Title:
Demographic, financial, living situation, and psychiatric factors related to child and adolescent inpatient readmission rates:
Author:
Christopher G. Vaughan
Thesis Advisor:
Sharon Green-Hennessy
Committee Member:
Martin F. Sherman
Committee Member:
Amanda Thomas
Degree Granting Institution:
Loyola University Maryland--College of Arts and Sciences
Place:
Baltimore (Md.)
Publisher:
Loyola University Maryland
Date Created:
2002
Type of Resource:
text
Genre:
thesis
Language:
eng
Format:
application/pdf
Physical Form:
electronic
Digital Source:
reformatted digital
Abstract:
Multiple inpatient hospitalizations for youths are harmful both in terms of cost and as an interruption of a child's normal psychosocial development. The purpose of this study was to find antecedent factors predictive of rapid readmission, as defined as readmission within one year of initial discharge. The sample studied was the chart records of 1326 patients (869 boys and 457 girls) discharged within a four year time period between January 1, 1996 and December 31, 1999 from a public state psychiatric hospital. A logistic regression was used to analyze the predictive role of the following variables; age, gender, race, length of stay, living arrangement, primary diagnostic category, comorbidity with mental retardation, number of diagnoses, presence of a previous hospitalization, discharge location, and global assessment of functioning (GAF). Results indicated that a younger patient age, greater length of stay, fewer diagnoses, presence of a previous admission and being discharged to home as opposed to a residential treatment center were predictive indicators of rapid readmission. A variable excluded from the initial analysis due to a large number of missing cases was insurance status. A second analysis was conducted including insurance status, and it was shown to be predictive of rapid readmission along with a younger patient age and fewer diagnoses. These findings suggest areas in which future research should be focused and policy initiatives directed to help the needs of hospitalized youths.
Subject:
Child mental health services
Subject:
Teenagers--Mental health services
Subject:
Psychiatric hopsitals--Admission and discharge
Subject:
Psychiatric hospital patients
Degree:
Master of Arts
Level:
Master
Discipline:
Psychology
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Identifier:
VaughanCG-02
