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Experience on an Adolescent Inpatient Division FREE

John E. Schowalter, MD; Walter R. Anyan, MD
[+] Author Affiliations

Received for publication July 24, 1972; accepted Oct 9.

Reprint requests to Yale University Child Study Center, 333 Cedar St, New Haven, Conn 06510 (Dr. Schowalter).


Am J Dis Child. 1973;125(2):212-215. doi:10.1001/archpedi.1973.04160020044008.
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This paper summarizes five years' experience at the Adolescent Division of the Yale-New Haven Hospital. Findings include that adolescents respond best to young staff, but that close supervision (especially with volunteers) is often necessary to prevent staff-patient attachments from becoming too close; that destructiveness is mostly a visitor problem; that peer support is vitally important for patient morale; that girls are more comfortable than are boys in the environment provided by an adolescent division; that as the adolescent's health improves, his loss of dependency and docility is often accepted with difficulty by division staff members as well as patients' parents. The use of separate group meetings for parents, patients, and staff has been found very helpful.

REFERENCES

Gallagher JR:  A clinic for adolescents . Children 1:165-170, 1954;.
Rigg CA, Fisher RC:  Some comments on current hospital medical services for adolescents . Am J Dis Child 120:193-196, 1970;.
Rigg CA, Fisher RC:  Is a separate adolescent ward worthwhile? Am J Dis Child 122:489-493, 1971;.
Roth A, Weissman A, Linden C:  A plan for medical care for adolescents . Pediatrics 18:86-89, 1956;.
Michelson JP, et al:  Comprehensive care in an adolescent clinic . Clin Pediatr (Phila) 4:409-414, 1965;.
Schowalter JE, Lord RD:  Admission to an adolescent ward . Pediatrics 44:1009-1011, 1969;.
Schowalter JE, Lord RD:  Utilization of patient meetings on an adolescent ward . Psychiatry Med 1:197-206, 1970;.
Schowalter JE, Lord RD:  The hospitalized adolescent . Children 18:127-132, 1971;.
Schowalter JE:  The utilization of child psychiatry on a pediatric adolescent ward . J Am Acad Child Psychiatry 10:684-699, 1971;.
Moos RH, Houts PS:  Assessment of the social atmospheres of psychiatric wards . J Abnormal Psychol 73:595-604, 1968;.
Erikson EH:  Reflections on the dissent of contemporary youth . Int J Psychoanal 51:11-22, 1970;.
Schowalter JE, Lord RD:  On the writings of adolescents in a general hospital ward , in Eissler RS, et al (eds): The Psychoanalytic Study of the Child . New York, Quadrangle Books, 1972;, vol 27, pp 181-200.
Schowalter JE:  Death and the pediatric house officer . J Pediat 76:706-710, 1970;.

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References

Gallagher JR:  A clinic for adolescents . Children 1:165-170, 1954;.
Rigg CA, Fisher RC:  Some comments on current hospital medical services for adolescents . Am J Dis Child 120:193-196, 1970;.
Rigg CA, Fisher RC:  Is a separate adolescent ward worthwhile? Am J Dis Child 122:489-493, 1971;.
Roth A, Weissman A, Linden C:  A plan for medical care for adolescents . Pediatrics 18:86-89, 1956;.
Michelson JP, et al:  Comprehensive care in an adolescent clinic . Clin Pediatr (Phila) 4:409-414, 1965;.
Schowalter JE, Lord RD:  Admission to an adolescent ward . Pediatrics 44:1009-1011, 1969;.
Schowalter JE, Lord RD:  Utilization of patient meetings on an adolescent ward . Psychiatry Med 1:197-206, 1970;.
Schowalter JE, Lord RD:  The hospitalized adolescent . Children 18:127-132, 1971;.
Schowalter JE:  The utilization of child psychiatry on a pediatric adolescent ward . J Am Acad Child Psychiatry 10:684-699, 1971;.
Moos RH, Houts PS:  Assessment of the social atmospheres of psychiatric wards . J Abnormal Psychol 73:595-604, 1968;.
Erikson EH:  Reflections on the dissent of contemporary youth . Int J Psychoanal 51:11-22, 1970;.
Schowalter JE, Lord RD:  On the writings of adolescents in a general hospital ward , in Eissler RS, et al (eds): The Psychoanalytic Study of the Child . New York, Quadrangle Books, 1972;, vol 27, pp 181-200.
Schowalter JE:  Death and the pediatric house officer . J Pediat 76:706-710, 1970;.

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