Psychiatric Hospitalization of Preschool Children: Admission Factors and Discharge Implications

Dalton, Richard; Forman, Marc A.; Daul, George C.; Bolding, Dorothy D.

doi:10.1097/00004583-198705000-00004

Cited by 14 publications

(5 citation statements)

References 14 publications

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“…53,54 The current study findings may indicate the high thresholds of social and psychiatric deterioration required before gatekeepers in child serving systems can justify decisions to place young children in congregate care settings. Conversely, the findings for race (i.e., Model 1) match other foster care studies in which minority children typically stay in substitute care longer than non-minority children.…”

Section: Discussionmentioning

confidence: 81%

Forecasting Length of Stay in Child Residential Treatment

Hussey

Guo

2005

Child Psychiatry Hum Dev

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A sample of 126 consecutively admitted residential treatment children (mean age = 9.86, SD=1.84; 70.6% male; 42.1% African American; 50% Caucasian) were studied over a five-year period to identify predictors of length-of-stay. Cox regression was the primary statistical method used to analyze psychiatric and behavioral rating data for children assessed by teachers and treatment staff using the Devereux Scales of Mental Disorders (DSMD). Parental alcohol abuse, and children's age, medication status, race, initial DSMD total and critical pathology scores, were predictive of length-of-stay. Residential length-of-stay was strongly linked to initial levels of psychiatric symptomatology. Models that can help forecast length of stay are vital tools in helping to improve both clinical and utilization management strategies.

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Section: Discussionmentioning

confidence: 81%

Forecasting Length of Stay in Child Residential Treatment

Hussey

Guo

2005

Child Psychiatry Hum Dev

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“…Specifically, almost all admitted children presented with severe aggressiveness and other acute risk behaviors (e.g., fire‐setting, suicidality) and notable family problems (e.g., parental psychopathology, child maltreatment). Similarly, Dalton, Forman, Daul and Bolding () described the clinical presentations of preschool‐aged children admitted to a psychiatric inpatient facility, noting that a significant proportion of such children had experienced high levels of family dysfunction including parental psychopathology and prior out‐of‐home placements. These findings are consistent with those of Rice, Woolston, Stewart, Kerker and Horwitz (), who found that, as compared with older children and adolescents, very young children (ages 3 to 6 years) who received inpatient psychiatric care were more likely to experience a variety of psychosocial stresses including maternal unemployment, maternal substance abuse, and socioeconomic strain.…”

Section: Introductionmentioning

confidence: 99%

Partial hospitalization treatment for preschoolers with severe behavior problems: child age and maternal functioning as predictors of outcome

Martin

McConville

Williamson

et al. 2012

Child Adoles Ment Health

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Background This study focused on the behavioral functioning and treatment outcomes of preschool‐aged children who attended a specialized, family focused psychiatric partial hospitalization program. Method Study data were collected between 2002 and 2007. Maternal reports of child behavioral functioning were obtained at program admission and discharge. Maternal parenting stress and psychiatric impairment were assessed at admission. Results Children's symptom severity decreased from admission to discharge, particularly with respect to externalizing symptoms. Both child age and maternal functioning emerged as predictors of treatment outcome. Conclusions Specialized partial hospitalization may be an effective approach to treatment for preschool children with severe psychopathology.

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“…Nevertheless, the cognitive level of the child is a variable that must always be taken into account when designing and using structured and semistructured protocols. It is true that both the interviews and the classifications on which they are based share the criticism concerning low sensitivity to the developmental level of the subject, since they deal with symptoms in a static fashion and fail to take into account developmental changes and the processes of adjustment, organisation, and interaction between those changes (Beitchman, Wekerle, & Hood, 1987 ;Cantwell & Baker, 1989 ;Dalton, Forman, Daul, & Bolding, 1987 ;Ezpeleta, 1995 ;Ezpeleta et al, in press). We have verified that before the age of 12 years, children give consistent information in answer to many of the DICA-R questions ; we have also observed, however, that at this age some children (and also older subjects) may find it difficult to understand all the questions in this protocol.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of the Subject and Interview Influencing the Test‐Retest Reliability of the Diagnostic Interview for Children and Adolescents‐Revised

Pérez

Ezpeleta

Massons

et al. 1998

Child Psychology Psychiatry

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This paper reviews some of the characteristics of the informants as well as some of the attributes of the DICA-R interview that could influence the test-retest reliability in a sample of 109 psychiatric outpatients aged 7-17 years. Different regression models using reliability coefficients constructed from the kappa statistic were obtained. Of those characteristics evaluated in the children, a high level of psychological impairment proved to be significant when it came to predicting the lowest test-retest reliability of the answers ; none of the subject-related characteristics were significant in the adolescent patient model. The attributes of the questions that proved to be significant when explaining the lower reliability obtained for the individual question in the children's model were the length of the questions (longest questions), the content (internalising), the presence of time concepts, comparison with the peer group, and the need to exercise judgement ; in the adolescents' model, the significant attributes were found to be the internalising content, the presence of time concepts, evaluation concerning the impairment caused by the disorder, and the need to exercise judgement. In the group of children our results are in accordance with the original paper. Similar results were found with adolescents. These findings have implications for the development and revision of new interview schedules.

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Psychiatric Hospitalization of Preschool Children: Admission Factors and Discharge Implications

Cited by 14 publications

References 14 publications

Forecasting Length of Stay in Child Residential Treatment

Forecasting Length of Stay in Child Residential Treatment

Partial hospitalization treatment for preschoolers with severe behavior problems: child age and maternal functioning as predictors of outcome

Characteristics of the Subject and Interview Influencing the Test‐Retest Reliability of the Diagnostic Interview for Children and Adolescents‐Revised

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