儿童和青少年的出院后服务和精神科再住院情况。
Post-discharge services and psychiatric rehospitalization among children and youth.
机构信息
Department of Social Work & Social Ecology, Loma Linda University, Loma Linda, CA 92350, USA.
出版信息
Adm Policy Ment Health. 2010 Sep;37(5):433-45. doi: 10.1007/s10488-009-0263-6.
Abstract
This study examined risk and determinants of rehospitalization of children and adolescents (n = 186) following a first psychiatric hospitalization. It specifically examined the role of post-discharge services. Data were collected for a 30-month follow-up period through structured telephone interviews with caregivers and case record abstractions. 43% of youth experienced readmissions during the follow-up period. Risk of rehospitalization was highest during the first 30 days following discharge and remained elevated for 3 months. 72% of youth received 284 post-discharge services during the follow-up period, which significantly reduced the risk of rehospitalization. Longer first hospitalizations and a higher risk score at admission increased risk.
摘要
本研究调查了首次精神科住院后儿童和青少年（n = 186）再次住院的风险和决定因素。它特别研究了出院后服务的作用。通过对照顾者进行结构化电话访谈和病例记录摘要，在 30 个月的随访期间收集数据。在随访期间，43%的青少年再次住院。出院后 30 天内再次住院的风险最高，并且在 3 个月内仍然居高不下。72%的青少年在随访期间接受了 284 项出院后服务，这显著降低了再次住院的风险。较长的首次住院时间和入院时较高的风险评分增加了风险。
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