In child and adolescent mental health care, the evidence base we have is for care in the community. The role of inpatient units is to support that care. Risk can be effectively managed in the context of acute psychotic illness. Some contribution can be made with suicidal adolescents, including sharing risk. Particular aspects of inpatient care can contribute to community care in many scenarios in terms of use of different sorts of assessment information, extended 24/7 contact enabling different opportunities for building rapport and shifting systems and stuck behaviour patterns. To support community teams effectively when such support is needed, inpatient units need to maintain empty beds. Self‐determination Theory provides an evidence base showing that when people experience relatedness, autonomy and competence, they experience increased well‐being, and intrinsic motivation can guide inpatient care. Interactions with patients and families, staff in the unit and community teams the unit is serving can be focussed to optimise experience of relatedness, autonomy and competence in all these groups. The potential is for every interaction to be a therapeutic interaction.

中文翻译：

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辩论：住院病房的作用是支持社区护理

在儿童和青少年心理健康护理方面，我们拥有的证据基础是社区护理。住院部的作用是支持这种护理。在急性精神病的情况下，可以有效地管理风险。可以对有自杀倾向的青少年做出一些贡献，包括分担风险。就使用不同类型的评估信息、扩展的 24/7 全天候联系为建立融洽关系和转变系统以及卡住的行为模式提供不同机会而言，住院护理的特定方面可以在许多场景中为社区护理做出贡献。为了在需要此类支持时有效地支持社区团队，住院病房需要保持空床位。自我决定理论提供了一个证据基础，表明当人们体验到相关性、自主性和能力时，他们体验到更高的幸福感，而内在动机可以指导住院治疗。与患者和家属、单位工作人员和单位所服务的社区团队的互动可以集中于优化所有这些群体的相关性、自主性和能力体验。有可能使每一次互动都成为治疗性互动。