Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, College of Behavioral and Community Sciences, University of South Florida, MHC 2435, 13301 Bruce B. Downs Blvd., Tampa, FL, 33612-3807, USA,
Community Ment Health J. 2013 Dec;49(6):781-6. doi: 10.1007/s10597-013-9592-8. Epub 2013 Jan 13.
The goal of this study was to examine factors associated with time to first and subsequent readmissions of youth (N = 1,432) to one of Florida's residential mental health treatment programs, known as State Inpatient Psychiatric Program (SIPP). Results of multivariate Cox regression analysis indicated that greater maltreatment severity, shorter length of time spent in SIPP during the initial episode, and longer time to provision of targeted case management services were associated with earlier readmission. When time to subsequent readmission was examined, results of multivariate Cox regression analysis indicated that shorter length of stay during the second hospitalization and having more than one mental health diagnosis increased the odds of experiencing subsequent readmission. One consistent finding across initial and subsequent readmissions was that the timing of service provision but not the amount of services was crucial for preventing readmissions to inpatient residential programs.
本研究的目的是调查与佛罗里达州一家住院心理健康治疗项目(称为 State Inpatient Psychiatric Program,SIPP)中青少年首次和后续再入院相关的因素(N = 1,432)。多变量 Cox 回归分析的结果表明,虐待严重程度更高、初次发作时在 SIPP 中停留的时间更短以及提供有针对性的病例管理服务的时间更长与更早的再入院相关。当检查后续再入院时间时,多变量 Cox 回归分析的结果表明,第二次住院期间的住院时间较短和有一个以上心理健康诊断增加了再次入院的几率。在首次和后续再入院中都有一个一致的发现,即服务提供的时间而非服务的数量对于预防住院住院项目的再入院至关重要。