Psychiatric rehospitalization of children and adolescents: Implications for social work intervention

被引:20
作者
Chung W. [1 ]
Edgar-Smith S. [1 ]
Palmer R.B. [1 ]
Bartholomew E. [1 ]
Delambo D. [2 ]
机构
[1] Counseling Psychology Department, Eastern University, Eagle Learning Center, St. Davids, PA 19087
[2] University of Wisconsin-Stout, Menomonie
关键词
Adolescents; Children; Psychiatric readmissions; Rehospitalization;
D O I
10.1007/s10560-008-0147-8
中图分类号
学科分类号
摘要
This study explored factors associated with the psychiatric rehospitalization of children and adolescents. A retrospective archival review was conducted on 403 children and adolescents admitted into an inpatient psychiatric hospital. Results indicated that 16% were readmitted in the same year. Children and adolescents who had a prior history of psychiatric rehospitalization, lived in a residential treatment facility, and had a diagnosis of oppositional/defiant or conduct disorder were more likely to be rehospitalized. Psychosocial factors must be considered in predicting and preventing psychiatric rehospitalization. Clinical social workers should include therapeutic foster care as an option for aftercare placements of youth exhibiting externalizing behaviors and/or with a history of multiple restrictive care placements. © 2008 Springer Science+Business Media, LLC.
引用
收藏
页码:483 / 496
页数:13
相关论文
共 54 条
  • [1] Arnold E., Goldston D., Ruggiero A., Reboussin B., Daniel S., Hickman E., Rates and predictors of rehospitalization among formerly hospitalized adolescents, Psychiatric Services (Washington, D.C.), 54, pp. 994-998, (2003)
  • [2] Barber J.G., Delfabbro P.H., Cooper L.L., The predictors of unsuccessful transition to foster care, Journal of Child Psychology and Psychiatry, and Allied Disciplines, 42, pp. 785-790, (2001)
  • [3] Barkley R.A., Edwards G.H., Robin A.L., Defiant Teens: A Clinician's Manual for Assessment and Family Intervention, (1999)
  • [4] Blader J., Symptom, family, and service predictors of children's psychiatric rehospitalization within one year of discharge, Journal of the American Academy of Child and Adolescent Psychiatry, 43, pp. 440-451, (2004)
  • [5] Bobier C., Warwick M., Factors associated with readmission to adolescent psychiatric care, The Australian and New Zealand Journal of Psychiatry, 39, pp. 600-606, (2005)
  • [6] Brestan E.V., Eyberg S.M., Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5, 272 kids, Journal of Clinical Child Psychology, 27, pp. 877-885, (1998)
  • [7] Brinkmeyer M.Y., Eyberg S.M., Nguyen M.L., Adams R.W., Family engagement, consumer satisfaction and treatment outcome in the new era of child and adolescent in-patient psychiatric care, Clinical Child Psychology and Psychiatry, 9, pp. 553-566, (2004)
  • [8] Burns B.J., Hoagwood K., Mrazek P.J., Effective treatment for mental disorders in children and adolescents, Clinical Child and Family Psychology Review, 2, pp. 199-254, (1999)
  • [9] Callahan J.J., Shepherd D.S., Beinecke R.H., Larson M.J., Cavanaugh D., Mental health/substance abuse treatment in managed care: The Massachusetts Medicaid experience, Health Affairs, 14, pp. 173-184, (1995)
  • [10] Case B.G., Olfson M., Marcus S.C., Siegel C., Trends in the inpatient mental health treatment of children and adolescents in US community hospitals between 1990 and 2000, Archives of General Psychiatry, 64, pp. 89-96, (2007)