The Hospital as Predictor of Children's and Adolescents' Length of Stay

Autor/inn/en	Leon, Scott C.; Snowden, Jessica; Bryant, Fred B.; Lyons, John S.
Titel	The Hospital as Predictor of Children's and Adolescents' Length of Stay
Quelle	In: Journal of the American Academy of Child and Adolescent Psychiatry, 45 (2006) 3, S.322-328 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
Schlagwörter	Psychiatric Hospitals; Psychiatric Services; Time; Children; Adolescents; Predictor Variables; Quality Control; Multiple Regression Analysis; Least Squares Statistics; Illinois + Suchen Sie Ihr Suchwort? Phsychiatric institution; Psychiatrische Einrichtung; Psychiatric care; Psychiatrische Versorgung; Zeit; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Prädiktor; Qualitätskontrolle
Abstract	Objective: To predict psychiatric hospital length of stay (LOS) for a sample of Illinois Department of Children and Family Services wards across 4 fiscal years. Method: A prospective design was implemented using the Children's Severity of Psychiatric Illness scale, a reliable and valid measure of psychiatric severity, risk factors, youth strengths, and contextual/environmental factors. Data were collected for 1,930 hospital episodes across 44 hospitals from fiscal year 1998 through fiscal year 2001. Youths were screened for admission appropriateness by the Illinois Screening, Assessment, and Supportive Services (SASS) program. The Children's Severity of Psychiatric Illness was completed by SASS workers upon conclusion of their crisis interviews. In addition to completing the Children's Severity of Psychiatric Illness, SASS workers reported on demographic information and LOS. Results: The sample of 1,930 youths was randomly split to form development (n = 983) and validation (n = 947) samples. LOS was predicted using ordinary least squares regression. Thirty percent of the variance (F[subscript 19,666] = 16.6, p less than 0.0001) in LOS was predicted for the development sample and 22% (F[subscript 14,657] = 14.6, p less than 0.0001) was predicted for the confirmation sample. Hospital was the largest and most consistent predictor of LOS for both samples after controlling for clinical variables. Two hospitals accounted for approximately 10% of the variance in both samples (development [beta] = 0.273, p less than 0.01 and [beta] = -0.169, p less than 0.01). Two SASS agencies also consistently predicted LOS (development [beta] = -0.134, p less than 0.05 and [beta] = 0.102, p less than 0.05). No consistent changes in predictors of LOS occurred over time (FY98-FY01). Conclusions: These findings suggest that nonclinical variables are the primary predictors of LOS in the Illinois system of care. In addition, these variables are consistent predictors over time. Quality assurance efforts might seek to further understand potential practice pattern variations across hospitals and SASS agencies. (Contains 3 tables.) (Author).
Anmerkungen	Lippincott Williams & Wilkins. P.O. Box 1600, Hagerstown, MD 21741. Tel: 800-638-3030; Tel: 301-223-2300; Fax: 301-223-2400; Web site: http://www.lww.com/product/?0890-8567
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10