OBJECTIVE: To examine rates and predictors of aftercare use, lengths of service use, and predictors of the duration of aftercare service use among 180 adolescents monitored for up to 8.1 years after discharge from an inpatient psychiatry unit. METHOD: Drawing upon the Anderson-Newman model of service use, severity of illness, enabling, and predisposing factors assessed during the hospitalization were examined as potential predictors of service use. Information about outpatient mental health specialty services after hospitalization was assessed repeatedly and verified with treatment records. RESULTS: Seventy-three percent of adolescents received aftercare within the first month after discharge, and 92% eventually received outpatient services. Fifty-seven percent of adolescents remained in treatment 6 months after initiation of services. Psychiatric comorbidity, prior service use, and presence of a biological parent or grandparent in the home were related to initial service use. Psychiatric comorbidity and history of repeated suicide attempts were related to longer duration, and older age and minority group status were related to shorter duration of aftercare service use. CONCLUSIONS: Most adolescents receive aftercare services, but there are certain groups that are relatively less likely to access or remain in services. Interventions to decrease the barriers to care in such groups may be beneficial.
OBJECTIVE: To examine rates and predictors of aftercare use, lengths of service use, and predictors of the duration of aftercare service use among 180 adolescents monitored for up to 8.1 years after discharge from an inpatient psychiatry unit. METHOD: Drawing upon the Anderson-Newman model of service use, severity of illness, enabling, and predisposing factors assessed during the hospitalization were examined as potential predictors of service use. Information about outpatient mental health specialty services after hospitalization was assessed repeatedly and verified with treatment records. RESULTS: Seventy-three percent of adolescents received aftercare within the first month after discharge, and 92% eventually received outpatient services. Fifty-seven percent of adolescents remained in treatment 6 months after initiation of services. Psychiatric comorbidity, prior service use, and presence of a biological parent or grandparent in the home were related to initial service use. Psychiatric comorbidity and history of repeated suicide attempts were related to longer duration, and older age and minority group status were related to shorter duration of aftercare service use. CONCLUSIONS: Most adolescents receive aftercare services, but there are certain groups that are relatively less likely to access or remain in services. Interventions to decrease the barriers to care in such groups may be beneficial.
Authors: Kimberly H McManama O'Brien; Jonathan B Singer; Mary LeCloux; Yovanska Duarté-Vélez; Anthony Spirito Journal: Int J Behav Consult Ther Date: 2014
Authors: Stephanie S Daniel; David B Goldston; Alaattin Erkanli; Joseph C Franklin; Andrew M Mayfield Journal: J Clin Child Adolesc Psychol Date: 2009-09
Authors: Regina Bussing; Bonnie T Zima; Dana M Mason; Phillip C Porter; Cynthia W Garvan Journal: J Adolesc Health Date: 2010-10-20 Impact factor: 5.012
Authors: Angela M Blizzard; Lukas J Glos; Sharon H Stephan; Deborah Medoff; Eric P Slade Journal: J Behav Health Serv Res Date: 2017-07 Impact factor: 1.505
Authors: Kimberly H McManama O'Brien; Adeline Wyman Battalen; Christina M Sellers; Anthony Spirito; Shirley Yen; Eleni Maneta; Colleen A Ryan; Jordan M Braciszeweski Journal: J Technol Hum Serv Date: 2019-02-10
Authors: Van M Ta; Hee-soon Juon; Andrea C Gielen; Donald Steinwachs; Anne Duggan Journal: J Behav Health Serv Res Date: 2007-07-24 Impact factor: 1.505
Authors: Regina Bussing; Bonnie T Zima; Dana M Mason; Johanna M Meyer; Kimberly White; Cynthia W Garvan Journal: J Adolesc Health Date: 2012-04-17 Impact factor: 5.012