Given that the psychiatric nursing standards developed by the American Nurs
es Association strongly advocate the inclusion of families in treatment set
tings, the study discussed in this article sought to determine how families
were actually experiencing care in mental health settings for children and
adolescents. The aim was to elicit the perspectives of parents whose child
ren were hospitalized in psychiatric hospitals and to examine those experie
nces against the ideal rhetoric set forth by the standards of care. Results
of in-depth interviews with a purposeful sample ofparen ts demonstrate tha
t there is a significant gap between standards and practice.