The effect of inpatient care on measured Health Needs in children and adolescents / Brian JACOBS in Journal of Child Psychology and Psychiatry, 50-10 (October 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-10 (October 2009) . - p.1273-1281 Titre : The effect of inpatient care on measured Health Needs in children and adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Brian JACOBS, Auteur ; Jonathan GREEN, Auteur ; Graham DUNN, Auteur ; Catherine TOBIAS, Auteur ; Jacqueline A. BRISKMAN, Auteur ; Leopold KROLL, Auteur Année de publication : 2009 Article en page(s) : p.1273-1281 Langues : Anglais (eng) Mots-clés : Inpatient needs child adolescent outcome Index. décimale : PER Périodiques Résumé : Background: The concept of 'health need' relates patient problems in symptom and psychosocial domains to available appropriate treatments. We studied the effectiveness of inpatient treatment in modifying measured 'Health Needs' in children and adolescents admitted to UK inpatient units. Methods: A prospective cohort study of 150 children and adolescents admitted to eight UK inpatient units, using formal pre-admission, pre-discharge and 1-year follow-up measurement of Health Needs. Results: Total patient 'Cardinal Problems' reduced highly significantly (p < .001) from 8.5 at admission to 5.7 at discharge (effect size .81) and to 4.1 one year after discharge (effect size 1.35). Functional domains free of 'Health Needs' increased from 14.9 to 19.4 (effect size 1.08) from the point of admission to the end of follow-up. These changes were clinically meaningful, present in all domains and reduced morbidity to a level typical of outpatient cases. Conclusions: Admission (mean length 116 days, SD 88) leads to clinically important improvement in measured Health Needs over multiple domains for children with serious, complex mental health difficulties. These improvements in multiple symptom and functional domains persist over the next year. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02093.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=838 [article] The effect of inpatient care on measured Health Needs in children and adolescents [Texte imprimé et/ou numérique] / Brian JACOBS, Auteur ; Jonathan GREEN, Auteur ; Graham DUNN, Auteur ; Catherine TOBIAS, Auteur ; Jacqueline A. BRISKMAN, Auteur ; Leopold KROLL, Auteur . - 2009 . - p.1273-1281. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-10 (October 2009) . - p.1273-1281 Mots-clés : Inpatient needs child adolescent outcome Index. décimale : PER Périodiques Résumé : Background: The concept of 'health need' relates patient problems in symptom and psychosocial domains to available appropriate treatments. We studied the effectiveness of inpatient treatment in modifying measured 'Health Needs' in children and adolescents admitted to UK inpatient units. Methods: A prospective cohort study of 150 children and adolescents admitted to eight UK inpatient units, using formal pre-admission, pre-discharge and 1-year follow-up measurement of Health Needs. Results: Total patient 'Cardinal Problems' reduced highly significantly (p < .001) from 8.5 at admission to 5.7 at discharge (effect size .81) and to 4.1 one year after discharge (effect size 1.35). Functional domains free of 'Health Needs' increased from 14.9 to 19.4 (effect size 1.08) from the point of admission to the end of follow-up. These changes were clinically meaningful, present in all domains and reduced morbidity to a level typical of outpatient cases. Conclusions: Admission (mean length 116 days, SD 88) leads to clinically important improvement in measured Health Needs over multiple domains for children with serious, complex mental health difficulties. These improvements in multiple symptom and functional domains persist over the next year. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02093.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=838

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