Mental Health Conditions and Unplanned Hospital Readmissions in Children

Doupnik, Stephanie K.; Lawlor, John; Zima, Bonnie T.; Coker, Tumaini R.; Bardach, Naomi S.; Rehm, Kris P.; Gay, James C.; Hall, Matt; Berry, Jay G.

doi:10.12788/jhm.2910

Cited by 12 publications

(8 citation statements)

References 50 publications

(89 reference statements)

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“…Recent studies have shown a high growth of medical hospitalizations and costs for children with comorbid psychiatric disease, as compared to those without, 103 as well as longer hospital lengths of stay and higher rates of hospital readmission for medical illnesses in children with psychiatric disease. [104][105][106] Initial evidence suggests that psychiatric intervention may improve overall medical outcomes, health care utilization, and costs in these populations. For instance, in a recent study of pediatric admissions at a freestanding, tertiary pediatric hospital, Bujoreanu and colleagues demonstrated that earlier involvement of child psychiatric consultation led to shorter lengths of stay and lower overall hospital charges, and evidence suggests that psychiatric intervention for children with particular chronic medical conditions can lead to lower overall health care utilization.…”

Section: Funding Challenges and New Models Of Carementioning

confidence: 99%

Pediatric Consultation-Liaison Psychiatry: An Update and Review

2020

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Background: In recent years, there has been an increasing burden of child and adolescent mental illness recognized in the United States, and the need for pediatric mental health care is growing. Pediatric consultation-liaison (C-L) psychiatrists are increasingly playing a role in the management of medical and psychiatric disease for pediatric patients. The field is a fast-moving one, with understanding of new neuropsychiatric disease entities; reformulation of prior disease entities; and new interdisciplinary treatments and models of care. Methods: In this study, we aim to review recent advances in the field of pediatric C-L psychiatry, including new diagnostic entities, updated management of frequently encountered clinical presentations, and developments in systems of care. Conclusion: The advances in pediatric C-L psychiatry are broad and serve to promote more streamlined, evidence-based care for the vulnerable population of psychiatrically ill pediatric medical patients. More work remains to determine the most effective interventions for the wide array of presentations seen by pediatric C-L psychiatrists.

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Section: Funding Challenges and New Models Of Carementioning

confidence: 99%

Pediatric Consultation-Liaison Psychiatry: An Update and Review

2020

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“…Dies ist für die betroffenen, körperlich kranken Kinder häufig sehr herausfordernd und belastend [1,2]. Studien zeigen, dass Krankenhausaufenthalte bei Kindern zu einer generellen psychischen Belastung [3] oder sogar zu posttraumatischen Belastungssymptomen führen können [4,5].…”

Section: Introductionunclassified

„Child Life Specialist“-Interventionen in der klinischen pädiatrischen Versorgung: Ein systematischer Review zu Effekten auf psychische Gesundheitsparameter von Kindern und Jugendlichen

et al. 2021

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Zusammenfassung Ziel der Studie Krankenhausaufenthalte können bei Kindern zu psychischen Belastungen führen, die in der Regelversorgung häufig nicht ausreichend adressiert werden. Ein neuer Ansatz ist es, spezialisierte psychosoziale Fachkräfte, sog. Child Life Specialists (CLS), in die klinische Versorgung einzubinden. CLS begleiten Kinder durch den Klinikalltag und können Belastungen durch gezielte Interventionen auffangen und das Wohlbefinden der PatientInnen fördern. Ziel dieser Arbeit ist es, die Effekte von CLS-Interventionen auf Angst, Schmerz und Stress von Kindern im klinischen Kontext zu analysieren. Methodik Es wurde eine systematische Literatursuche in den Datenbanken Medline, Embase und PsycINFO durchgeführt. Die Ergebnisse wurden in tabellarischer und graphischer Form dargestellt. Ergebnisse Es wurden vier randomisierte kontrollierte Studien (RCTs) eingeschlossen, die die Effekte von CLS-Interventionen bei 459 Kindern im Alter von 0–15 Jahren untersuchten. Eine signifikante Verbesserung der Zielkriterien wurde jeweils in mindestens einer Studie berichtet. Bei allen Studien ist von einem mittleren bis hohen Verzerrungsrisiko auszugehen. Schlussfolgerung In den eingeschlossenen RCTs werden positive Effekte von CLS-Interventionen auf Ergebnisvariablen psychischer Gesundheit von Kindern im klinischen Setting berichtet. Aufgrund der geringen Anzahl von Studien sowie deren Heterogenität und Qualität ist weitere Forschung notwendig.

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“…12 Factors affecting psychiatric readmissions are not restricted to the clinical domain but are multifaceted, encompassing individual, environmental and clinical dimensions. 1,5,9,13,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] However, there is no consensus on the predictors of psychiatric readmission; for example, a large-scale cross-sectional analysis in the USA showed that length of stay is associated with risk of readmission within 30 days post-discharge. 31 However, a national case register study did not find that the length of hospital stay was an independent risk factor for readmission within 30 days, though age up to 45 years, short duration between index admission, and readmission and prior hospitalization were identified as risk factors.…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar

et al. 2020

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Objective To examine the sociodemographic and clinical characteristics of psychiatric patients with recurrent psychiatric readmissions (RPR). Methods A retrospective study was conducted at Hamad General Hospital in Qatar on psychiatric patients with recurrent readmissions from August 2018 to January 2019. Results Of 380 psychiatric patients admitted during the study period, 40 (10.5%) were readmitted within 30 days of discharge. Most of the patients who were readmitted were single, male and unemployed. Psychotic spectrum disorder was the most frequent psychiatric condition and was diagnosed in 18 (45%) patients. A total of 30% of the patients were receiving treatment with anti-psychotics, and a similar number received more than one medication. Most patients showed poor or no compliance. Only 12.5% of patients stayed in the hospital for more than 5 weeks in their last admission during the study period. Conclusions Poor compliance, male sex and single status were the most common demographic and clinical features of patients with RPR. Post-discharge psychiatric care should be tailored to meet the requirements of patients prone to RPR.

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Mental Health Conditions and Unplanned Hospital Readmissions in Children

Cited by 12 publications

References 50 publications

Pediatric Consultation-Liaison Psychiatry: An Update and Review

Pediatric Consultation-Liaison Psychiatry: An Update and Review

„Child Life Specialist“-Interventionen in der klinischen pädiatrischen Versorgung: Ein systematischer Review zu Effekten auf psychische Gesundheitsparameter von Kindern und Jugendlichen

Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar

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