Behavioral Managed Care and its Effects in the Readmission to a Children's Residential Treatment Center

Lakin, Brittany L.; Abph, Artemio D. Brambila PhD; Sigda, Kathy B.

doi:10.1080/08865710802174400

Cited by 12 publications

(9 citation statements)

References 21 publications

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“…Presence of mental health problems appears to be the strongest and most consistent predictor of longer stays in residential care (Baker et al, 2005; Hussey & Guo, 2005). Despite considerable concerns about extended stays in residential care, there is indication from a few studies that longer stays in higher level settings may be predictive of positive outcome, such as better educational outcomes (Ringle, Ingram, & Thompson, 2010) and lowered risk of readmission (Lakin, Brambila, & Sigda, 2007). …”

mentioning

confidence: 99%

Residential Care for Youth in the Child Welfare System: Stop-Gap Option or Not?

James

Zhang

Landsverk

2012

Residential Treatment For Children & Youth

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This study provides national estimates for length of stay in residential care and examines within-group variability along salient predictors. Using data from the National Study on Child and Adolescent Well-Being, the sample included 254 youth with episodes in residential care. Descriptive analyses provided estimates for length of stay over the three-year study period. Negative binomial regression was used to examine the effect of predictor variables on length of stay. Results indicate that a minority of youth experienced short stays in residential care. Chronic health problems and a greater number of placements were associated with longer stays. Implications for practice and research are discussed.

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mentioning

confidence: 99%

Residential Care for Youth in the Child Welfare System: Stop-Gap Option or Not?

James

Zhang

Landsverk

2012

Residential Treatment For Children & Youth

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“…Several studies have examined factors associated with readmission. These studies consistently indicated that a shorter length of stay during the initial inpatient episode was associated with higher rates of readmission (Lakin, Brambila, & Sigda, 2008;Wickizer,…”

Section: Factors Associated With Readmission To Residential Carementioning

confidence: 92%

Profile of children placed in residential psychiatric program: Association with delinquency, involuntary mental health commitment, and reentry into care.

Yampolskaya¹,

Mowery²,

Dollard³

2014

American Journal of Orthopsychiatry

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This study examined characteristics and profiles of youth receiving services in 1 of Florida's Medicaid-funded residential mental health treatment programs--State Inpatient Psychiatric Program (SIPP)--between July 1, 2004, and June 30, 2008 (N=1,432). Latent class analysis (LCA) was used to classify youth, and 3 classes were identified: Children With Multiple Needs, Children With No Caregivers, and Abused Children With Substantial Maltreatment History. The results of LCA showed that Children With Multiple Needs experienced the greatest risk for adverse outcomes. Compared with youth in the other 2 classes, these children were more likely to get readmitted to SIPP, more likely to become involved with the juvenile justice system, and more likely to experience involuntary mental health assessments. Implications of the findings are discussed.

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“…Only a few studies examined factors associated with readmission to residential mental health care among youth. These studies suggested that males, youth who had experienced neglect, and those who had high levels of internalizing and externalizing problems and/or multiple mental health diagnoses were more likely to be readmitted to residential care (Budde et al, 2004; Lakin, Brambila, & Sigda, 2008). Studies also indicated an association between a shorter length of stay during the initial episode in a residential mental health facility and readmission (Budde et al, 2004; Yampolskaya, Mowery, & Dollard, 2013).…”

Section: Predictors For Readmission Into Residential Psychiatric Carementioning

confidence: 99%

Profiles of youth in therapeutic group care: Associations with involuntary psychiatric examinations and readmissions.

Yampolskaya

Mowery

2017

American Journal of Orthopsychiatry

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The study aims were to identify distinct subgroups among youth placed in therapeutic group care (TGC) and to examine the effect of specific constellations of risk factors on readmission to residential mental health care and involuntary psychiatric examination among youth in TGC. Several administrative databases were merged to examine outcomes for youth placed in TGC during fiscal year FY04-05 through FY07-08 (N = 1,009). Latent class analysis (LCA) was conducted. Two classes were identified: youth with multiple needs (Class 1) and lower risk youth (Class 2). Class 1 represented 45% of youth in TGC. Compared with Class 2, these youth had a greater probability of having physical health problems, parents with substance abuse problems, and more extensive histories of maltreatment. Compared with Class 2, youth with multiple needs were almost twice more likely to exhibit self-injurious behavior leading to involuntary mental health examinations, but they were less likely to be readmitted to a residential mental health care of higher level of restrictiveness, such as state inpatient psychiatric programs (SIPPs). Youth placed in Florida TGC represent a heterogeneous population and services tailored to these youth's needs are important. Youth with multiple risk factors would benefit from interventions that would address multiple areas of risk. Lower risk youth (Class 2) would benefit from interventions that would focus on promoting mental health, especially among those who have experienced threatened harm, and providing services and supports necessary for stabilizing these youth in the community. (PsycINFO Database Record

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Behavioral Managed Care and its Effects in the Readmission to a Children's Residential Treatment Center

Cited by 12 publications

References 21 publications

Residential Care for Youth in the Child Welfare System: Stop-Gap Option or Not?

Residential Care for Youth in the Child Welfare System: Stop-Gap Option or Not?

Profile of children placed in residential psychiatric program: Association with delinquency, involuntary mental health commitment, and reentry into care.

Profiles of youth in therapeutic group care: Associations with involuntary psychiatric examinations and readmissions.

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