Predictors of Length of Stay in a Psychiatric Adolescent Treatment Program

Reddy, Radhika; Ha, Carolyn; Newlin, Elizabeth; Sharp, Carla

doi:10.1097/pra.0000000000000255

Cited by 7 publications

(1 citation statement)

References 20 publications

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“…These patients were mainly diagnosed with psychotic spectrum disorders and mood disorders, predominantly mania [ 11 ]. A previous study showed that the length of stay in psychiatric inpatient youth clinics is associated with psychiatric severity, as reflected by prescription of mood stabilizers and self-reports of internalizing symptoms [ 12 ]. The use of restrictive measures, such as restraints and seclusion, are prevalent in youth psychiatric wards worldwide when managing patients at risk of harming themselves and/or others [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Youth Psychiatric Hospitalization in Israel during COVID-19: A Multi-Center Study

Dror

Hertz‐Palmor

Barzilai

et al. 2022

IJERPH

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During the COVID-19 pandemic there have been numerous reports of increases in psychiatric morbidity and a deterioration of status among existing patients. There is little information about how this increase has affected youth and rates of adolescent psychiatric hospitalization. Our study was aimed at examining trends in youth psychiatric hospitalization during the first year of the COVID-19 pandemic. Method: We used medical records to compare trends in hospitalization rates from 2019 to 2020, among psychiatric youth wards from five different centers in Israel. Results: The number of patients that were hospitalized in youth psychiatric wards decreased significantly from 2019 (Mean ± SD=52.2 ± 28.6 per month) to 2020 (M ± SD = 40.8 ± 22.0; unstandardized B = −11.4, 95% CI = −14.4 to −8.3, p < 0.0001). There was a significant decrease in the number of patients that were hospitalized due to internalizing disorders from 2019 (M ± SD = 22.3 ± 9.3 per month) to 2020 (M ± SD = 16.8 ± 7.7; B = −5.5, 95% CI = −8.0 to −3.0, p = 0.0002) and a marginally significant increase in the number of restraints per month (2019: M ± SD = 2.8 ± 6.8, 2020: M ± SD = 9.0 ± 14.5; Z = −1.96, Rosenthal’s r= 0.36, p = 0.07).Conclusions: There was a significant decline in psychiatric hospitalizations during the pandemic, specifically among patients suffering from internalizing disorders. The reasons for this decline, and the future impact these changes had on hospitalizations during the pandemic demand further research. Study limitations: This is a retrospective multicenter study from five medical centers in Israel, therefore generalizability of our findings is limited.

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Section: Introductionmentioning

confidence: 99%

Youth Psychiatric Hospitalization in Israel during COVID-19: A Multi-Center Study

Dror

Hertz‐Palmor

Barzilai

et al. 2022

IJERPH

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Influence of at-risk family interactions on the course of psychiatric care in adolescence

Robin,

Surjous,

Belbèze

et al. 2024

Eur Child Adolesc Psychiatry

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Dysparenting, referring to inappropriate parental attitudes, is a vulnerability factor for mental disorders during adolescence and a therapeutic leverage, yet clinicians lack reliable tools to assess it in daily clinical practice. Moreover, the effect of this dysparenting on the amount of psychiatric care remains unclear. The Family and Care study aims to develop the at-risk family interactions and levers (ARFIL) scale, a comprehensive 30-item clinical scale, and to assess in a cross-sectional design, the impact of these at-risk family interactions on the care of adolescents (n = 425) hospitalized in psychiatry and aged 13–19 years old. Factorial analysis shows that the ARFIL scale consists of three main dimensions associated with cohesion/conflicts, love/hostility, and autonomy/control with good psychometric properties. Multivariate regressions show that the ARFIL intensity score predicts the duration of hospital care, regardless of age, gender, medical severity on admission, assessed by the Global Assessment of Functioning scale, the presence of maltreatment and psychiatric diagnoses. Moreover, the ARFIL diversity score (number of items present regardless of their severity) predicts both the number and duration of hospitalizations. At-risk family interactions are a determining dimension of psychiatric adolescent care, and the ARFIL scale could constitute a valuable tool, not only for holistic evaluation and treatment, but also for prevention.

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Adolescents who enter state custody concurrently with a psychiatric hospitalization

Cross,

Wang,

Tran

et al. 2024

Children and Youth Services Review

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Predictors of Length of Stay in a Psychiatric Adolescent Treatment Program

Cited by 7 publications

References 20 publications

Youth Psychiatric Hospitalization in Israel during COVID-19: A Multi-Center Study

Youth Psychiatric Hospitalization in Israel during COVID-19: A Multi-Center Study

Influence of at-risk family interactions on the course of psychiatric care in adolescence

Adolescents who enter state custody concurrently with a psychiatric hospitalization

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