Operational Changes on Child and Adolescent Acute Psychiatric Treatment Programs During COVID-19 - 25/05/23

Doi : 10.1016/j.jaac.2023.02.007

Carl Waitz, PsyD ^a,^b,^⁎ , Katy Kaufman, BS ^a, Annmarie Caracansi, MD ^a,^b, Emily J. Campbell, MPH ^a, Patricia Ibeziako, MD ^a,^b
^a Boston Children’s Hospital, Boston, Massachusetts
^b Harvard Medical School, Boston, Massachusetts

^∗Correspondence to Carl Waitz, PsyD, Boston Children’s Hospital, Inpatient Psychiatry Service (Bader 5), 300 Longwood Avenue, Boston, MA 02115Boston Children’s HospitalInpatient Psychiatry Service (Bader 5)300 Longwood AvenueBostonMA02115

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Résumé

This Letter to the Editor examines the operational changes on two child and adolescent acute psychiatric treatment programs during the COVID-19 pandemic. On an inpatient unit with roughly two-thirds of its beds in double-occupancy rooms, we found that average daily census and total admissions were lower in the early pandemic period compared to the pre-pandemic period, whereas length of stay was significantly longer. In contrast, a community-based acute treatment program with only single-occupancy rooms showed an increase in average daily census, and no significant change in admissions or length of stay during the early pandemic period compared to the pre-pandemic period. Recommendations include considering preparedness for infection-related public health emergencies in unit design.

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	The authors have reported no funding for this work.
	Author Contributions Conceptualization: Waitz, Ibeziako Data curation: Waitz, Kaufman Methodology: Waitz, Kaufman Project administration: Caracansi Supervision: Ibeziako Writing – original draft: Waitz Writing – review and editing: Waitz, Kaufman, Caracansi, Campbell, Ibeziako
	Disclosure: Drs. Waitz, Caracansi, and Ibeziako and Mss. Kaufman and Campbell have reported no biomedical financial interests or potential conflicts of interest.
	All statements expressed in this column are those of the authors and do not reflect the opinions of the Journal of the American Academy of Child and Adolescent Psychiatry. See the Guide for Authors for information about the preparation and submission of Letters to the Editor.