Rates and predictors of aftercare services among formerly hospitalized adolescents: a prospective naturalistic study.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Goldston, DB; Reboussin, BA; Kancler, C; Daniel, SS; Frazier, PH; Harris, AE; Kelley, AE; Reboussin, DM

Published Date

  • January 2003

Published In

Volume / Issue

  • 42 / 1

Start / End Page

  • 49 - 56

PubMed ID

  • 12500076

Pubmed Central ID

  • 12500076

Electronic International Standard Serial Number (EISSN)

  • 1527-5418

International Standard Serial Number (ISSN)

  • 0890-8567

Digital Object Identifier (DOI)

  • 10.1097/00004583-200301000-00010

Language

  • eng