Conference Handouts

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Presented at the 21st Annual Research Conference

Community Population Characteristics Mediate Racial Disparities in Child Psychiatric Crisis Stabilization Decisions

Download Handouts: 243kb pdf

Presenting: Richard Epstein

All Authors for this paper: Richard Epstein; Neil Jordan; John Lyons

Presentation Type: element of symposium

Synopsis: This study investigates whether community racial diversity, poverty, and urbanicity explain different psychiatric hospitalization rates by race. Analyses were conducted using data collected by a comprehensive child and adolescent mental health crisis stabilization service in Illinois, and the 2000 census. Results suggest that community poverty and urbanicity mediate racial disparities in referral to psychiatric hospital for mental health crisis stabilization. Implications include the need for systems of care to be tailored to local community needs.

Direct Treatment Costs of Child Psychiatric Crisis Stabilization Services

Download Handouts: 172kb pdf

Presenting: YongJoo Rhee

All Authors for this paper: YongJoo Rhee; Neil Jordan; Richard Epstein; John Lyons

Presentation Type: element of symposium

Synopsis: This study estimates the direct cost of child and adolescent psychiatric crisis stabilization services. Analyses were conducted using data collected by a comprehensive psychiatric crisis stabilization service in Illinois, and Medicaid claims data. Results suggest psychiatric hospitalization accounts for a great deal of the total cost of publicly-funded crisis services and that youth in state custody have higher levels of need and costs. Implications include the need for effective use of youth mental health resources.

Factors Associated with Psychiatric Hospital Length of Stay among Children and Adolescents

Download Handouts: 637kb pdf

Presenting: Scott Leon

All Authors for this paper: Scott Leon

Presentation Type: element of symposium

Synopsis: The current study predicted psychiatric length of stay (LOS) for a sample of youth in Illinois under Medicaid reimbursement. A multi-level model statistical strategy was employed. The child-level accounted for 85% of total variability in LOS. Predictors included: caregiver health and supervision problems and suicidal ideation/intent, DCFS custody, and living situation problems. Hospitals accounted for 15% of total LOS variance. Implications for ongoing LOS utilization management are discussed.

Predicting Recurrent Psychiatric Crisis among Children and Adolescents in State Custody

Download Handouts: 4.5mb pdf

Presenting: Jung Park

All Authors for this paper: Jung Park

Presentation Type: element of symposium

Synopsis: This study followed 1,537 children and adolescents in state custody who experienced a psychiatric crisis to examine the extent and predictors of recurrent psychiatric crisis. Approximately 40% of the sample experienced a repeat psychiatric crisis. Associated factors include hospitalizations, symptoms and functioning problems, type of placement in child welfare, age, and sex. Implications of the findings were discussed.

Child and Adolescent Psychiatric Crisis Stabilization within a Comprehensive System of Care

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

Session Number: 36 Room: Salon D

Presenting: Neil Jordan; Neil Jordan

All Authors for this paper: Neil Jordan; Neil Jordan

Presentation Type: brief symposium

Synopsis: This symposium brings together researchers from leading universities in Illinois to talk about issues related to access, cost and outcomes of child and adolescent psychiatric crisis stabilization services in that state’s comprehensive system of care. All symposium papers present original empirical research using administrative data collected by the Illinois Screening, Assessment and Support Services (SASS) program. The SASS program provides psychiatric crisis stabilization services to all Illinois youth at risk of psychiatric hospitalization and whose psychiatric care requires public funding from the Illinois Department of Human Services (DHS), Healthcare and Family Services (HFS), or Children and Family Services (DCFS). This symposium features paper presentations “sandwiched” between an Introduction and Discussion. Papers will focus on explaining racial disparities in system of care decision making (Dr. Epstein), estimating the direct costs of providing crisis services in a system of care (Dr. Rhee), and identifying factors associated with important system outcomes such as length of stay (Dr. Leon) and the recurrence of psychiatric crisis (Dr. Park). Papers use advanced statistical methods to investigate the relative impact of child, provider and community level factors on system of care functioning. This symposium can serve as a model for administrators, practitioners, policymakers and researchers of the importance and need for collaborative investigation for expanding the research base in systems of care that provide child and adolescent mental health crisis stabilization services.

Date:

Session Time: 5:00 PM - 6:00 PM