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ERIC Number: EJ855360
Record Type: Journal
Publication Date: 2009-Oct
Pages: 9
Abstractor: As Provided
Reference Count: N/A
ISSN: ISSN-0021-9630
The Effect of Inpatient Care on Measured Health Needs in Children and Adolescents
Jacobs, Brian; Green, Jonathan; Kroll, Leopold; Tobias, Catherine; Dunn, Graham; Briskman, Jacqueline
Journal of Child Psychology and Psychiatry, v50 n10 p1273-1281 Oct 2009
Background: The concept of "health need" relates patient problems in symptom and psychosocial domains to available appropriate treatments. We studied the effectiveness of inpatient treatment in modifying measured "Health Needs" in children and adolescents admitted to UK inpatient units. Methods: A prospective cohort study of 150 children and adolescents admitted to eight UK inpatient units, using formal pre-admission, pre-discharge and 1-year follow-up measurement of Health Needs. Results: Total patient "Cardinal Problems" reduced highly significantly (p less than 0.001) from 8.5 at admission to 5.7 at discharge (effect size 0.81) and to 4.1 one year after discharge (effect size 1.35). Functional domains free of "Health Needs" increased from 14.9 to 19.4 (effect size 1.08) from the point of admission to the end of follow-up. These changes were clinically meaningful, present in all domains and reduced morbidity to a level typical of outpatient cases. Conclusions: Admission (mean length 116 days, SD 88) leads to clinically important improvement in measured Health Needs over multiple domains for children with serious, complex mental health difficulties. These improvements in multiple symptom and functional domains persist over the next year.
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: United Kingdom