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Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs / Jonathan GREEN in Journal of Child Psychology and Psychiatry, 48-12 (December 2007)
[article]
Titre : Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs Type de document : Texte imprimé et/ou numérique Auteurs : Jonathan GREEN, Auteur ; Jennifer BEECHAM, Auteur ; Brian JACOBS, Auteur ; Graham DUNN, Auteur ; Leo KROLL, Auteur ; Catherine TOBIAS, Auteur ; Jackie BRISKMAN, Auteur Année de publication : 2007 Article en page(s) : p.1259–1267 Langues : Anglais (eng) Mots-clés : Child adolescent psychiatry inpatient outcomes costs Index. décimale : PER Périodiques Résumé : Background: Inpatient treatment is a complex intervention for the most serious mental health disorders in child and adolescent psychiatry. This is the first large-scale study into its effectiveness and costs. Previous studies have been criticised for methodological weaknesses.
Methods: A prospective cohort study, including economic evaluation, conducted in 8 UK units (total n = 150) with one year follow-up after discharge. Patients acted as their own controls. Outcome measurement was the clinician-rated Childhood Global Assessment Scale (CGAS); researcher-rated health needs assessment; parent- and teacher-rated symptomatology.
Results: We found a significant (p < .001) and clinically meaningful 12-point improvement in CGAS following mean 16.6 week admission (effect size .92); this improvement was sustained at 1 year follow-up. Comparatively, during the mean 16.4 week pre-admission period there was a 3.7-point improvement (effect size .27). Health needs assessment showed similar gain (p < .001, effect size 1.25), as did teacher- and parent-rated symptoms. Improvement was found across all diagnoses. Longer stays, positive therapeutic alliance and better premorbid family functioning independently predicted better outcome. Mean cost of admission was £24,100; pre-admission and post-discharge support costs were similar.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01802.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=310
in Journal of Child Psychology and Psychiatry > 48-12 (December 2007) . - p.1259–1267[article] Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs [Texte imprimé et/ou numérique] / Jonathan GREEN, Auteur ; Jennifer BEECHAM, Auteur ; Brian JACOBS, Auteur ; Graham DUNN, Auteur ; Leo KROLL, Auteur ; Catherine TOBIAS, Auteur ; Jackie BRISKMAN, Auteur . - 2007 . - p.1259–1267.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 48-12 (December 2007) . - p.1259–1267
Mots-clés : Child adolescent psychiatry inpatient outcomes costs Index. décimale : PER Périodiques Résumé : Background: Inpatient treatment is a complex intervention for the most serious mental health disorders in child and adolescent psychiatry. This is the first large-scale study into its effectiveness and costs. Previous studies have been criticised for methodological weaknesses.
Methods: A prospective cohort study, including economic evaluation, conducted in 8 UK units (total n = 150) with one year follow-up after discharge. Patients acted as their own controls. Outcome measurement was the clinician-rated Childhood Global Assessment Scale (CGAS); researcher-rated health needs assessment; parent- and teacher-rated symptomatology.
Results: We found a significant (p < .001) and clinically meaningful 12-point improvement in CGAS following mean 16.6 week admission (effect size .92); this improvement was sustained at 1 year follow-up. Comparatively, during the mean 16.4 week pre-admission period there was a 3.7-point improvement (effect size .27). Health needs assessment showed similar gain (p < .001, effect size 1.25), as did teacher- and parent-rated symptoms. Improvement was found across all diagnoses. Longer stays, positive therapeutic alliance and better premorbid family functioning independently predicted better outcome. Mean cost of admission was £24,100; pre-admission and post-discharge support costs were similar.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01802.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=310