Editorial: The Untapped Potential of Partial Hospitalization Programs.

The prevalence of mental health conditions in adolescents has been increasing worldwide.1 With the increasing demand, access to effective mental health care has struggled to keep pace.2 More adolescents are requiring intensive inpatient hospitalizations for high-risk conditions and often lack adequate resources for sub-acute care following discharge. Step-down programs can help to facilitate safe discharges and decrease the likelihood of hospital readmissions, reducing the burden of health care costs. Likewise, intensive treatment options for youth can also help to fill a gap in the escalation of care from the outpatient setting while preventing hospitalization. Partial hospitalization programs (PHPs) are designed to offer this intermediate level of care between inpatient and outpatient services. Averaging 20 hours of treatment per week, PHPs serve as a cost-effective solution for more intensive treatment compared to inpatient hospital admission. In this editorial, we aim to highlight the findings of a study by Rubenson et al.,3 titled "Review: Patient Outcomes in Transdiagnostic Adolescent Partial Hospitalization Programs," which helps to enhance our understanding of this treatment model.

Dissociative episodes characterised by hair-pulling in a late adolescent woman.

A woman in late adolescence with a history of sickle cell disease, moyamoya disease, cerebrovascular accident, mild intellectual disability, post-traumatic stress disorder, functional seizures, generalised anxiety disorder and transient psychosis was referred for a psychiatry consultation. She presented with worsening episodes of dissociation characterised by compulsory hair-pulling. Limited research exists regarding patients engaging in activities of automated behaviour during episodes of dissociation. Thus, we aim to describe a case of a patient with episodes of hair-pulling during dissociative events to discuss the aetiology and treatment. We are describing the aetiology and treatment of a patient with episodes of hair-pulling during dissociative events.