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Administration and Policy in Mental Health and Mental Health Services Research
Published in: Administration and Policy in Mental Health and Mental Health Services Research 5/2010

01-09-2010 | Original Paper

Post-Discharge Services and Psychiatric Rehospitalization Among Children and Youth

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 5/2010

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Abstract

This study examined risk and determinants of rehospitalization of children and adolescents (n = 186) following a first psychiatric hospitalization. It specifically examined the role of post-discharge services. Data were collected for a 30-month follow-up period through structured telephone interviews with caregivers and case record abstractions. 43% of youth experienced readmissions during the follow-up period. Risk of rehospitalization was highest during the first 30 days following discharge and remained elevated for 3 months. 72% of youth received 284 post-discharge services during the follow-up period, which significantly reduced the risk of rehospitalization. Longer first hospitalizations and a higher risk score at admission increased risk.
Footnotes
1
Clinical personnel indicated that the discharge diagnosis is more reliable than the admission diagnosis, which is generally considered an initial ‘working’ diagnosis.
 
2
It should be noted that we did not include medication usage as a covariate in this analysis as all patients were discharged with medications, most with multiple medications, and many had been on medication prior to their first hospitalization. We also did not include insurance type as 90% of respondents in this sample had private insurance.
 
3
These youths did not differ from other youths receiving different combinations of post-discharge services in terms of their clinical severity.
 
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Metadata
Title
Post-Discharge Services and Psychiatric Rehospitalization Among Children and Youth
Publication date
01-09-2010
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 5/2010
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-009-0263-6

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