Changing Trends in Inpatient Care for Psychiatrically Hospitalized Youth: 1991–2008

Meagher, Susan M.; Rajan, Anjana; Wyshak, Grace; Goldstein, Joel

doi:10.1007/s11126-012-9235-1

Cited by 28 publications

(30 citation statements)

References 18 publications

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“…This is in contrast to US studies reporting increases in overall psychiatric discharge rates of 182% in children and 141% in adolescents between 1996 and 2007, 35,36 a period of time that partially overlapped with our study. Blader and Carlson 8 reported an even higher 563% increase in US hospital discharges for PBD, from 1.3 to 7.3 per 10,000 between 1996 and 2004.…”

Section: Discussioncontrasting

confidence: 99%

A Comparison of American and English Hospital Discharge Rates for Pediatric Bipolar Disorder, 2000 to 2010

James

Hoang

Seagroatt

et al. 2014

Journal of the American Academy of Child & Adolescent Psych

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Objective Controversy exists over the diagnosis and prevalence of pediatric bipolar disorder (PBD). Although several small surveys suggest that the rate of the PBD diagnosis in clinical settings is higher in the United States than in other countries, no comprehensive cross-national comparisons of clinical practice have been performed. Here, we used longitudinal national datasets from 2000 to 2010 to compare US and English hospital discharge rates for PBD in patients aged 1 to 19 years. Method We used the English National Health Service (NHS) Hospital Episode Statistics (HES) dataset and the United States National Hospital Discharge Survey (NHDS) to compare US and English discharge rates for PBD (bipolar I disorder [BP-I], bipolar II disorder [BP-II], bipolar disorder not otherwise specified [BP-NOS], and cyclothymia). We also conducted cross-national comparisons for all other psychiatric diagnoses in youth and for adults with bipolar disorder (BD). Results There was a 72.1-fold difference in discharge rates for PBD in youth between the United States and England (United States, 100.9 per 100,000 population, 95% confidence interval = 98.1–103.8, versus England, 1.4 per 100,000 population, 95% CI = 1.4–1.5). After controlling for cross-national differences in length of stay, discharge rates for PBD remained 12.5 times higher in the United States than in England. For all other child psychiatric diagnoses, the discharge rate was 3.9-fold higher, and for adults with BD 7.2-fold higher, in the United States than in England. Conclusion The disparity between US and English discharge rates for PBD is markedly greater than the disparity for child psychiatric discharge rates overall and for adult rates of BD. This suggests that the difference in discharge rates for PBD may be due to differing diagnostic practices for PBD in the United States versus in England.

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Section: Discussioncontrasting

confidence: 99%

A Comparison of American and English Hospital Discharge Rates for Pediatric Bipolar Disorder, 2000 to 2010

James

Hoang

Seagroatt

et al. 2014

Journal of the American Academy of Child & Adolescent Psych

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“…Yataklý tedavi psikiyatri kliniðinin önemli bir parçasýdýr ve geçmiþ yýllara göre çocuk hastalarýnda psikiyatri hastanelerine yatýþ sayý ve oranlarýnda ciddi bir artýþ saptanmýþtýr (1,2). Ülkemizde yataklý hizmet veren çocuk ve ergen psikiyatri kliniklerinin sayýsýnýn az sayýda olmasý nedeniyle bu yaþ grubunda literatürde kýsýtlý veri bulunmaktadýr ve bu veriler çocuk psikiyatri servislerinin gerekli ve etkili olduðu yönündedir (3)(4)(5).…”

Section: Gýrýþunclassified

Factors Effecting Length of Stay in Child Psychiatry Hospital Setting

Usta¹,

Ürer²,

Aral³

et al. 2017

J Clin Psy

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SUMMARYObject: Due to the low number of children and adult psychiatric clinics serving in our country, there is limited data in this age group in the literature. In this study, it was aimed to determine the factors affecting the duration of admission in children and adolescents receiving treatment in Samsun Ondokuz Mayýs University Medical Faculty Psychiatry Clinic. Methods: Hospital records of 194 children and adolescents aged between 11 and 18 years who were hospitalized at Ondokuz Mayýs University Psychiatric Service between January 2013 and December 2015 were retrospectively reviewed. ANOVA and logistic regression analyzes were performed for clinical and sociodemographic data that could effect hospitalization times and multiple admission. Results: 138 of the patients were female and 56 were male. Major depressive disorder patients (n: 79, 41.1%) and the average duration of hospitalization were 8.43 days. The group with the longest mean duration of admission was the Psychotic Disorder group (n: 17, mean: 19.92 days, p: 0.01). In logistic regression analysis for multiple risk factors, Female gender (OR: 2.02) and MDD diagnosis (OR: 1.51) were found to be risk factors for multiple admission. Discussion: In our study, it was observed that the presence of Major Depresive Disorder and female gender was a risk factor for multiple admission. Clinical and sociodemographic features of the disease can be predictive of hospitalization within the treatment plan. 264 GÝRÝÞYataklý tedavi psikiyatri kliniðinin önemli bir parçasýdýr ve geçmiþ yýllara göre çocuk hastalarýnda psikiyatri hastanelerine yatýþ sayý ve oranlarýnda ciddi bir artýþ saptanmýþtýr (1,2). Ülkemizde yataklý hizmet veren çocuk ve ergen psikiyatri kliniklerinin sayýsýnýn az sayýda olmasý nedeniyle bu yaþ grubunda literatürde kýsýtlý veri bulunmaktadýr ve bu veriler çocuk psikiyatri servislerinin gerekli ve etkili olduðu yönündedir (3-5). Bir çok klinikte yatak sayýsýnýn kýsýtlý olmasý sebebiyle hastalarýn optimal tedaviyi alabilmesi için hastanede yatýþ süresini öngörmek ve bunu etkileyen faktörleri araþtýrmak gerekmektedir. Yatýþ süresi; yatýþ tanýsý, cinsiyet, mensubu olunan ýrk, aile, yaþanýlan þehir, ekonomik düzey gibi sosyokültürel faktörlere göre deðiþebilmektedir (6).Literatürde çocuk psikiyatri yatan hastalarýnýn tanýlarýyla ilgili farklýlýklar bulunmaktadýr. ABD'de psikiyatri servislerine yatan ergenlerin yarýsýný madde kullaným bozukluklarý oluþturmaktayken (7), Norveç'te dört ayrý çocuk ve ergen ruh saðlýðý yataklý servisinin katýldýðý bir çalýþmada en sýk yatýþ tanýsý depresif bozukluk olarak bildirilmiþtir (8). Ülkemizde çocuk ve ergen ruh saðlýðý yataklý servisinde yapýlan bir çalýþmada 149 hasta deðer-lendirilmiþ olup en sýk tanýnýn duygudurum bozukluklarý olduðu ve onu dikkat eksikliði hiperaktivite bozukluðunun izlediði belirtilmiþtir (9). Ülkemizde yapýlan diðer bir çalýþmada, eriþkin servisine yatýþý yapýlan ergenlerin sosyokültürel özellikleri, yatýþ tanýlarý ve yatýþ süreleri deðerlendirilmiþ ve yatýþ sürelerinin 4-70 gün arasýnda old...

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“…Most children and adolescent patients (youth patients, hereafter) with mental disorder can be and should be managed as outpatients in the community, therefore to maximize the involvement of their families and other resources [10,11]. However, for some severe cases or those who are in acute crisis, psychiatric hospitalization remains a necessary and effective treatment option, although the duration has shortened significantly compared with what was in the past [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

Geng

Jiang

Rakofsky

et al. 2020

Preprint

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Background The development of child psychiatry in China is slow and very limited resources have been allocated to it. To investigate the current resources of inpatient psychiatric facilities for youth in top-tier psychiatric hospitals in China and the characteristics of youth patients hospitalized in an adult unit. Method As part of a official national survey, 29 most representative provincial tertiary psychiatric hospitals in China were selected. Data of 1975 inpatients discharged from these hospitals from March 19 to 31, 2019 were retrieved and analyzed. Results The mean number of youth psychiatric bed was 27.7±22.9 in these hospitals and 6/29 hospitals had zero youth beds. There were significantly more youth beds in developed regions than in less developed regions (P<0.05). Most of discharged youth patients were teenagers with severe mental illnesses, including schizophrenia, depressive disorder and bipolar disorder. 7.5% (149) of 1975 discharged patients were youth while youth beds only accounted for 3.2% (804/25136) of all psychiatric beds. 45.6% (68) of youth patients hospitalized in adult units. Conclusion Our findings highlight a dire situation of youth inpatient service in China, especially in less developed regions. There is an urgent need to change the policy and develop mental health services, including inpatient services for child and adolescent patients.

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Changing Trends in Inpatient Care for Psychiatrically Hospitalized Youth: 1991–2008

Cited by 28 publications

References 18 publications

A Comparison of American and English Hospital Discharge Rates for Pediatric Bipolar Disorder, 2000 to 2010

A Comparison of American and English Hospital Discharge Rates for Pediatric Bipolar Disorder, 2000 to 2010

Factors Effecting Length of Stay in Child Psychiatry Hospital Setting

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

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