DJEČIJA I ADOLESCENTNA PSIHIJATRIJA KAO SAMOSTALNA USTANOVA ILI U SKLOPU ODRASLE PSIHIJATRIJE
CHILD AND ADOLESCENT PSYCHIATRY AS AN INDEPENDENT INSTITUTION OR AS A PART OF ADULT PSYCHIATRY

Author(s): Sabina Kučukalić, Nermina Čurčić-Hadžagić, Alma Mehmedbašić-Bravo, Abdulah Kučukalić
Subject(s): Clinical psychology, Management and complex organizations, Health and medicine and law
Published by: Akademija Nauka i Umjetnosti Bosne i Hercegovine
Keywords: child and adolescent psychiatry; perspectives; organization models;
Summary/Abstract: Objectives: To describe the current organisational model and to analyze future perspectives of the Child and Adolescent Psychiatry Division at the Psychiatric hospital University clinical centre Sarajevo. Background: The Division for Child and Adolescent Psychiatry at the Psychiatric hospital exists over fifty years. It is the only Child and Adolescent Psychiatry Division in the Federation of Bosnia and Herzegovina. Patients aged between 3-18 years are treated through inpatient, ambulant care and a day hospital. A counselling centre for children and parents is a part as well. For economical reasons and professional exchanges it is better for the Division to exist as a part of the Psychiatric hospital. The main disadvantages are the delayed start of treatment onset because of stigma. Methods: Compare the functioning model of our division with other hospitals for children and adolescents with psychiatric disorders. Discussion: In most countries the treatment is organized through independent clinics. If we compare the organization of the Division UKC Sarajevo with the DivisionKC BC Zagreb we can conclude that they have similar work concepts. The most prominent and basic difference is seen in the number of the available workforce although UKC Sarajevo treat almost the same numbers of children and adolescents with a range of disorders. An even greater difference is seen if we compare the Division for child and adolescent psychiatry Sarajevo with an independent clinic, for example, the Psychiatric hospital for children and adolescents in Zagreb has 78 employees with different educational profiles. The Division in Sarajevo has only ten employees, although we treat the same number of patients. Conclusion: We can conclude that in future we should try to establish an independent hospital for children and adolescents. For this concept it is necessary to provide financial resources, a multidisciplinary professional team, equipment and space which depends on the competent government institutions.

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