Kennedy, J., Hembry, P., Green, D. et al. (2 more authors) (2020) Predictors of change in global psychiatric functioning at an inpatient adolescent psychiatric unit: A decade of experience. Clinical Child Psychology and Psychiatry, 25 (2). pp. 471-482. ISSN 1359-1045
Abstract
Background: Psychiatric inpatient treatment for children is sometimes beneficial, but predictors of who benefits, and in what circumstances, are largely unknown. This study aimed to identify personal and environmental factors that influence outcome in an adolescent unit that accepts both emergency and planned admissions.
Methods: Routine standardised intake and outcome measures were analysed for the period 2009–2018. Potential predictors assessed included the Children’s Global Assessment Scale (CGAS), engagement with treatment, behavioural attitudes and peer relationships on the unit.
Findings: One hundred and twelve admissions were tracked. Mean age of admission was 16 years, and 71% were female. A total of 61% had higher (better) CGAS scores on discharge than on admission; 34% of inpatients fully engaged with their treatment. Median admission duration was 118 days for males and 196 days for females. Admission lengths were much shorter for ethnic minority patients, but group sizes were small. Longer admissions led to greater improvement. Poor outcomes were associated with failure to engage with treatment and a deterioration in peer relationships.
Interpretation: Compliance with treatment and female gender were both significant predictors of positive change during admission. The establishment of good and supportive peer relationships during the admission was also a potent indicator of benefit.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 The Author(s). This is an author-produced version of a paper subsequently published in Clinical Child Psychology and Psychiatry. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Adolescent(s); inpatients; psychiatric; outcome; predictor(s); admission length; peer relationships; ethnicity; engagement |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 12 Feb 2020 11:49 |
Last Modified: | 06 May 2021 13:46 |
Status: | Published |
Publisher: | SAGE Publications |
Refereed: | Yes |
Identification Number: | 10.1177/1359104519898215 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:156899 |
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Filename: Kennedy et al final version for publication.pdf
Licence: CC-BY-NC-ND 4.0