiHow readers, and 51% of them agreed that the symptoms of depression they find the most challenging to deal with are intense feelings of sadness and despair . [Take Poll]
  4. As you review your child's symptoms, you may find it helpful to discuss the matter with your co-parent or another family member who knows your child well. This person can give you their perspective and help you make decisions.
    • You might say, "I'm worried about Ellie. Have you noticed any changes in her? Will you go to a doctor's appointment with me to discuss her options?"
  5. If you think your child needs professional help, start by making an appointment with a psychologist. They will be able to evaluate your child's mental health and provide guidance on what kind of treatment program you should look for. [4]
    • Ask your pediatrician for a referral to a reputable psychologist in your area. It may help to jot down some notes about any changes you've noticed to help the doctor better understand your child's condition.
    • If your child needs medication based on a psychological assessment, your child's psychologist can connect you with a psychiatrist.
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Part 2
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Exploring Inpatient Treatment

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  1. If you're overwhelmed at the idea of finding a good treatment program on your own, ask for help. A medical professional will be able to give you an overview of the treatment options available in your area. They'll also be able to advise you on which programs will meet your child's needs best. [5]
    • You might say, "This is all a lot to take in. Can you help me understand some other options for Henry? What would be your course of action if this were your child?"
  2. Once you and your child's doctor have created a preliminary list of treatment programs that make sense given the diagnosis, call them and ask questions. Find out what type of treatment the program provides, how long a typical stay lasts, and how much the program costs.
    • It's also a good idea to find out what kind of aftercare each program provides. Inpatient settings often stabilize your child's current condition and prevent further decline. Aftercare is critical to addressing underlying problems and moving forward.
    • Make a list of your questions before you call each treatment center. Then compare your information on all the programs to decide which one fits your child's needs best.
    • It's also a good idea to contact your insurance company and find out whether they will cover your child's mental health treatment.
  3. If you think your child is a threat to themselves or to other people, take them straight to the emergency room or call 911. Your child may be admitted to the hospital right away, or they may be referred to another location for treatment. [6]
    • Be aware that it may take a long time – in some cases up to 24 hours – for your child to be evaluated in the emergency room.
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Part 3
Part 3 of 3:

Admitting Your Child to Treatment

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  1. Once you make the decision to admit, you will need to sit down with your child and discuss what's happening. Depending on your child's age and maturity level, they may already understand the circumstances. Still, it's best to be sure they understand and see if they have questions.
    • You might say, "Josie, you're going to go and stay at the hospital for a few days. I know you have been really sad and we want to help you get better. I'm going to visit you as often as I can, okay? Do you have any questions?"
    • If your child has a doctor he or she trusts, it may be helpful to have the doctor reassure them that this is for their benefit.
  2. When you admit your child to treatment, ask about the details of the treatment plan, how payments are managed, and whether you are legally required to sign your child in and out of the program. You may also want to ask about your child's daily schedule and how much you're expected to participate in therapy.
    • Older teens may legally be able to sign themselves into and out of the hospital. Check the laws where you live to find out if this is the case.
    • It's also a good idea to find out when visiting hours are and whether you will be able to talk to your child on the phone. Ask whether visits are only for parents, or whether siblings can visit, too.
  3. Some psychiatric inpatient programs for kids and teens have teachers on staff, while others will allow you to bring your child their school assignments. Talk to the program ahead of time to make sure your child won't fall behind on schoolwork during their stay. [7]
    • It's also a good idea to find out if your child's school has any established protocol for students returning from hospitalization.
  4. Check the program's guidelines before you pack for your child's stay. You will probably be asked to bring things like insurance information, clothes, toiletries, and a favorite book or stuffed animal. [8]
    • Most psychiatric treatment programs prohibit certain items. Avoid packing valuables, belts, any item with a cord or drawstring, or anything sharp.
  5. Talk with the therapist and psychiatrist who will work with your child. Tell them about your child's main symptoms, any treatment they have had in the past, and which strategies have helped them before.
    • Remember that you are part of your child's treatment team, too. You know your child best, so don't hesitate to speak up if you think something isn't working. It's important to be proactive in your child's recovery. If a medication is of concern to you, make sure your voice is heard.
    • You might say, "I'm concerned about the side effects of some of these medications. Are there any other drugs you can prescribe?"
  6. Having a child in psychiatric treatment is stressful, so take care of your own well-being when you can. Keep your stress in check by breathing deeply or meditating for a few minutes every day. Maintain your overall health by eating well, getting some exercise, and avoiding drugs and alcohol. [9]
    • Remind yourself that you'll be able to help your child more effectively if you're in a healthy state of mind.
    • If you're struggling, consider talking to a counselor or therapist.
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Expert Q&A

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  • Question
    What can I give a teenager for depression if I don't want to give them the antidepressants?
    Padam Bhatia, MD
    Board Certified Psychiatrist
    Dr. Padam Bhatia is a board certified Psychiatrist who runs Elevate Psychiatry, based in Miami, Florida. He specializes in treating patients with a combination of traditional medicine and evidence-based holistic therapies. He also specializes in electroconvulsive therapy (ECT), Transcranial Magnetic Stimulation (TMS), compassionate use, and complementary and alternative medicine (CAM). Dr. Bhatia is a diplomat of the American Board of Psychiatry and Neurology and a Fellow of the American Psychiatric Association (FAPA). He received an MD from Sidney Kimmel Medical College and has served as the chief resident in adult psychiatry at Zucker Hillside Hospital in New York.
    Padam Bhatia, MD
    Board Certified Psychiatrist
    Expert Answer
    Many patients will not want to resort to prescription-strength medications to treat depression. This is completely understandable, as everyone should feel in control of their own treatment plan. St. John’s Wort is an herbal remedy that patients may be able to consider in lieu of an antidepressant, and there have been several studies to suggest it may be effective. However, before starting anything like this, you need to discuss this with your psychiatrist, as even though St. John’s Wort is an herb, it has many drug interactions that need to be accounted for. You should also recognize that if your teenager has been diagnosed with depression and a doctor is actively suggesting antidepressants, then you should consider listening to them. There's nothing wrong with taking an antidepressant.
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      References

      1. ↑ https://www.pacer.org/cmh/does-my-child-have-an-emotional-or-behavioral-disorder/
      2. ↑ https://childmind.org/article/11-simple-signs-a-child-may-have-a-psychiatric-disorder/
      3. ↑ https://my.clevelandclinic.org/health/diseases/14938-depression-in-children
      4. ↑ Padam Bhatia, MD. Board Certified Psychiatrist. Expert Interview. 3 April 2020.
      5. ↑ Padam Bhatia, MD. Board Certified Psychiatrist. Expert Interview. 3 April 2020.
      6. ↑ https://www.acmh-mi.org/get-information/childrens-mental-health-101/expect-child-crisis/mental-health-crisis-expect-one-occurs/
      7. ↑ https://interface.williamjames.edu/guide/your-childs-psychiatric-hospitalization-working-with-school
      8. ↑ https://medicine.umich.edu/dept/psychiatry/patient-care/inpatient-care/child-inpatient-psychiatry/what-expect
      9. ↑ https://www.nami.org/Find-Support/Family-Members-and-Caregivers/Taking-Care-of-Yourself

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