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Predictors for Readmission into Children’s Inpatient Mental Health Treatment

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Abstract

The goal of this study was to examine factors associated with time to first and subsequent readmissions of youth (N = 1,432) to one of Florida’s residential mental health treatment programs, known as State Inpatient Psychiatric Program (SIPP). Results of multivariate Cox regression analysis indicated that greater maltreatment severity, shorter length of time spent in SIPP during the initial episode, and longer time to provision of targeted case management services were associated with earlier readmission. When time to subsequent readmission was examined, results of multivariate Cox regression analysis indicated that shorter length of stay during the second hospitalization and having more than one mental health diagnosis increased the odds of experiencing subsequent readmission. One consistent finding across initial and subsequent readmissions was that the timing of service provision but not the amount of services was crucial for preventing readmissions to inpatient residential programs.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text revision). Washington, DC: Author.

  • Armstrong, M. I., Langlois, J., Dailey, K. A., Dhont, K., Larkins, M. R., Chen, R., et al. (2004). Statewide Inpatient Psychiatric Program: Report 5—June 2004. Tampa, FL: Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, University of South Florida.

    Google Scholar 

  • Asarnow, J. R., Aoko, W., & Elson, S. (1996). Children in residential treatment: A follow-up study. Journal of Clinical Child Psychology, 25, 209–214.

    Article  Google Scholar 

  • Bates, B. C., English, D. J., & Kouidou-Giles, S. (1997). Residential treatment and its alternatives: A review of the literature. Child & Youth Care Forum, 26, 7–51.

    Article  Google Scholar 

  • Blader, J. C. (2004). Symptom, family, and service predictors of children’s psychiatric rehospitalization within one year of discharge. Journal of the American Academy of Child Adolescent Psychiatry, 43, 440.

    Article  PubMed  Google Scholar 

  • Castilla-Puentes, R. (2008). Multiple episodes in children and adolescents with bipolar disorder: Comorbidity, hospitalization, and treatment. International Journal of Psychiatry in Medicine, 38, 61–70.

    Article  PubMed  Google Scholar 

  • Chung, W. (2008). Psychiatric rehospitalization of children and adolescents: Implications for social work intervention. Child Adolescent Social Work Journal, 25, 483.

    Article  Google Scholar 

  • Cohen, J. A., Mannarion, A. P., Zhitova, A. C., & Capone, M. E. (2003). Treating child abuse-related posttraumatic stress and comorbid substance abuse in adolescents. Child Abuse and Neglect, 27, 1345–1365.

    Article  PubMed  Google Scholar 

  • Connor, D. F., Melloni, R. H, Jr, Miller, K. P., & Cunningham, J. A. (2002). What does getting better mean? Child improvement and measure of outcome in residential treatment. American Journal of Orthopsychiatry, 72, 110–117. doi:10.1037//0002-9432.72.1.110.

    Article  PubMed  Google Scholar 

  • Cox, D. R. (1972). Regression models and life tables. Journal of the Royal Statistical Society, 34, 187–220.

    Google Scholar 

  • Fontanella, C. A. (2008). The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents. American Journal of Orthopsychiatry, 78, 187–198. doi:10.10371.0012557.

    Article  PubMed  Google Scholar 

  • Foster, E. M. (1999). Do aftercare services reduce inpatient psychiatric readmissions? Health Services Research, 34, 715–736.

    PubMed  CAS  Google Scholar 

  • Hair, H. J. (2005). Outcomes for children and adolescents after residential treatment: A review of research from 1993 to 2003. Journal of Child and Family Studies, 14, 551–575. doi:10.1007/s10826-005-7188-9.

    Article  Google Scholar 

  • Heflinger, C. A., Simpkins, C. G., & Foster, E. M. (2002). Modeling child and adolescent psychiatric hospital utilization: A framework for examining predictors of service use. Children’s services, 5, 151–171.

    Article  Google Scholar 

  • Hussey, D. L., & Guo, S. (2002). Profile characteristics and behavioral change trajectories of young residential children. Journal of Child and Family Studies, 11, 401–410.

    Article  Google Scholar 

  • James, S., Charlemagne, S. J., Gilman, A. B., Alemi, Q., Smith, R. L., Tharayil, P. R., et al. (2010). Post-discharge services and psychiatric rehospitalization among children and youth. Administration and Policy In Mental Health, 37, 433–445. doi:10.1007/s10488-009-0263-6.

    Article  PubMed  Google Scholar 

  • Kolko, D. J. (1992). Short-term follow-up of child psychiatric hospitalization: Clinical description, predictors, and correlates. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 719–727.

    Article  PubMed  CAS  Google Scholar 

  • Kruzich, J. M., Jivanjee, P., Robinson, A., & Friesen, B. J. (2003). Family caregivers’ perceptions of barriers to and supports of participation in their children’s out-of-home treatment. Psychiatric Services, 54, 1513–1518.

    Article  PubMed  Google Scholar 

  • Lakin, B. L., Brambila, A. D., & Sigda, K. B. (2007). Behavioral managed care and its effects in the readmission to a children’s residential treatment center. Residential Treatment For Children & Youth, 24, 315–326. doi:10.1080/08865710802174400.

    Article  Google Scholar 

  • Landsman, M. J., Groza, V., Tyler, M., & Malone, K. (2001). Outcomes of family-centered residential treatment. Child Welfare, 80, 351–379.

    PubMed  CAS  Google Scholar 

  • Lawrence, C. R., Carlson, E. A., & Egeland, B. (2006). The impact of foster care on development. Development and Psychopathology, 18, 57–76.

    Article  PubMed  Google Scholar 

  • Lyons, J. S., Terry, P., Martinovich, Z., Peterson, J., & Bouska, B. (2001). Outcome trajectories for adolescents in residential treatment: A statewide evaluation. Journal of Child and Family Studies, 10, 333–345.

    Article  Google Scholar 

  • O’Connor, T. G., Bredenkamp, D., & Rutter, M. (1999). Attachment disturbances and disorders in children exposed to early severe deprivation. Infant Mental Health Journal, 20, 10–29.

    Article  Google Scholar 

  • Pavkov, T. W., Goerge, R. M., & Czapkowicz, J. G. (1997). Predictors of length of stay among youth hospitalized in state hospitals in Illinois. Journal of Child and Family Studies, 6, 221–231.

    Article  Google Scholar 

  • Romansky, J. B., Lyons, J. S., Lehner, R. K., & West, C. M. (2003). Factors related to psychiatric hospital readmission among children and adolescents in state custody. Psychiatric Services, 54, 356–362.

    Article  PubMed  Google Scholar 

  • U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, and the Centers for Medicare and Medicaid Services; U.S. Department of Health and Human Services; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services, 2009–10. (2009). International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (6th ed.). Retrieved October 17, 2011 from http://hdl.handle.net/1902.29/CD-0177 Odum Institute [Distributor] V1 [Version].

  • Ward, Jr. J., Dow, M., Saunders, T., Halls, S. Musante, K., Penner, K., Berry, R., & Sachs-Ericcson, N. (1996, 1997, 1998, 1999, 2000). CFARS: Children’s functional assessment rating scale. Tampa, FL: University of South Florida, Florida Mental Health Institute, Department of Child and Family Studies. http://outcomes.fmhi.usf.edu.

  • Warner, L. A. & Pottick, K. J. (2003). Nearly 66,000 youth live in U.S. mental health programs. Latest findings in children’s mental health (Policy Report Vol. 2(1)). New Brunswick, NJ: Rutgers University Institute for Health, Health Care Policy, and Aging Research.

  • Wickizer, T. M., Lessler, D., & Boyd-Wickizer, J. (1999). Effects of health care cost-containment programs on patterns of care and readmissions among children and adolescents. American Journal of Public Health, 89, 1353–1358.

    Article  PubMed  CAS  Google Scholar 

  • Wilmshurst, L. A. (2002). Treatment programs for youth with emotional and behavioral disorders: An outcome study of two alternate approaches. Mental Health Services Research, 4, 85–96.

    Article  PubMed  Google Scholar 

  • Yampolskaya, S., & Banks, S. (2006). An assessment of the extent of child maltreatment using administrative databases. Assessment, 13, 342–355.

    Article  PubMed  Google Scholar 

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Correspondence to Svetlana Yampolskaya.

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Yampolskaya, S., Mowery, D. & Dollard, N. Predictors for Readmission into Children’s Inpatient Mental Health Treatment. Community Ment Health J 49, 781–786 (2013). https://doi.org/10.1007/s10597-013-9592-8

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  • DOI: https://doi.org/10.1007/s10597-013-9592-8

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