Crisis Assessment and Psychiatric Hospitalization of Children and Adolescents in State Custody |
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| Authors: | John S Lyons Cassandra L Kisiel Mina Dulcan Robert Cohen Pat Chesler |
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| Institution: | (1) Mental Health Services and Policy Program, Department of Psychiatry and Behavioral Sciences, Northwestern University Medical School, Chicago, IL;(2) Mental Health Services and Policy Program, Department of Psychiatry and Behavioral Sciences, Northwestern University Medical School, Chicago, IL;(3) Department of Child and Adolescent Psychiatry, Children's Memorial Hospital, Chicago, IL;(4) Department of Psychiatry, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA;(5) Department of Psychiatry, University of Illinois at Chicago, Chicago, IL |
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| Abstract: | We investigated the clinical characteristics and placement decisions among a group of children who were wards of the state and had been evaluated for a crisis assessment. The sample consisted of 383 children and adolescents (ages 2-20 years) who were wards of the Illinois Department of Children and Family Services (DCFS). This study retrospectively reviewed the symptoms, risk factors, functioning and co-morbid variables, and placement or system characteristics of these children using a structured assessment tool, the Childhood Severity of Psychiatric Illness (CSPI). Results indicated that risk behaviors as rated on the CSPI, including suicidality, dangerousness, and runaway tendency, were significant predictors of psychiatric hospitalization. The importance of more widespread usage of standardized assessment tools in evaluating children's mental health needs is discussed. |
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| Keywords: | retrospective review Childhood Severity of Psychiatric Illness risk behaviors psychiatric hospitalization |
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