Mental Health Care in Pediatric Rehabilitation Hospitals: A Biopsychosocial, Collaborative, and Agency-based Service Integration Approach Academic Article uri icon

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abstract

  • Background: Canadian hospitals are not currently prepared to meet the psychosocial needs of children with disabilities as services are rooted in a biomedical care model.Objective: To describe a practical and holistic framework for pediatric rehabilitation hospitals to meet the health care needs of children and their families.Method: An environmental scan was conducted of best practice guidelines, policy documents, and models of integrated mental health care. Recommendations from clinical guidelines and national strategy documents were incorporated to develop a service integration approach.Results: An agency-based approach was used to develop a two-phase biopsychosocial framework. In framework Phase I, reactive care is provided to mental health concerns. In Phase II, there is a shift to proactive care and mental health wellbeing.Conclusions: Emphasis is placed on capacity building of clinical staff into best practices for mental health care. Implementation needs and consideration for uptake of the framework are also discussed.

authors

  • Scratch, Shannon E
  • Stevens, Sara A
  • King, Gillian
  • Schwellnus, Heidi
  • Searl, Nancy
  • McPherson, Amy C

publication date

  • December 2, 2019