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Programmatic research at a specialty psychiatric inpatient clinic: Opportunities, challenges, and future directions.

There is general consensus that behavioral and mental health care, like other sectors of health care, requires rigorous practice standards and professional accountability (Institute of Medicine and National Research Council, 2001; Kazdin, 2008; President’s New Freedom Commission on Mental Health, 2003). Evidence-based practice and empirically supported treatments are critical elements of these standards for both child and adult populations (Frueh, Ford, Elhai, & Grubaugh, in press; Pilling & Fonagy, in press). Inpatient psychiatric treatment in particular has changed considerably over the past century, characterized notably by major advances in our understanding of psychopathology, revolutionary new developments in evidenced-based practice, dramatically decreased lengths of stay, changing professional roles for disciplines (psychiatry, psychology, nursing, social work, etc.), and evolving regulatory standards for hospitals and medical providers. Neuroscience is advancing rapidly as new developments in science, technology, and medicine expand our ability to understand, prevent, and treat major psychiatric illnesses and the devastating effects they have on people’s lives.