Factors Associated with Readmission to Adolescent Psychiatric Care

Abstract

The association, in an adolescent sample, of medication non-adherence and relapse readmission is consistent with findings from numerous adult studies, as is the trend toward younger age of first admission. The relationship of a history of CSA to readmission has attracted little previous research and the finding of a positive association suggests that further investigation of a history of CSA in this context is warranted. The implications of these findings and suggestions for further research are discussed.

Risk Factors Associated With Readmissions of Hospitalized Mentally Ill Patients

“…Also social support has been found to be important in keeping mentally ill persons functioning well in the community and in reducing the likelihood of recurrence of mental illness symptoms. On the other hand a study done by [39]found that "duration of hospital stay was not significantly related to the number of supportive persons, although there was a tendency for the duration of hospital stay to be inversely correlated with the number of supportive persons" .Lastly statistical significant relation were found between age, length of stay and number of hospitalization this was congruent with [13]who emphasized that more than one third of the long stay patients were in the age group of "fifty years and more". This result is not surprising as older people have been found to stay longer lengths of hospitalization.…”

“…various factors, including predisposing factors such as prior history of psychiatric hospitalization, disease severity, alcohol and substance useand lower level of patient function at dischargeas well as aftercare-related factors such as inadequate community support and ambulatory care visits [13].However, poorly treated psychiatric patients might be vulnerable to increased risks of extended hospital stays and re-hospitalization, which may ultimately cause surplus medical expenditure. High readmission rate has been frequently considered as an indicator of adverse prognostic outcomes in psychiatric inpatients [14].Medication non adherence was reported as an important predictor of readmission also its one of the major problems faced in the treatment of psychiatric illness.…”

“…schizophrenia or bipolar disorder), lack of supportive significant others (being unmarried, divorced, or widowed), medication non-adherence and poor access to adequate housing [13].…”

Adherence of 13–17 Year Old Adolescents to Medicinal and Non-pharmacological Treatment in Psychiatric Inpatient Care: Special Focus on Relative Clinical and Family Factors

“…19), yet again special school services supported adherence. For nonpharmacological treatment, the likelihood of non-adherence among adolescents who were treated involuntarily at some point was 5.60-fold compared to adolescents who were not treated involuntarily.…”

“…According to [19], relatively fewer studies have concentrated on adolescents' readmissions to hospital. Further, studies assessing adolescents' adherence have focused mainly on medicinal treatments [4,12,14,20,21], and few have investigated adherence to nonpharmacological treatments.…”