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Rates and correlates of recurrent psychiatric crisis episodes among children and adolescents in state custody

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  • Park, Jung Min
  • Mandell, David S.
  • Lyons, John S.

Abstract

The purpose of this study was to determine the extent of and factors associated with recurrent psychiatric crisis episodes among children and adolescents in state custody. A total of 1362 children ages 3 to 16Â years who were in custody of the child welfare agency and underwent a psychiatric crisis screening and services for the first time between 2001 and 2003 were followed for the same observation period of 24Â months. Logistic regression was used to determine the clinical and non-clinical factors associated with a return to psychiatric crisis screening and services. Overall, 44.6% of the sample had another psychiatric crisis episode in the following two years. Nearly two thirds of those who returned did so within 6Â months of their first crisis episode. A greater likelihood of recidivism was associated with severity of psychiatric illness, being female, white, in residential care placement, and having placement instability. Recurrent psychiatric crises appear to be predictable using readily available variables, which can inform interventions designed to reduce repeat episodes.

Suggested Citation

  • Park, Jung Min & Mandell, David S. & Lyons, John S., 2009. "Rates and correlates of recurrent psychiatric crisis episodes among children and adolescents in state custody," Children and Youth Services Review, Elsevier, vol. 31(9), pages 1025-1029, September.
    • Handle: RePEc:eee:cysrev:v:31:y:2009:i:9:p:1025-1029
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    References listed on IDEAS

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    1. Wells, Kathleen & Whittington, Dale, 1993. "Characteristics of youths referred to residential treatment: Implications for program design," Children and Youth Services Review, Elsevier, vol. 15(3), pages 195-217.
    2. Kurtz, P. David & Gaudin, James M. & Howing, Phyllis T. & Wodarski, John S., 1993. "The consequences of physical abuse and neglect on the school age child: Mediating factors," Children and Youth Services Review, Elsevier, vol. 15(2), pages 85-104.
    3. Ryan, Joseph P. & Herz, Denise & Hernandez, Pedro M. & Marshall, Jane Marie, 2007. "Maltreatment and delinquency: Investigating child welfare bias in juvenile justice processing," Children and Youth Services Review, Elsevier, vol. 29(8), pages 1035-1050, August.
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    1. Fawley-King, Kya & Snowden, Lonnie R., 2012. "Relationship between placement change during foster care and utilization of emergency mental health services," Children and Youth Services Review, Elsevier, vol. 34(2), pages 348-353.
    2. Rosanbalm, Katie D. & Snyder, Elizabeth H. & Lawrence, C. Nicole & Coleman, Kanisha & Frey, Joseph J. & van den Ende, Johanna B. & Dodge, Kenneth A., 2016. "Child wellbeing assessment in child welfare: A review of four measures," Children and Youth Services Review, Elsevier, vol. 68(C), pages 1-16.

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