PostDischarge Services and Psychiatric Rehospital

Authors: Sigrid James Sherma J Charlemagne Amanda B Gilman Qais Alemi Rhoda L Smith Priya R Tharayil Kimberly Freeman

Publish Date: 2010/01/09

Volume: 37, Issue: 5, Pages: 433-445

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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 postdischarge services Data were collected for a 30month followup period through structured telephone interviews with caregivers and case record abstractions 43 of youth experienced readmissions during the followup period Risk of rehospitalization was highest during the first 30 days following discharge and remained elevated for 3 months 72 of youth received 284 postdischarge services during the followup period which significantly reduced the risk of rehospitalization Longer first hospitalizations and a higher risk score at admission increased riskThis study was supported by The Silberman Faculty Grant Program PI S James and in part by NIMH Grant K01 MH07773201A1 I PI S James Preliminary findings of this study were presented at the 13th Annual Conference of the Society for Social Work and Research New Orleans LA January 16 2009 under the title “Predicting and preventing the risk of psychiatric rehospitalization among children and adolescents”

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