Implementing a salutogenic treatment model in a clinical setting of emergency child and adolescent psychiatry in Sweden

J Child Adolesc Psychiatr Nurs. 2018 Oct;31(2-3):79-86. doi: 10.1111/jcap.12212. Epub 2018 Oct 8.

Abstract

Problem: Emergency care in child and adolescent psychiatry often lacks a coherent treatment model. This study reports on the development and implementation of a salutogenic treatment model at the Child & Adolescent Psychiatric Emergency Unit in Malmö, Sweden.

Methods: The development and implementation involved all staff categories and was guided by a recognized authority on salutogenesis. Generalized resistance resources (GRR) were identified that could be implemented at the unit to improve patients' sense of coherence.

Findings: Eight GRR were developed and implemented at the unit. During the 6-month period following the implementation, patients (n = 41) and parents reported satisfaction with the treatment, while mental health improved between admission and discharge, and both treatment length and readmission rates were reduced.

Conclusion: A salutogenic treatment model involving GRR seems to be a promising approach in child and adolescent psychiatric emergency treatment.

Keywords: adolescent; emergency care; generalized resistance resources; psychiatry; salutogenesis.

MeSH terms

  • Adolescent
  • Adolescent Health Services*
  • Child
  • Child Health Services*
  • Emergency Services, Psychiatric / methods*
  • Female
  • Hospitals, University
  • Humans
  • Male
  • Mental Disorders / therapy*
  • Psychotherapy / methods*
  • Sense of Coherence*
  • Sweden