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Development and evaluation of a personalised sleep care plan on child and adolescent in-patient mental health wards

Lookup NU author(s): Dr Kirstie Anderson, Dr Patrick Keown

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

© The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists.Aims and method The study evaluated a package of measures to improve sleep on psychiatric wards admitting patients from children and young people's services (CYPS). Sleep disturbance has significant impact on adolescent mental health, and in-patient wards can directly cause sleep disturbance, independent of the problem that led to admission. We developed a CYPS-specific package (TeenSleepWell) that promoted a better sleep environment, enhanced staff education about sleep, screened for sleep disorders, and raised awareness of benefits and side-effects of hypnotics. This included personalised sleep care plans that allowed a protected 8 h sleep period when safe. Results Evaluation over 2 years showed enhanced in-patient care: 57% of patients were able to have a protected sleep period. There was no increase in adverse events and there was a decrease in hypnotics issued. Clinical implications Improving sleep during in-patient CYPS admissions is possible and personalised sleep care plan should be a care standard.

Publication metadata

Author(s): Anderson KN, Bowles R, Fyfe C, Weddle R, Keown P

Publication type: Article

Publication status: Published

Journal: BJPsych Bulletin

Year: 2024

Pages: epub ahead of print

Online publication date: 20/05/2024

Acceptance date: 05/04/2024

Date deposited: 03/06/2024

ISSN (print): 2056-4694

ISSN (electronic): 2056-4708

Publisher: Cambridge University Press

URL: https://doi.org/10.1192/bjb.2024.41

DOI: 10.1192/bjb.2024.41

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