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. 2010 Sep;37(5):433-45.
doi: 10.1007/s10488-009-0263-6.

Post-discharge services and psychiatric rehospitalization among children and youth

Affiliations

Post-discharge services and psychiatric rehospitalization among children and youth

Sigrid James et al. Adm Policy Ment Health. 2010 Sep.

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.

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Figures

Fig. 1
Fig. 1
Survival function of days to rehospitalization (n = 186)
Fig. 2
Fig. 2
Cumulative hazard function of days to rehospitalization (n = 186)

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