Inpatient Psychiatry Service: Your Child's Hospitalization

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No caregiver wants to see their child in the hospital. Our staff on the Inpatient Psychiatry Service (IPS) at Boston Children's Hospital are devoted to getting your child home as quickly as possible.

Treatment

  • Planning: Our staff work with you and your child on a treatment plan that addresses their issues and symptoms. The plan will include individual, group and family therapy, and, as needed, a medication evaluation or consultation with other specialists. We will also develop a safety and coping plan for your child and plan for discharge.
  • Goals: Before leaving the IPS, your child must show a decrease in the symptoms that brought them into the hospital and an improved ability to cope with their illness. You and your child must have a clear safety and coping plan for how to manage your child's illness outside the unit, how to address safety issues, and what to do if symptoms return.
  • Medications: Not all children on the IPS receive medication, but medication can be a valuable tool for decreasing symptoms. The psychiatrist on your child's treatment team will discuss this possibility with you and review medication actions and potential side effects. The only time a child would receive medication without your advance consent would be in an emergency situation, and you would be notified as soon as possible.
  • Length of Stay: The average stay on the Inpatient Psychiatry Service is about two weeks, but this depends on your child's needs.

There may be other components of your child's treatment, depending on the reason for admission, including consultation with a dietitian or with other medical specialists. In addition, the team will assess your child's need for follow-up in outpatient care after they are discharged and work to connect you and your child with these services before discharge.

Long term outlook

Please remember that your child's stay on the IPS unit is meant to help stabilize them while in crisis and to give you and your child some skills to cope if their symptoms get worse in the future. While a stay on the IPS unit may be a critical part of your child's treatment, it is just one piece of an ongoing process.

Meals

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Children and staff typically eat meals together, family style. There is usually one meal selection, but some children on special diets, such as vegetarian, have meals set up on trays. If your child has any special dietary requirements, please let the staff know when you meet with them at admission. We also offer snacks three times a day and encourage healthy food and beverage choices. Caffeinated drinks are not allowed, and we discourage consumption of soda and juices with high sugar content.

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Medication

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Medication can be a valuable tool for the treatment of symptoms such as depression, anxiety, psychosis, insomnia and agitation. However, not every child treated on the IPS unit at Boston Children's Hospital receives medication. Your child's treatment team may recommend medication if they feel it could decrease your child's symptoms or provide some relief for their distress. The doctor will talk with you about the possibility of using medication as a part of your child's treatment and review medication actions and potential side effects with you.

Medications are not ordered without informed consent from caregivers. The only time a child could receive medication without advance consent would be in an emergency situation and you would be notified as soon as possible.

Learn more about commonly prescribed psychiatric medications.

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Schedule

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During the week, children on the IPS unit at Boston Children's Hospital have a structured day. Their schedule provides time for school, groups and individual and family therapy. Your child will also have "self-care time", which is similar to free time, when kids can take space in their rooms to read or do an activity they enjoy, or join peers and staff in one of our 2 lounges to relax. Special arrangements for visiting can be made to accommodate caregivers' schedules or to coordinate a visit with a planned family meeting.

Daily Schedule

Activities

6:30 a.m. - 8 a.m.

Wake up. Check vital signs. Get ready for the day.

8 a.m. - 9 a.m.

Breakfast and goals group to review goals and plan for the day

9 a.m. - 12 p.m.

School

12 p.m. - 12:30 p.m.

Lunch

12:30 p.m. - 1:15 p.m.
Self-care time

1:15 p.m. - 5 p.m.

Group, individual, or family therapy sessions

5 p.m. - 5:30 p.m.

Dinner

5:30 p.m. - 6:15 p.m.
Self-care time

6:15 p.m. - 7 p.m.

Evening recreation group

6 p.m. - 7:30 p.m.

Visiting hours (on Wednesdays there is a family night activity)

8:30 p.m.

Bedtime for school-aged children (ages 8-12)

9:30 p.m.

Bedtime for adolescents (ages 13-17)

Weekend Schedule

Weekends are less structured; however, children and adolescents will still have the opportunity to participate in group programming and will be encouraged to work on their safety and coping plans.

Nursing staff remain fully available, but your clinical team members will not be seeing your child on the weekend. Your child will see the on-call psychiatrist briefly on weekend mornings to review the past 24 hours. A child psychiatry fellow and pediatrician are also on call to address any psychiatric or medical issues that may arise.

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Therapy

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A clinician from Boston Children's Hospital will meet with your child several times each week to build a relationship with them, gain some insight and understanding of your child's issues and develop a plan for treatment.

The clinician will also assess your child and make recommendations for medications if necessary.

Family Involvement

Family involvement is critical to your child's treatment. You have the greatest understanding of how your child responds to stress and what has been helpful in the past. As such, you are an important member of the treatment team.

Please bring any medical records and psychiatric or school testing results, if available, to the first family meeting. It is also a good idea to write down any questions or suggestions you might have.

Family Meetings

You will be asked to attend at least two family meetings per week. These meetings provide an important opportunity for you to identify stumbling blocks and plan ways to help your child cope and keep them safe once at home. Usually, you will first meet your child's case clinician alone, and then have your child join for the second part of the meeting.

As you might expect, some children become upset during family meetings. Some will need to leave meetings for a time to calm down. Our staff are there to enable your child to return to the family meeting as soon as possible. Staff cannot supervise young siblings during meetings.

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Visiting

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Because children on the IPS unit at Boston Children's Hospital spend much of their day in classes, groups or appointments, visiting hours are limited during the week. Special exceptions may be made to accommodate specific scheduling needs or to coordinate visits with meals or family meetings.

Visiting hours

  • Weekdays: 6 p.m. - 7:30 p.m. (Wednesday hours are extended to 8 p.m.)

  • Weekends: 10 a.m. - 8 p.m.

Visitor lists

Caregivers are asked to complete a visitor list to indicate the friends and family allowed to visit and also to point out people who are restricted from visiting. You can also indicate if you have concerns about restrictions in telephone and mail contact. A caregiver of the patient must supervise visitation of siblings or friends under 21.

Telephone use

To reach your child, you should call between the hours of 7 a.m. and 9 p.m. Telephone calls should be scheduled around meals and unit activities.

To reach your child's treatment team or a staff person on the unit, please call 617-355-7721. You should feel comfortable calling the office at any time to share concerns or if you cannot reach your child.

Pastoral/religious visits

Pastoral services can be arranged through the hospital for persons of all denominations but many families arrange for someone from their own church to visit.

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The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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