This study explored factors associated with the psychiatric rehospitalization of children and adolescents. A retrospective archival review was conducted on 403 children and adolescents admitted into an inpatient psychiatric hospital. Results indicated that 16% were readmitted in the same year. Children and adolescents who had a prior history of psychiatric rehospitalization, lived in a residential treatment facility, and had a diagnosis of oppositional/defiant or conduct disorder were more likely to be rehospitalized. Psychosocial factors must be considered in predicting and preventing psychiatric rehospitalization. Clinical social workers should include therapeutic foster care as an option for aftercare placements of youth exhibiting externalizing behaviors and/or with a history of multiple restrictive care placements.

This article reports findings from a study of an alternative educational program for at-risk secondary students, comparing student perceptions of their public school environment, measured upon intake in the alternative school, with their perceptions of the alternative school environment after four and eight months of attendance in the program. Student perceptions of teacher support in the alternative school environment were significantly more positive than their perceptions of the public school environment. Another purpose was to assess the relation between student perceptions of various aspects of the school environment with specific academic, behavioral, and socioemotional variables. The implications of these findings and future research inquiries are addressed.

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