Paradigm shifts in inpatient psychiatric care of children: approaching child- and family-centered care

UMMS Affiliation

Eunice Kennedy Shriver Center; Department of Family Medicine and Community Health; Department of Psychiatry

Publication Date


Document Type



Disability Studies | Family Medicine | Health Services Administration | Mental and Social Health | Pediatric Nursing | Pediatrics | Psychiatric and Mental Health Nursing | Psychiatry and Psychology | Psychology


TOPIC: This article describes the components of child- and family-centered care, including a review of the literature about the delivery of family-centered care and the barriers that often prevent the provision of such care. The article describes an inpatient child psychiatric unit that has implemented an approach to care that embraces these principles. The changes in structures and policies that the unit adopted are described, with specific examples cited as illustrations of the components of this care.

PURPOSE: To describe the elements of child- and family-centered care and the ways in which this model of care may be implemented on inpatient child psychiatric units.

SOURCES USED: Literature review including journal reports and articles and books.

CONCLUSIONS: Preliminary outcomes are encouraging in the decrease in use of practices such as restraint and seclusion, and physical holds. Further research examining parents' satisfaction is warranted in determining the success of such endeavors.


Child‐ and family‐centered care, paradigm shift in provision of care, psychiatric care of children and their families, trauma‐sensitive care, restraint/seclusion reduction

DOI of Published Version



Regan KM, Curtin C, Vorderer L. Paradigm shifts in inpatient psychiatric care of children: approaching child- and family-centered care. J Child Adolesc Psychiatr Nurs. 2006 Feb;19(1):29-40. doi: 10.1111/j.1744-6171.2006.00040.x. PMID: 16464214. Link to article on publisher's site

Journal/Book/Conference Title

Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc

Related Resources

Link to Article in PubMed

PubMed ID