Factors Related to Psychiatric Hospital Readmission Among Children and Adolescents in State Custody
OBJECTIVE: This study examined factors related to psychiatric hospital readmission among children and adolescents who were wards of the Illinois Department of Children and Family Services. METHODS: The authors analyzed service reports and clinical ratings on the Childhood Severity of Psychiatric Ill...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2003-03, Vol.54 (3), p.356-362 |
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| container_title | Psychiatric services (Washington, D.C.) |
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| creator | Romansky, Jill B Lyons, John S Lehner, Renanah Kaufman West, Courtney M |
| description | OBJECTIVE: This study examined factors related to psychiatric hospital readmission among children and adolescents who were wards of the Illinois Department of Children and Family Services. METHODS: The authors analyzed service reports and clinical ratings on the Childhood Severity of Psychiatric Illness (CSPI) for 500 randomly selected children and adolescents who underwent psychiatric hospitalization. Children who were readmitted to the hospital within three months of discharge from the index hospitalization were compared with those who were not readmitted in terms of preadmission factors, clinical characteristics at the index hospitalization, services in the hospital, and posthospital services. RESULTS: The children who were readmitted were rated as more learning disabled or developmentally delayed and had received fewer posthospital service hours than the children who were not readmitted. The highest rates of readmission were found among children who lived in congregate care settings before the index hospitalization and those who lived in a rural region. CONCLUSIONS: The findings of this study highlight the significance of enabling factors, notably living arrangement, geographic region, and posthospital services, for children and adolescents in the child welfare system. Prevention of readmission among these children must focus on community-based services. |
| doi_str_mv | 10.1176/appi.ps.54.3.356 |
| format | Article |
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METHODS: The authors analyzed service reports and clinical ratings on the Childhood Severity of Psychiatric Illness (CSPI) for 500 randomly selected children and adolescents who underwent psychiatric hospitalization. Children who were readmitted to the hospital within three months of discharge from the index hospitalization were compared with those who were not readmitted in terms of preadmission factors, clinical characteristics at the index hospitalization, services in the hospital, and posthospital services. RESULTS: The children who were readmitted were rated as more learning disabled or developmentally delayed and had received fewer posthospital service hours than the children who were not readmitted. The highest rates of readmission were found among children who lived in congregate care settings before the index hospitalization and those who lived in a rural region. CONCLUSIONS: The findings of this study highlight the significance of enabling factors, notably living arrangement, geographic region, and posthospital services, for children and adolescents in the child welfare system. Prevention of readmission among these children must focus on community-based services.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.54.3.356</identifier><identifier>PMID: 12610244</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Adolescent ; Adolescent, Hospitalized ; Biological and medical sciences ; Child ; Child Custody ; Child, Hospitalized ; Female ; Government Agencies ; Health Services Research ; Hospitals, Psychiatric - utilization ; Humans ; Illinois ; Institution therapy. Inpatient treatment ; Male ; Medical sciences ; Mental Disorders - classification ; Patient Readmission - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Severity of Illness Index ; Social Environment ; State Government ; Treatments</subject><ispartof>Psychiatric services (Washington, D.C.), 2003-03, Vol.54 (3), p.356-362</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a394t-c5f058ab4c29d0604853ad61132e898ba61b7c077e774b5bb0d69e21752d00743</citedby><cites>FETCH-LOGICAL-a394t-c5f058ab4c29d0604853ad61132e898ba61b7c077e774b5bb0d69e21752d00743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.54.3.356$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.54.3.356$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,777,781,2842,2846,21607,21608,21609,21610,27905,27906,77540,77541,77543,77548</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14608040$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12610244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Romansky, Jill B</creatorcontrib><creatorcontrib>Lyons, John S</creatorcontrib><creatorcontrib>Lehner, Renanah Kaufman</creatorcontrib><creatorcontrib>West, Courtney M</creatorcontrib><title>Factors Related to Psychiatric Hospital Readmission Among Children and Adolescents in State Custody</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>OBJECTIVE: This study examined factors related to psychiatric hospital readmission among children and adolescents who were wards of the Illinois Department of Children and Family Services. METHODS: The authors analyzed service reports and clinical ratings on the Childhood Severity of Psychiatric Illness (CSPI) for 500 randomly selected children and adolescents who underwent psychiatric hospitalization. Children who were readmitted to the hospital within three months of discharge from the index hospitalization were compared with those who were not readmitted in terms of preadmission factors, clinical characteristics at the index hospitalization, services in the hospital, and posthospital services. RESULTS: The children who were readmitted were rated as more learning disabled or developmentally delayed and had received fewer posthospital service hours than the children who were not readmitted. The highest rates of readmission were found among children who lived in congregate care settings before the index hospitalization and those who lived in a rural region. CONCLUSIONS: The findings of this study highlight the significance of enabling factors, notably living arrangement, geographic region, and posthospital services, for children and adolescents in the child welfare system. Prevention of readmission among these children must focus on community-based services.</description><subject>Adolescent</subject><subject>Adolescent, Hospitalized</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child Custody</subject><subject>Child, Hospitalized</subject><subject>Female</subject><subject>Government Agencies</subject><subject>Health Services Research</subject><subject>Hospitals, Psychiatric - utilization</subject><subject>Humans</subject><subject>Illinois</subject><subject>Institution therapy. Inpatient treatment</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - classification</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Social Environment</subject><subject>State Government</subject><subject>Treatments</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi0EoqXtnRPyBW4J48QfyXG1orRSJVALZ8uxvdRV1g4e57D_HpddqaeeZqR55p3RQ8hHBi1jSn41yxLaBVvB277thXxDzpkQqhkVwNvagxJNp3o4Ix8QnwCAKSbfkzPWSQYd5-fEXhtbUkZ672dTvKMl0Z94sI_BlBwsvUm4hGLmOjduHxBDinSzT_EP3T6G2WUfqYmOblyaPVofC9IQ6UOpYXS7YknucEne7cyM_upUL8jv62-_tjfN3Y_vt9vNXWP6kZfGih2IwUzcdqMDCXwQvXGSsb7zwzhMRrJJWVDKK8UnMU3g5Og7pkTnABTvL8iXY-6S09_VY9H1Yevn2USfVtRVhBTVUgXhCNqcELPf6SWHvckHzUA_i9XPYvWCWnDd6-PKp1P2Ou29e1k4mazA5xNg0Jp5l020AV84LmEADpVrjtz_E09pzbE6ef3wP_1pkXo</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Romansky, Jill B</creator><creator>Lyons, John S</creator><creator>Lehner, Renanah Kaufman</creator><creator>West, Courtney M</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030301</creationdate><title>Factors Related to Psychiatric Hospital Readmission Among Children and Adolescents in State Custody</title><author>Romansky, Jill B ; Lyons, John S ; Lehner, Renanah Kaufman ; West, Courtney M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a394t-c5f058ab4c29d0604853ad61132e898ba61b7c077e774b5bb0d69e21752d00743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adolescent, Hospitalized</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child Custody</topic><topic>Child, Hospitalized</topic><topic>Female</topic><topic>Government Agencies</topic><topic>Health Services Research</topic><topic>Hospitals, Psychiatric - utilization</topic><topic>Humans</topic><topic>Illinois</topic><topic>Institution therapy. Inpatient treatment</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - classification</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Social Environment</topic><topic>State Government</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Romansky, Jill B</creatorcontrib><creatorcontrib>Lyons, John S</creatorcontrib><creatorcontrib>Lehner, Renanah Kaufman</creatorcontrib><creatorcontrib>West, Courtney M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Romansky, Jill B</au><au>Lyons, John S</au><au>Lehner, Renanah Kaufman</au><au>West, Courtney M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Related to Psychiatric Hospital Readmission Among Children and Adolescents in State Custody</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>54</volume><issue>3</issue><spage>356</spage><epage>362</epage><pages>356-362</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>OBJECTIVE: This study examined factors related to psychiatric hospital readmission among children and adolescents who were wards of the Illinois Department of Children and Family Services. METHODS: The authors analyzed service reports and clinical ratings on the Childhood Severity of Psychiatric Illness (CSPI) for 500 randomly selected children and adolescents who underwent psychiatric hospitalization. Children who were readmitted to the hospital within three months of discharge from the index hospitalization were compared with those who were not readmitted in terms of preadmission factors, clinical characteristics at the index hospitalization, services in the hospital, and posthospital services. RESULTS: The children who were readmitted were rated as more learning disabled or developmentally delayed and had received fewer posthospital service hours than the children who were not readmitted. The highest rates of readmission were found among children who lived in congregate care settings before the index hospitalization and those who lived in a rural region. CONCLUSIONS: The findings of this study highlight the significance of enabling factors, notably living arrangement, geographic region, and posthospital services, for children and adolescents in the child welfare system. Prevention of readmission among these children must focus on community-based services.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>12610244</pmid><doi>10.1176/appi.ps.54.3.356</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Psychiatry Legacy Collection Online Journals 1844-1996; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adolescent, Hospitalized Biological and medical sciences Child Child Custody Child, Hospitalized Female Government Agencies Health Services Research Hospitals, Psychiatric - utilization Humans Illinois Institution therapy. Inpatient treatment Male Medical sciences Mental Disorders - classification Patient Readmission - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Severity of Illness Index Social Environment State Government Treatments |
| title | Factors Related to Psychiatric Hospital Readmission Among Children and Adolescents in State Custody |
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