The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents
Bibliographic Data
| ID | 9055018 |
|---|---|
| Authors | Cynthia A Fontanella (0000-0001-8089-3547, The Ohio State University, corresponding author) |
| Year | 2008 |
| Volume | 78 |
| Issue | 2 |
| Pages | 187-198 |
| Publication date | 2008-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Orthopsychiatry (JOURNAL) |
| Journal identifiers | ISSN: 0002-9432 • E-ISSN: 1939-0025 |
| Publisher | American Psychological Association (APA) (PUBLISHER) |
| DOI | 10.1037/a0012557 |
| PMID | 18954182 |
| PMCID | PMC2596608 |
| OpenAlex | W2095030559 |
| Language | EN |
| Citations received | 8 |
| References cited | 11 |
This study examined predictors of readmission for a sample of 522 adolescents enrolled in Medicaid and admitted to three inpatient psychiatric hospitals in Maryland. Comprehensive data on clinical, treatment, and health care system characteristics were collected from archival sources (medical records, Medicaid claims, and the Area Resource File). Predictors of readmission were examined with bivariate (Kaplan Meier) and multivariate (Cox Regression) survival techniques. One-year readmission rates were 38% with the majority occurring within 3 months after discharge. Adolescent demographic (age and gender), clinical (severity of symptoms, comorbidity, suicidality) and family characteristics (level of family risk) were associated with readmission. However, treatment factors including type of aftercare, postdischarge living environment, medication noncompliance, and hospital provider were among the strongest predictors of readmission. Study findings underscore the importance of careful discharge planning and linkage to appropriate aftercare. The differing rates of readmission across hospitals also suggest that organizational level factors may play a vital role in determining treatment outcomes
Bivariate analysis · Comorbidity · Health care · Hospital readmission · Logistic regression · Medicaid · Medical record · Multivariate analysis · Proportional hazards model · Psychiatry · Adolescent and Pediatric Healthcare · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption · Emergency Medicine · Medicine
Program and practice elements for placement prevention
Gender Specific Characteristics of Revolving Door Adolescents in Acute Psychiatric Inpatient Care
Adherence of 13–17 Year Old Adolescents to Medicinal and Non-pharmacological Treatment in Psychiatric Inpatient Care
Patients’ well-being during the transition period after psychiatric hospitalization to school
An Ecological Approach to Evaluating a System of Care Program
Child wellbeing assessment in child welfare
Intensive home-based programs for youth with serious emotional disturbances
Predictors for Readmission into Children’s Inpatient Mental Health Treatment
Mental Health Need and Access to Mental Health Services by Youths Involved With Child Welfare
Placement Stability and Mental Health Costs for Children in Foster Care
Children and youth in foster care
Evidence-Based Practice in Child and Adolescent Mental Health Services
Risk, protection, and resilience
Effects of health care cost-containment programs on patterns of care and readmissions among children and adolescents
Psychosocial resilience and protective mechanisms
Community service utilization by youths hospitalized in a state psychiatric facility
A conceptual framework for the study of early readmission as an indicator of quality of care
Revisiting the Behavioral Model and Access to Medical Care
| Citations per year | 0.62 |
|---|---|
| Citation span | 2013 - 2023 (11) |
| Highly cited | No |