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Presented at the 18th Annual Research Conference

Clinical Profiles of Crisis and Elective Admissions to Children's Acute Care Inpatient Services

Download Handouts: 36kb pdf

Presenting: Stephanie Greenham; Lise Bisnaire

All Authors for this paper: Stephanie Greenham; Lise Bisnaire; Sophia Hrycko; Kristin Schaub

Presentation Type: element of symposium

Synopsis: We reviewed one year of data from a new acute care psychiatric inpatient service to gain a better understanding of similarities and differences between children admitted following a crisis/emergency situation versus a planned, elective admission. Demographic and clinical information for approximately 120 children (5 to 12 years) and their parents/caregivers was routinely collected at admission and discharge. More similarities than differences were observed between the two groups, particularly for home and school functioning. However, differences were observed for diagnosis, risk behaviors, community-based treatment history, and length of stay. The data will be used to inform the provision of clinical service to ensure that the common and unique needs of each group are addressed.

Comparing Youth in Home-Based Crisis and Inpatient Programs: Clinical Profiles and Discharge Placements

Download Handouts: 61kb pdf

Presenting: Purva Rawal; John Lyons

All Authors for this paper: Purva Rawal; John Lyons

Presentation Type: element of symposium

Synopsis: In-home treatment services are options to inpatient psychiatric services and are used to deflect youth at-risk for psychiatric hospitalization. However, little is known about the characteristics of youth in these two treatments and their outcomes at discharge. The purpose of this study was to describe the similarities and differences between youth served in each service modality and to determine whether or not differences existed in discharge placement. The study found more similarities than expected in the demographics and clinical profiles of youth in both settings. Home-based crisis intervention programs more successfully deflected subsequent institutional placement than did psychiatric hospitalization.

Effect of Foster Care Wraparound Services on Psychiatric Hospitalization Threshold

Download Handouts: 151kb pdf

Presenting: Neil Jordan; Julie Eisengart; John Lyons

All Authors for this paper: Neil Jordan; Julie Eisengart; John Lyons

Presentation Type: element of symposium

Synopsis: Previous research suggests that foster care wraparound services are associated with better outcomes for children in foster care, but their impact on preventing inappropriate psychiatric hospitalization is unknown. Using administrative data from Illinois' foster care program, we followed children in a wraparound services program who were referred for crisis assessment and treatment services for up to one year. Bivariate and multivariate analyses were used to assess the relationship between wraparound services and appropriate hospitalization and hospital deflection, compared to children in traditional foster care. These findings have implications for policymakers who are considering expansion of wraparound programs.

Acute Care Psychiatric Services within the System of Care

We're sorry, handouts are not available for this presentation.

Session Number: 49 Room: Salon J

Presenting: Stephanie Greenham; John Lyons

All Authors for this paper: Stephanie Greenham; John Lyons

Presentation Type: brief symposium

Synopsis: Psychiatric hospitalization can be appropriate for children and youth with acute, severe and complex needs who experience difficulty functioning in the less restrictive setting of home and community. The goal of this symposium is to offer three presentations that explore the role of acute care psychiatric services within the system of care for different populations. The first presentation explores the appropriateness of psychiatric hospitalization or deflection for children receiving traditional foster care versus wraparound foster care services. The second presentation describes the similarities and differences in needs and strengths of children and youth who receive home-based crisis intervention services versus psychiatric hospitalization, and compares discharge placements between the groups. The third presentation reviews the first year of data for a new inpatient service for children that provides brief crisis stabilization and assessment, and compares the needs, strengths, and outcomes of children admitted following a crisis/emergency situation versus a planned, elective admission. The discussant will highlight the common and unique findings across the three populations and facilitate the audience members' appreciation of the role of acute care psychiatric services and the implications for service delivery across the system of care.

Date: Tuesday, March 8, 2005

Session Time: 3:00 PM - 4:30 PM

Presentation Time: 3:30 PM - 4:30 PM