
Admitting a teenager to a psychiatric hospital can be a difficult and emotional decision for parents and caregivers. It is important to remember that psychiatric hospitals are designed to provide a safe space for young people to receive the help and support they need. The process of admitting a teenager typically begins with a phone call or referral, during which relevant information about the child is gathered to determine if hospitalization is the best course of treatment. Once admitted, the teenager will undergo a comprehensive evaluation, including interviews, medical check-ins, and group therapy, to develop a personalized treatment plan. The length of stay varies depending on the individual's needs, but the goal is to stabilize and provide continued care after discharge.
| Characteristics | Values |
|---|---|
| Who can admit a teenager to a psychiatric hospital? | A parent or guardian, or a referral from a healthcare organization or community partner. |
| Who to contact | The admissions team of the hospital. |
| What to bring | Healthcare information, immunization records, insurance information, clothes, toiletries, and a favorite book or stuffed animal. |
| What not to bring | Valuables, belts, any item with a cord or drawstring, or anything sharp. |
| What to expect | A comprehensive evaluation of the teenager's history of issues concerning mood or behavior, use of drugs or alcohol, previous treatment, physical illness or symptoms, and family history. |
| Treatment team | Psychiatrists or psychologists, substance abuse counselors, therapists, social workers, nurses, activity therapists, teachers, and more. |
| Treatment plan | Medication, therapy, life skills training, group sessions, and activities such as art and yoga. |
| Length of stay | Short, usually several days to one week. |
| Primary goal | Stabilization, not "cure". |
| Discharge plan | Specific plans for aftercare or follow-up treatment, including referrals to a therapist, psychiatrist, or other service provider. |
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What You'll Learn

When to admit a teenager to a psychiatric hospital
Admitting a teenager to a psychiatric hospital is a difficult decision for any parent or guardian. It is important to remember that psychiatric hospitals are not a place of "cure", but rather a place to diagnose, treat, and stabilize patients so that they can continue treatment in their community.
Psychiatric hospitalization is typically short-term emergency care, and generally works best for people who pose a threat to themselves or others. This can include suicide threats, drug overdoses, threats of violence, psychosis, and the inability to provide basic care for oneself. Other reasons for admitting a teenager to a psychiatric hospital include when the teenager is not eating, bathing, or taking care of themselves, or if they are displaying disruptive or dangerous behaviours.
If you are a parent or guardian considering psychiatric hospitalization for a teenager in your care, you should first pay close attention to their problem behaviours and try to find a treatment program that meets your family's needs. It is also important to research different hospitals and select one before the teenager is admitted. Once you have chosen a hospital, you will need to provide the hospital with information about the teenager's mental health history, symptoms, and any previous treatment. You will also need to bring insurance information, clothes, toiletries, and other necessary items.
In terms of the legal process, older teens may be able to sign themselves in and out of the hospital, depending on the laws where you live. If the teenager is under your care, you will need to provide consent for their admission and treatment. It is also important to understand the practical aspects of the program, such as the treatment plan, payment management, and your expected level of participation in therapy. Finally, be prepared for upsetting or angry calls from the teenager, and remember to take care of yourself during this difficult time.
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What to pack for the hospital stay
When packing for your teenager's hospital stay, it is important to check the program's guidelines beforehand. Here is a list of things to consider packing for your teenager's hospital stay:
Clothing
Pack comfortable clothes for your teenager. Most psychiatric treatment programs prohibit clothing with strings, shoelaces, or drawstrings, so it is best to avoid packing these items. Also, refrain from packing clothing with sharp metal accents, such as underwire bras. The hospital may have guidelines regarding clothing that is considered revealing, such as spaghetti straps, bare midriffs, short skirts, or shorts.
Toiletries
Some hospitals provide basic toiletries, but you may want to bring your own. Ensure that any grooming supplies are kept to a minimum and do not contain alcohol or come in glass containers. Deodorant, disposable razors, and shower flip-flops are recommended items to bring.
Comfort Items
Consider bringing items that can provide emotional comfort to your teenager, such as a soft blanket, a familiar pillow, or a favourite softcover book. If your teenager finds it comforting, you may also consider bringing a stuffed animal.
Practical Items
Some practical items to consider bringing include a phone list or contact information for friends and family, earplugs in case of snoring roommates, and slip-on sneakers or comfortable shoes without laces. You may also want to bring outside food, but check with the hospital beforehand as some only allow certain patients to have outside food.
Prohibited Items
It is important to refrain from bringing any valuables, jewellery, or electronic equipment, such as iPods or musical instruments. Additionally, items containing alcohol, aerosol cans, glass or aluminium containers, mirrors, sharp objects, and makeup are typically prohibited. Any items with cords or drawstrings are also usually prohibited, including electronic devices such as mobile phones, MP3 players, and laptops.
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What to expect during treatment
The treatment process for a teenager in a psychiatric hospital typically begins with a comprehensive evaluation and review of symptoms. This involves interviewing the teenager, family members, and any mental health or school professionals who have been working with the teenager. The purpose is to gather information about the teenager's history of mood or behavioural issues, substance use, previous treatment, physical health, and family history. This initial assessment helps the treatment team develop a plan tailored to the teenager's needs.
The treatment team in a teen psychiatric hospital consists of various professionals, including psychiatrists, psychologists, substance abuse counsellors, therapists, social workers, nurses, activity therapists, and teachers. Each discipline contributes to the treatment plan, which may include medication, therapy, life skills training, group sessions, and activities such as art and music therapy. The treatment team may also recommend family therapy to address any underlying family dynamics and enhance familial support for the teenager's recovery.
The days in a teen psychiatric hospital are typically structured with medical check-ins, academic work, and group therapy. The structured environment provides a sense of stability and safety for adolescents going through a mental health crisis. The length of stay varies depending on the individual's progress and needs but is generally short, ranging from several days to a week on average. The goal is to stabilise the teenager, address the immediate crisis, and develop a plan for continued care after discharge.
During their stay, teenagers are usually allowed to make phone calls and receive letters, although the treatment team may restrict communication if deemed necessary for the teenager's well-being. Visitation is also an important aspect of the treatment process, as it provides an opportunity for family members to participate in therapy and show their support. Before admission, it is essential to understand the hospital's policies on visitation, as well as the practical aspects of the treatment program, such as daily schedules and parental involvement.
After the initial crisis has been addressed, the treatment team will start planning for the teenager's discharge. This typically involves a "'family meeting' to discuss aftercare services and ensure a smooth transition back home. Follow-up programs will be recommended based on the teenager's progress and may include residential treatment, day treatment, intensive outpatient therapy, or alternative school arrangements. The goal of discharge planning is to ensure continued support for the teenager's mental health and prevent future crises.
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How to support the teenager's mental health after discharge
How to support a teenager's mental health after being discharged from a psychiatric hospital
The period after a teenager is discharged from a psychiatric hospital can be emotionally challenging. They might feel nervous, anxious, uncertain, or embarrassed. Here are some ways to support their mental health during this transition:
During the hospital stay
- Start planning for discharge early: Begin planning for the discharge as soon as the teenager is admitted to the hospital. This includes understanding the discharge instructions and the recommended next steps for treatment.
- Collaborate with the treatment team: Work with the psychiatrists, psychologists, substance abuse counsellors, therapists, social workers, and other professionals involved in the teenager's treatment. They will provide recommendations for treatment after discharge.
After discharge
- Follow the treatment plan: After discharge, teenagers usually transition to a different level of mental health treatment, such as residential programs, partial hospitalization programs, or intensive outpatient programs. Ensure that you follow the recommended treatment plan.
- Ensure continuity of care: There should be no gaps or interruptions in the teenager's treatment. Outpatient treatment or follow-up care with a mental health specialist is crucial after discharge.
- Prepare for school re-entry: Going back to school and interacting with friends and peers can be a common fear for teenagers after discharge. Work with school authorities to create a supportive and stigma-free environment. This may include informing teachers and counsellors about the teenager's medication schedule and adjusting their class load accordingly.
- Open communication: Encourage open and frequent communication with the teenager to understand how they feel about being discharged and discuss any concerns they may have. It's important to validate their emotions and let them know that it's normal to feel anxious or embarrassed.
- Daily check-ins: Conduct daily check-ins with the teenager, especially in the initial days and weeks after discharge.
- Medication management: If medications have been prescribed, ensure that they are taken as recommended. Collaborate with the school if the teenager needs to take medication during school hours.
It's important to remember that recovery is an ongoing process, and discharge from a psychiatric hospital is just one step in the teenager's journey towards mental wellness.
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How to select a psychiatric hospital
Selecting a psychiatric hospital for a teenager can be a challenging task. Here are some factors to consider when making this important decision:
- Location and Accreditation: Start by researching hospitals in your area or the desired location. Ensure that the hospital is accredited by reputable organizations, such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or similar entities, to guarantee a certain standard of care.
- Specialization and Expertise: Look for hospitals that specialize in treating teenagers and adolescent mental health. Ensure the hospital has a team of experts, including psychiatrists, psychologists, social workers, nurses, and therapists with experience in dealing specifically with teens.
- Treatment Modalities and Programs: Different hospitals offer a range of treatment approaches. Some common modalities include individual therapy, group therapy, family therapy, and activity-based therapies (such as art, music, or equine therapy). Look for hospitals that offer a variety of evidence-based therapeutic options that align with your teenager's needs and preferences.
- Evaluation and Assessment: A comprehensive evaluation process is crucial. The hospital should conduct thorough assessments that consider the teenager's mental health history, current symptoms, physical health, substance use, and family history. The goal of the assessment should be to develop an individualized treatment plan that addresses the specific issues presented by the patient.
- Safety and Support: Ensure the hospital provides a safe and supportive environment. This includes having protocols in place to handle crises, supervision to ensure patient safety, and a structured daily routine. The hospital should also offer follow-up programs, aftercare services, and discharge planning to support the teenager's transition back home and prevent relapse.
- Length of Stay and Inpatient vs. Outpatient Care: Understand the typical length of stay for inpatient treatment, which can vary from a few days to several weeks. Consider the acuity of your teenager's condition and whether they require inpatient hospitalization or a lower level of care, such as outpatient treatment or residential treatment.
- Amenities and Comfort: While not the most critical factor, consider the amenities and comfort provided by the hospital. Some residential treatment centers offer home-like settings with cozy living areas, art and music rooms, gardens, and spaces for yoga and meditation, which can contribute to a calming and healing environment.
- Family Involvement: Look for hospitals that emphasize family involvement in the treatment process. This includes keeping family members informed, providing opportunities for family therapy, and including family members in discharge planning.
- Staff-Patient Interaction Policies: Understand the rules regarding staff-patient interaction, as these may vary. Some hospitals may have hands-on policies during crises, while others follow a hands-off approach. Ensure you are comfortable with the hospital's policies and that they align with your teenager's needs and safety requirements.
- Cost and Insurance Coverage: Finally, consider the financial aspects. Contact the hospital to understand the costs involved and whether they accept your insurance. Ask about payment plans or financial assistance options if needed.
Remember, it is important to involve your teenager (when appropriate) and your family in the decision-making process, especially if they have specific preferences or requirements for their treatment journey.
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Frequently asked questions
If your teenager is at risk of harming themselves or others, is having suicidal thoughts, is unable to take care of themselves, is unable to sleep, or is experiencing psychotic episodes, then it may be time to consider psychiatric hospitalization.
The process typically starts with a phone call from a parent or guardian or as a referral from another healthcare organization. The psychiatric hospital will then gather information about your child to determine if hospitalization is the best treatment plan. Once admitted, your teenager will meet the treatment team, which may include psychiatrists, psychologists, substance abuse counsellors, therapists, social workers, nurses, activity therapists, and teachers. The team will develop a treatment plan that may include medication, therapy, life skills training, group sessions, and activities.
You will be required to bring insurance information, clothes, toiletries, and a favourite book or stuffed animal. Some hospitals provide clothing and hygiene products, but if your teenager has sensitive skin or allergies, bring the correct body wash, lotion, or laundry detergent.
The length of stay depends on your teenager's individual treatment needs. The average psychiatric hospital stay is about 7 days, but this can range from 4 to 6 days, or even several weeks.











































