Your Child’s Psychiatric Hospitalization: A Guide for Parents

By Marianne Cook, LICSW (revised 9/2025)

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Sometimes psychiatric hospitalization can be the best option to keep your child safe and stabilize severe symptoms. Below are some situations where hospitalization might be warranted:

• Thinking about hurting oneself or others
• Seeing or hearing things (hallucinations)
• Having bizarre or paranoid thoughts (delusions)
• Being extremely aggressive or destructive
• Using drugs or alcohol and refusing to stop
• Not eating or sleeping for an extended period of time
• Exhibiting severe psychiatric symptoms (e.g. anxiety, mania, or depression) that have not responded to outpatient treatment.

Most psychiatric admissions are made through the hospital’s Emergency Room. A mental health professional will evaluate your child and determine whether they meet the criteria for hospitalization. The wait to be seen in the ER can be long and frustrating for many families, but in most cases it is a necessary step in the process. Some communities have Crisis Teams that perform evaluations at school or at home in order to expedite the hospitalization process. Check your local community resources guide to find out if there is a Crisis Team in your area. For example, Boston's Community Behavioral Health Center (CBHC) has a Mobile Crisis Intervention (MCI) team known as BEST (Boston Emergency Services Team). If you are concerned that your child is an immediate threat to themselves or others, or if your child is refusing to accompany you to the hospital, you can call 911 and have an EMT or the police come to your home to assist you.

Having a child hospitalized can bring up all kinds of emotions for parents. Some typical reactions are anxiety about what will happen to the child during hospitalization; relief that the child is in a safe place and getting help; and guilt, shame, anger, or sadness that the child needs to be hospitalized. The hospital environment can be both intimidating and overwhelming to parents. Here are some important things to keep in mind as you go through the experience of your child’s hospitalization.

• Keep in regular communication with hospital staff. You can help the staff by giving them any information you have on the child’s presenting symptoms, their treatment history, and what has worked or not worked in the past. The staff is there to help your child, not to evaluate you or criticize your parenting.
• Many parents worry that they will be left out of treatment decisions or that their opinions will be discounted. Remember, you are the best expert on your child. If you feel that you are not being included in the treatment process, share this concern with the hospital staff so they can address it.
• Your child may say hurtful things to you during hospitalization, and this can be quite painful. Realize that your child is just reacting to the loss of control they are experiencing. Keep in mind that you have chosen hospitalization to keep your child safe and stable. In doing so, you are ultimately acting in their best interest.
• You will be invited to visit your child during certain hours at the hospital. This is an important opportunity to provide your child with support and reassurance, and to check in about his experience. If you find that visits have become too upsetting for you because of conflicts with your child, consider limiting them to 15-20 minutes. You may be able to leave encouraging notes for your child with hospital staff who can pass them along at a better time.
• Some parents may feel tempted to pull their children out of treatment before the hospital staff consider them ready for discharge. The hospital staff wait until they believe that a child is stable enough to return safely to the community; if you disagree with their opinion, explain your position to them and find out more about their reasoning.
• Keep in mind that it may take time for your child to get accustomed to the hospitalization and begin working on the issues that have brought them there.
• Because hospitalization is often stressful and brings up many feelings for parents, you may find yourself frustrated with the hospital staff and other mental health professionals working with your family. This frustration is normal; express your concerns so that you can get the guidance and feedback you need to stay focused on your child’s treatment.
• Ask for help from trusted family and friends with getting household tasks done and looking after other children. Hospitalization, whether it’s for medical or psychiatric reasons, can put a strain on any family. You will need to make time for treatment meetings and hospital visitations, and it may not be possible to maintain your typical schedule.
• If you have a flexible work schedule and feel comfortable talking to a supervisor, it might be useful to arrange some time off to focus on the situation. You may also talk to Human Resources (HR) about your eligibility to use the benefits provided by the Family Medical Leave Act which can provide job security and work flexiblity to care for your child.
• Find out about support groups in the hospital and in your community—it can be healing to share your feelings with other parents whose children have struggled with psychiatric problems and/or been hospitalized.
• Take good care of yourself. Talking to people you trust can be helpful—whether that be family members, close friends, or mental health professionals. Realize you may be more fatigued than usual and try to get rest when you can.
• Consider keeping a journal about your feelings to help you process them.

Before your child leaves the hospital, safety planning will help you and your child have a plan for managing their symptoms when they return home. A safety plan should include:

• Your child's warning signs
• Coping skills that can be supported at home safely
• People and/or places that provide distraction
• A list of people your child can contact to ask for help in times of crisis, which may include professionals or agencies
• Ways to make the enviornment safer for your child which may include restricting access to ways your child may have harmed or thought about harming themselves in the past.
• You may also include a list of reasons your child wants to stay alive and safe, or a list of things that gives your child hope for the future.

Here are two helpful templates for safety planning:

Samaritan's Safety Plan

988 Lifeline Brown Stanley Safety Plan

You are your child's best advocate, and it can be incredibly difficult to cope with needing them to be away from home for their own safety.  However, when families can collaborate with hospital staff, stays away from home can help your child take a break from stressors, identify new ways to cope, and invite their loved ones to support them when they are ready to go home.

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Sources:

American Academy of Child & Adolescent Psychiatry. “11 Questions to Ask Before Psychiatric Hospitalization of Your Child or Adolescent.”

Children’s Hospital Boston. “Preparing for Your Child’s Psychiatric Hospitalization.”

Depression and Bipolar Support Alliance. “Understanding Hospitalization for Mental Health.”

The Baker Center. "Safety Planning with Your Child or Teen."