 |
The 130th Annual Meeting of APHA |
|
The 130th Annual Meeting of APHA |
Xiaoxing He, MD, MPH1, John Lyons, PhD1, Daniel Garside, MA2, and Allen W Heinemann, PhD3. (1) Institute for Health Services Research and Policy Studies, Northwestern University, 339 East Chicago Avenue, Suite 705, Chicago, IL 60611, 312-503-0437, xing@northwestern.edu, (2) Department of Preventive Medicine, Northwestern University, 680 N. Lake Shore Drive, Suite 1102, Chicago, IL 60611, (3) Department of Physical Medicine and Rehabilitation, Northwestern University, 345 East Superior Street, Room 1374, Chicago, IL 60611
Objective: This prospective study of 1492 children, ages 14.0 ± 3.6 (Mean ± SD), investigated the relation between children's psychiatric hospital admissions and the crisis workers' clinical assessment on the childhood severity of psychiatric illness (CSPI) over a 6-month period. Methods: A structured and reliable assessment tool, CSPI scale, was used to evaluate the symptoms, risk factors, functioning, co-morbidity, and system characteristics. Logistic regression was used to calculate age-adjusted odds ratios (AOR), their 95% confidence intervals, and corresponding p-values. Results: The risk factors, symptoms, functioning, co-morbidities and system characteristics were all associated with psychiatric hospital admissions. For example, children with a recent suicide attempt, severe danger to others, or history of running away from home/treatment settings were more likely to be hospitalized (respective AOR=12.65, p<0.0001; AOR=30.33, p<0.0001; AOR=3.03, p=0.001). In addition, psychiatric hospitalization was also associated with caregiver knowledge of child (AOR=0.19, p=0.01) and multi-system needs (AOR=0.29, p=0.04). Discussion: The decision to hospitalize a child psychiatrically is a complex one. As predicted, risk behaviors and severe symptoms predict psychiatric hospital admissions. Interestingly, the capacity of the caregiver and the existence of intensive community-based services also predict psychiatric hospital admissions.
Learning Objectives:
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.