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Gepubliceerd in: Journal of Child and Family Studies 3/2009

01-06-2009 | Original Paper

The Relationship Between Caregiver Capacity and Intensive Community Treatment for Children with a Mental Health Crisis

Auteurs: Richard A. Epstein, Neil Jordan, Yong Joo Rhee, Gary M. McClelland, John S. Lyons

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2009

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Abstract

We studied 9,220 children referred to a comprehensive mental health crisis stabilization program to examine the impact of caregiver capacity on crisis worker decisions to refer children for intensive community-based treatment as opposed to inpatient psychiatric hospitalization. Due to the different role of caregivers in the child welfare system, analyses were stratified by state custody status. Among both groups, there was a significant inverse association between child mental health need and referral to intensive community-based treatment. For children not in state custody with low mental health need, there was no difference in the likelihood of referral to intensive community-based treatment across levels of caregiver capacity. However, for children not in state custody with medium and high mental health needs, those whose caregivers were deficient or severely deficient were significantly more likely to be referred for intensive community-based treatment than were those who had capable caregivers. Multivariate analyses demonstrated similar results after controlling for potential confounding variables and confirmed that caregiver capacity contributes significantly to the logistic model’s classification accuracy. Results suggest further investigation of the impact of caregiver capacity on mental health crisis worker referral decisions is needed.
Literatuur
go back to reference Andersen, R., & Newman, J. F. (1973). Societal and individual determinants of medical care utilization in the United States. The Milbank Memorial Fund Quarterly, 51, 95–124. doi:10.2307/3349613.CrossRef Andersen, R., & Newman, J. F. (1973). Societal and individual determinants of medical care utilization in the United States. The Milbank Memorial Fund Quarterly, 51, 95–124. doi:10.​2307/​3349613.CrossRef
go back to reference Andersen, R. M., Rice, T. H., & Kominski, G. F. (Eds.). (1996). Changing the US health care system. San Fransisco: Jossey-Bass Publishers. Andersen, R. M., Rice, T. H., & Kominski, G. F. (Eds.). (1996). Changing the US health care system. San Fransisco: Jossey-Bass Publishers.
go back to reference Anderson, R. L., Lyons, J. S., Giles, D. M., Price, J. A., & Estle, G. (2003). Reliability of the child and adolescent needs and strengths-mental health (CANS-MH) scale. Journal of Child and Family Studies, 12, 279–289. doi:10.1023/A:1023935726541.CrossRef Anderson, R. L., Lyons, J. S., Giles, D. M., Price, J. A., & Estle, G. (2003). Reliability of the child and adolescent needs and strengths-mental health (CANS-MH) scale. Journal of Child and Family Studies, 12, 279–289. doi:10.​1023/​A:​1023935726541.CrossRef
go back to reference Chernoff, R., Combs-Orme, T., Risley-Curtiss, C., & Heisler, A. (1994). Assessing the health status of children entering foster care. Pediatrics, 93, 594–601.PubMed Chernoff, R., Combs-Orme, T., Risley-Curtiss, C., & Heisler, A. (1994). Assessing the health status of children entering foster care. Pediatrics, 93, 594–601.PubMed
go back to reference Harman, J. S., Childs, G. E., & Kelleher, K. J. (2000). Mental health care utilization and expenditures by children in foster care. Archives of Pediatrics and Adolescent Medicine, 154, 1114–1117.PubMed Harman, J. S., Childs, G. E., & Kelleher, K. J. (2000). Mental health care utilization and expenditures by children in foster care. Archives of Pediatrics and Adolescent Medicine, 154, 1114–1117.PubMed
go back to reference Henggler, S. W., Rowland, M. D., Halliday-Boykins, C., Sheidow, A. J., Ward, D. M. J. R., et al. (2003). One-year follow-up of multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 543–551. doi:10.1097/01.CHI.0000046834.09750.5F.CrossRef Henggler, S. W., Rowland, M. D., Halliday-Boykins, C., Sheidow, A. J., Ward, D. M. J. R., et al. (2003). One-year follow-up of multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 543–551. doi:10.​1097/​01.​CHI.​0000046834.​09750.​5F.CrossRef
go back to reference Leon, S. C., Uziel-Miller, N. D., Lyons, J. S., & Tracy, P. (1999). Psychiatric hospital service utilization of children and adolescents in state custody. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 305–310. doi:10.1097/00004583-199903000-00018.PubMedCrossRef Leon, S. C., Uziel-Miller, N. D., Lyons, J. S., & Tracy, P. (1999). Psychiatric hospital service utilization of children and adolescents in state custody. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 305–310. doi:10.​1097/​00004583-199903000-00018.PubMedCrossRef
go back to reference Lyons, J. S. (1998). The severity and acuity of psychiatric illness: Child and adolescent version. San Antonio, TX: Psychological Corporation. Lyons, J. S. (1998). The severity and acuity of psychiatric illness: Child and adolescent version. San Antonio, TX: Psychological Corporation.
go back to reference Lyons, J. S. (2004). Redressing the emperor: Improving our children’s public mental health system. Westport, CT: Praeger. Lyons, J. S. (2004). Redressing the emperor: Improving our children’s public mental health system. Westport, CT: Praeger.
go back to reference Lyons, J. S., Baerger, D., Quigley, P., Erlich, J., & Griffin, E. (2001). Mental health service needs of juvenile offenders: A comparison of detention, incarceration, and treatment settings. Children’s Services (Mahwah, N.J.), 4, 69–85. doi:10.1207/S15326918CS0402_2.CrossRef Lyons, J. S., Baerger, D., Quigley, P., Erlich, J., & Griffin, E. (2001). Mental health service needs of juvenile offenders: A comparison of detention, incarceration, and treatment settings. Children’s Services (Mahwah, N.J.), 4, 69–85. doi:10.​1207/​S15326918CS0402_​2.CrossRef
go back to reference Lyons, J. S., GMacIntyre, J. C., Lee, M. E., Carpinello, S., Zuber, M. P., & Fazio, M. L. (2004). Psychotropic medication prescription patterns for children and adolescents in New York’s public mental health system. Community Mental Health, 40, 101–118. doi:10.1023/B:COMH.0000022731.65054.3e.CrossRef Lyons, J. S., GMacIntyre, J. C., Lee, M. E., Carpinello, S., Zuber, M. P., & Fazio, M. L. (2004). Psychotropic medication prescription patterns for children and adolescents in New York’s public mental health system. Community Mental Health, 40, 101–118. doi:10.​1023/​B:​COMH.​0000022731.​65054.​3e.CrossRef
go back to reference Lyons, J. S., Rawal, P., Yeh, I., Leon, S. C., & Tracy, P. (2002). Use of measurement audit in outcomes management. The Journal of Behavioral Health Services & Research, 29(1), 75–80. doi:10.1007/BF02287834.CrossRef Lyons, J. S., Rawal, P., Yeh, I., Leon, S. C., & Tracy, P. (2002). Use of measurement audit in outcomes management. The Journal of Behavioral Health Services & Research, 29(1), 75–80. doi:10.​1007/​BF02287834.CrossRef
go back to reference Lyons, J. S., Stutesman, J., Neme, J., Vessey, J. T., O’Mahoney, M. T., & Camper, J. (1997). Predicting psychiatric emergency admission and hospital outcome. Medical Care, 35, 792–800.PubMedCrossRef Lyons, J. S., Stutesman, J., Neme, J., Vessey, J. T., O’Mahoney, M. T., & Camper, J. (1997). Predicting psychiatric emergency admission and hospital outcome. Medical Care, 35, 792–800.PubMedCrossRef
go back to reference Lyons, J. S., Uziel-Miller, N. D., Reyes, F., & Sokol, P. T. (2000). Strengths of children and adolescents in residential settings: Prevalence and associations with psychopathology and discharge placement. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 176–181. doi:10.1097/00004583-200002000-00017.PubMedCrossRef Lyons, J. S., Uziel-Miller, N. D., Reyes, F., & Sokol, P. T. (2000). Strengths of children and adolescents in residential settings: Prevalence and associations with psychopathology and discharge placement. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 176–181. doi:10.​1097/​00004583-200002000-00017.PubMedCrossRef
go back to reference 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 (Washington, D.C.), 54, 356–362. doi:10.1176/appi.ps.54.3.356. 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 (Washington, D.C.), 54, 356–362. doi:10.​1176/​appi.​ps.​54.​3.​356.
go back to reference Stroul, B. A. (1993). Systems of care for children and adolescents with severe emotional disturbances: What are the results?. Washington, D C: Georgetown University Child Development Center. Stroul, B. A. (1993). Systems of care for children and adolescents with severe emotional disturbances: What are the results?. Washington, D C: Georgetown University Child Development Center.
Metagegevens
Titel
The Relationship Between Caregiver Capacity and Intensive Community Treatment for Children with a Mental Health Crisis
Auteurs
Richard A. Epstein
Neil Jordan
Yong Joo Rhee
Gary M. McClelland
John S. Lyons
Publicatiedatum
01-06-2009
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 3/2009
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-008-9231-0

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