Alternatives to Psychiatric Hospitalization for Children

Goldfine, Peter E.; Heath, G. Adair; Hardesty, Vaughn A.; Berman, Harvey J.; Gordon, Bernard J.; Lind, Nancy Werks

doi:10.1016/s0193-953x(18)30677-4

Cited by 11 publications

(4 citation statements)

References 8 publications

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“…Evidence of the effectiveness of inpatient treatment cannot be a reason for increasing psychiatric hospitalization. There are still no definitive studies that show hospitalization to be superior to outpatient interventions for most children and adolescents with mental health troubles (Braun et al, 1981;Kiesler, 1982;Goldfine et al, 1985;U.S. Congress, Office of Technology Assessment, 1986;Dalton, Miller, & Forman, 1989).…”

Section: Psychiatric Hospitalizationmentioning

confidence: 99%

Access to Insurance and Length of Psychiatric Stay Among Adolescents and Young Adults Discharged from General Hospitals

Butts

Schwartz

1991

Journal of Health & Social Policy

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Home and community based care services constitute a public initiative in the development of a long term care service network. One such home based initiative is the personal care service program of Medicaid. The authors conducted a national survey of administrators of this program. They received a response from 16 administrators of such programs in 1987-1988. The responses raise significant issues regarding training, access to and equity of services, quality of services, administrative oversight and the coordination of home-based care in a network of available services. Based on administrator responses, the authors draw several conclusions.

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Section: Psychiatric Hospitalizationmentioning

confidence: 99%

Access to Insurance and Length of Psychiatric Stay Among Adolescents and Young Adults Discharged from General Hospitals

Butts

Schwartz

1991

Journal of Health & Social Policy

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“…Unfortunately, there exists little support for either point. The hospital treatment of suicidal adolescents has yet to be scrutinized by comparison to any control groups treated on an outpatient basis (Goldfine, Heath, Hardesty, Berman, Gosdon and Lind, 1985). The data that have emerged from outcome studies of children and adolescents treated in psychiatric hospitals for suicidal thoughts or actions is discouraging.…”

Section: Introduction Zyxwvutsrqponmlkjihgfedcbazyxwvutsrmentioning

confidence: 99%

An outpatient treatment alternative for suicidal youth

Gutstein¹,

Rudd²

1990

Journal of Adolescence

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The present study demonstrates the safety and effectiveness of an outpatient treatment program for suicidal children and adolescents. Pre‐ and post‐treatment measures of patient behavior and family functioning are presented for 47 adolescents and latency‐aged children who received treatment from the Systemic Crisis Intervention Program at the Houston Child Guidance Center. Follow‐up was conducted at three and six months and at a point between 12–18 months. All measures indicated significant long‐term improvement. Data concerning post‐institutional use and suicidal behavior are also presented.

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“…Cole and Poe (1993) stated that 87% of all cross-agency dollars available to treat children with SED are used for institutional care, and only 2% of this specific population are treated with these funds. Despite the growing concern surrounding the over-use of restrictive out-of-home placements (Goldfine, Heath, Hardesty, Berman, & Lind, 1985;Kiesler, 1993;Knitzer, 1982;Lundy & Pumariega, 1993;Sondheimer, Schoenwald, & Rowland, 1994), the practice continues for a variety of systemic reasons (Frank & Dewa, 1992;Kiesler, 1982Kiesler, , 1993Weithorn, 1988).…”

mentioning

confidence: 99%

Applying Behavior Analysis Within the Wraparound Process

Myaard¹,

Crawford²,

Jackson³

et al. 2000

Journal of Emotional and Behavioral Disorders

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The wraparound process has become an important component of many public sector service delivery systems. In this study, a multiple baseline design across participants and behaviors was used to examine the effects of wraparound services on the adjustment of four adolescents with severe emotional disturbance at imminent risk of long-term residential placement. Dependent measures were collected on a daily basis for I year in the areas of compliance, appropriate peer interactions, extreme verbal abuse, alcohol/drug use, and physical aggression.The Child and Adolescent Functional Assessment Scale was also administered prebaseline and then quarterly throughout the study. Significant sequential effects across subjects and behaviors were immediately achieved and maintained over time. lnterobserver agreement, expert ratings on the integrity of the independent variable, and follow-up data are presented. ITHIN THE PUBLIC SECTOR SERvice delivery system, the wrap-

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Alternatives to Psychiatric Hospitalization for Children

Cited by 11 publications

References 8 publications

Access to Insurance and Length of Psychiatric Stay Among Adolescents and Young Adults Discharged from General Hospitals

Access to Insurance and Length of Psychiatric Stay Among Adolescents and Young Adults Discharged from General Hospitals

An outpatient treatment alternative for suicidal youth

Applying Behavior Analysis Within the Wraparound Process

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