Journal of the American Academy of Child & Adolescent Psychiatry
ArticlesHealth Gain and Outcome Predictors During Inpatient and Related Day Treatment in Child and Adolescent Psychiatry
Section snippets
Clinical Sample
Consecutive admissions to two inpatient child and adolescent units over an 18-month period were sampled. Unit 1 was a 12-bed regional unit with upper age limit of 15 years, and unit 2 a 6-bed subregional unit with age limit 16 years. The units served adjacent areas, both containing a mixture of urban, semiurban, and rural populations. The consultant on unit 2 (L.K.) had trained on unit 1, and the units had similar treatment philosophies. Referrals to both came from other child mental health
Characteristics of the Sample
Fifty-five children were recruited into the study, 42 from unit 1 and 13 from unit 2. There were 33 (60%) males and 22 (40% females), with a mean of age 11.4 years (range 6–17 years). At referral, 25.9% were not attending school and an additional 24.1% had partial attendance. Fifteen percent had had previous day patient or inpatient admission, and 3.6% were in nonfamily care. In 72% there was a family history of mental illness in first-or second-degree relatives.
Waiting-list time between
DISCUSSION
This study set out to apply a multiple-perspectives methodology to the conceptualization and measurement of health gain during child inpatient treatment and to investigate a range of variables predicting outcome. The design addressed unmodified clinical practice in an unselected sample. We used multiple perspectives on health gain and standardized instruments with which to measure them. The presence of a researcher independent of the clinical process and blind to clinical ratings and the
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The study was funded by U.K. National Health Service Research and Development Grant RDO/17/17 . Drs. Green and Kroll had clinical appointments in the units at the time of the study.