Abstract
In this study, 85 children were prospectively followed after discharge from short-term inpatient treatment. Outcome was defined as functioning within normal range at the follow-up or as improvement in the child's behavior problems. Rutter Parent's Questionnaire was used as a measure on admission and at the 5-month follow-up after discharge. The child's more frequent individual behavior problems, antisocial behavior and disengaged family interaction on admission predicted both functioning outside normal range and less improvement at follow-up. Previous treatment because of developmental or behavioral problems and hyperkinetic symptoms on admission predicted functioning outside normal range. Parent's previous psychiatric hospital treatment was negatively associated with improvement. Pure emotional disorder predicted normal range functioning at follow-up. The child's age, gender, place of treatment and length of short-term treatment were not related to outcome. The results also stress the importance of taking into account both parents' and teachers' evaluations on admission.
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References
Achenbach TM, Edelbrock C (1983) Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT
Achenbach TM, McGonaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specifity. Psychological Bulletin 101:213–232
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders. 3rd ed., revised. APA, Washington, DC
Asay TP, Dimperio TL (1991) Outcome of children treated in psychiatric hospitals. In: Mirin SM, Gossett JT, Grob MC (Eds.), Psychiatric Treatment: Advances in Outcome Research (pp. 21–29). American Psychiatric Press, Washington, DC
Barker P (1974) The results in inpatient care. In: Barker P (Ed.), The Residential Psychiatric Treatment of Children (pp. 294–309). Crosby Lockwood Staples, London
Blotcky MJ, Dimperio TL, Gossett JT (1984) Follow-up of children treated in psychiatric hospitals: A review of studies. American Journal of Psychiatry 141:1499–1507
Coddington RD (1972) The significance of life events as etiological factors in the diseases of children: A study of a normal population. Journal of Psychosomatic Research, 16:205–213
Dalton R, Forman MA (1992) Psychiatric hospitalization of school-age children. American Psychiatric Press, Washington, DC
Dalton R, Muller B, Forman MC (1989) The psychiatric hospitalization of children: an overview. Child Psychiatry and Human Development 19:231–244
Dixon WJ (Ed.) (1992) BMDP Statistical Software Manual, Volumes 1 & 2. University of California Press, Berkley
Hersov L (1994) Inpatient and day-hospital units. In: Rutter M, Taylor E, Hersov L (Eds.), Child and adolescent psychiatry (pp. 983–995). Blackwell: Oxford
Hurme H. (1981). Life changes during childhood. Thesis. Jyväskylä, Finland: Jyväskylä Studies in Education, Psychology and Social Research 41
Jemerin JM, Philips I (1988) Changes in inpatient child psychiatry: consequences and recommendations. Journal of the American Academy of Child and Adolescent Psychiatry, 31:397–403
Jones RN, Latkowski ME, Kircher JC, McMahon WM (1988) The Child Behavior Checklist: normative information for inpatients. Journal of the American Academy of Child and Adolescent Psychiatry 27:632–635
Kolko DJ (1992) Short-term follow-up of child psychiatric hospitalization: clinical description, predictors, and correlates. Journal of the American Academy of Child and Adolescent Psychiatry 31:719–727
Olson D, McCubbin M, Barnes H, Larsen A, Muten M, Wilson M (1985) Family inventories. University of Minnesota, St. Paul, Minnesota
Olson D, Russell C, Sprenkle D (1983) Circumplex model of marital and family systems: Theoretical update. Family Process, 22:69–83
Piha J, Salmisaari T, Koskinen M (1990) Characteristics of recent child psychiatric inpatient treatment in Finland. Psychiatria Fennica 21:77–86
Pfeiffer SI, Strzelecki SC (1990) Inpatient psychiatric treatment of children and adolescents: A review of outcome studies. Journal of the American Academy of Child and Adolescent Psychiatry, 29:847–853
Riddle MA (1989) Research on a children's psychiatric inpatient service. Journal of the American Academy of Child and Adolescent Psychiatry 28:42–46
Rutter M (1967) A children's behavior questionnaire for completion by teachers: preliminary findings. Journal of Child Psychology and Psychiatry 8:1–11
Rutter M, Tizard J, Whitmore K (1970) Education, Health and behavior. London: Longman
Shaffer D, Gould MS, Brasic J (1983) A Children's Global Assessment Scale (CGAS). Archives of General Psychiatry 40:1228–1231
Silver LB (1976) Professional Standards Review Organizations: A handbook of child psychiatrists. American Academy of Child Psychiatry, Washington DC
Sourander A, Heikkilä T, Leijala H, Heinisuo AM, Helenius H, Piha J (1995) Follow-up of short-term child psychiatric inpatient treatment. Nordic Journal of Psychiatry, 49:95–101
Sourander A, Leijala H, Lehtilä A, Kanerva A, Helenius H, Piha J (1996). Short-term child psychiatric inpatient treatment: place of residence as one year outcome measure. European Child and Adolescent Psychiatry, 5:38–43
Tamminen T, Almqvist F, Piha J (1991) Psychiatric symptoms in Finnish children: an epidemiological study of 1000 8-year old children in five regions of the country. Reports of Psychiatria Fennica No 91
Woolston JL (1991) Psychiatric inpatient services for children. In: Lewis, M. (Ed.) Child and Adolescent Psychiatry. A Comprehensive Textbook. Williams & Wilkins, Baltimore
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Sourander, A., Helenius, H., Leijala, H. et al. Predictors of outcome of short-term child psychiatric inpatient treatment. European Child & Adolescent Psychiatry 5, 75–82 (1996). https://doi.org/10.1007/BF01989499
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DOI: https://doi.org/10.1007/BF01989499