Open AccessPredictors of Hospitalization in a Cohort of Children with Elevated Symptoms of Mania
Author(s) -
Sarah M. Horwitz,
Kimberly Hoagwood,
Fei Guo,
L. Eugene Arnold,
H. Gerry Taylor,
Allen Young,
Eric A. Youngstrom,
Mary A. Fristad,
Boris Birmaher,
Robert L. Findling
Publication year - 2020
Publication title -
administration and policy in mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 68
eISSN - 1573-3289
pISSN - 0894-587X
DOI - 10.1007/s10488-020-01059-6
Subject(s) - mania , medicine , mental health , cohort , psychiatry , mental health service , proportional hazards model , outpatient clinic , cohort study , pediatrics , bipolar disorder , cognition
Describe hospitalization rates in children with elevated symptoms of mania and determine predictors of psychiatric hospitalizations during the 96 month follow-up. Eligible 6-12.9 year olds and their parents visiting 9 outpatient mental health clinics were invited to be screened with the Parent General Behavior Inventory 10-item Mania Scale. Of 605 children with elevated symptoms of mania eligible for follow-up, 538 (88.9%) had ≥ 1 of 16 possible follow-up interviews and are examined herein. Multivariate Cox regression indicated only four factors predicted hospitalizations: parental mental health problems (HR 1.80; 95% CI 1.21, 2.69); hospitalization prior to study entry (HR 3.03; 95% CI 1.80, 4.43); continuous outpatient mental health service use (HR 3.73; 95% CI 2.40, 5.50); and low parental assessment of how well treatment matched child's needs (HR 3.97; 95% CI 2.50, 6.31). Parental perspectives on mental health services should be gathered routinely, as they can signal treatment failures.