{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:05:41Z","timestamp":1790762741663,"version":"4.1.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescent psychiatric hospitalisation is often organised as if one patient had entered the ward while the family remained outside. This may stabilise acute symptoms but can intensify relational rupture, institutional dependency and weakened parental agency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This paper presents the Admitted Family Model, hereafter referred to as the AFM, as a clinical-conceptual framework for adolescent inpatient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>The AFM is developed from sustained clinical observation, multidisciplinary reflection, supervision, teaching and iterative comparison with family systems, mentalisation, psychoanalytic, dialogic, child- and family-centred and service literatures; the clinical vignettes are composite and substantially disguised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical contribution<\/jats:title>\n                    <jats:p>The framework identifies five linked functions: the family within the admission field; restoration of parental function; calmamiento, a deliberate slowing of the ward\u2019s relational tempo through which urgency, shame and overpressure are reduced, allowing reflective, regulatory and relational capacities to emerge, return or be restored; team vitality; and discharge as sustainable reorganisation, with auxiliary family space and attractor-informed discharge planning specified as additional mechanisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acute admission can be understood not only as symptom stabilisation but as a relational intervention that may lessen institutional dependency, blame and shame, and create conditions for adolescents, families and teams to think and relate more safely.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045261471680","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T03:55:46Z","timestamp":1785124546000},"page":"1476-1491","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Admitted Family Model: A Relational Framework for Adolescent Inpatient Care"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0663-3506","authenticated-orcid":false,"given":"Frank","family":"Garc\u00eda-Castrill\u00f3n Armengou","sequence":"first","affiliation":[{"name":"Faculty of Psychology, University of Seville"},{"name":"Virgen de Valme University Hospital"},{"name":"Community Mental Health Unit"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_3_8_2_1","volume-title":"Handbook of mentalizing in mental health practice","author":"Bateman A. 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