PROSPECTIVE FOLLOWUP OF CHILD PSYCHIATRIC INPATIENTS

因精神疾病住院的儿童有患慢性病的风险 以及出院后严重的行为障碍。他们还使用了智力 卫生和社会服务的数量和强度比 未住院的儿童精神病患者。的主要目的 儿童急性精神病住院治疗情况稳定， 评估和评估哪些治疗和服务是在 出院可以帮助他们在限制最少的环境中发挥作用。 了解出院后的临床过程可以帮助医院更好地进行护理 高效地实现这些目标。首先，要知道稳定是否 在医院获得出院后坚持是一个重要的 在确定医院护理改善水平时应考虑的问题 瞄准。其次，评估包括考虑以下因素 影响预后，而纵向数据显然是必要的。 第三，准确评估出院后的需求需要有效的预测。 在几个环境中发挥作用。因为没有纵向研究 评估了这些患者在几个环境中的功能 出院一年后，关于出院后服务的决定缺乏 经验主义基础。该项目的长期目标是使 临床医生根据对出院后临床病程的了解来估计出院后临床病程 选定的患者、家庭、医院病程和善后护理特点， 更有效地利用医院护理和改善服务 卸货后交货。这项研究将审查与以下两个问题有关的问题 住院儿童精神病患者的出院后功能：1.什么是 儿童精神科住院患者出院后的临床病程？2.什么 儿童、家庭、医院病程和善后护理的特点 服务机构预测出院后临床病程的这些模式？更多 具体地说，这是一项纵向的、前瞻性的后续行动 约120名儿童精神病患者，有三个出院前 评估：入院时，首次住院期间，正确 出院前。在退役后的一年里，将有三个后续- 在出院后3个月、6个月和12个月进行评估。 入院前和出院后的情况评估将进行评估 在家里和学校都能发挥作用。类似的工具将是相同的 由医院工作人员、教师和护理人员在 住院治疗。数据分析将评估随着时间的推移对 作为一个整体进行抽样，并评估建议的后续状态的预测因素 在之前的研究中。这些分析将得到以下方法的补充 制定临床病程随时间的个人成长曲线，并 了解这些曲线与患者、家属、病程- 医院，和善后护理的特点。

Children hospitalized for psychiatric conditions are at risk for chronic and severe behavioral dysfunction after discharge. They also use mental health and social services in greater quantities and intensities than nonhospitalized child psychiatric patients. The principal purposes of acute psychiatric inpatient care of children are stabilization, evaluation, and assessment of which treatments and services after discharge can help them function in the least restrictive setting. Knowledge of postdischarge clinical course can help hospital care more efficiently achieve these goals. First, knowing whether stabilization attained in hospital persists after discharge is an important consideration in determining the level of improvement hospital care should aim for. Second, evaluation includes consideration of factors that may influence prognosis, for which longitudinal data are clearly necessary. Third, accurate appraisal of postdischarge needs requires valid prediction of functioning in several settings. Because no longitudinal study has evaluated these patients' functioning across settings at several in the year after discharge, decisions about postdischarge services lack an empirical basis. This project's long-term objective is to enable clinicians to estimate postdischarge clinical course based on knowledge of selected patient, family, hospital course, and aftercare characteristics, leading to more efficient use of hospital care and improved service delivery after discharge. The study will examine two questions relating to the postdischarge functioning of child psychiatric inpatients: 1. What is the postdischarge clinical course of child psychiatric inpatients? 2. What characteristics of the child, family, hospital course, and aftercare services predict these patterns of postdischarge clinical course? More specifically, this is a longitudinal, prospective follow-up of approximately 120 child psychiatric patients with three predischarge assessments: at admission, during initial hospitalization, and right before discharge. In the year after discharge, there will be three follow- up assessments, at three, six, and twelve months after discharge. Assessments of preadmission and postdischarge condition will evaluate functioning at home and at school. The same of similar instruments will be completed by hospital staff, teachers, and caregivers during hospitalization. Data analyses will evaluate changes over time for the sample as a whole, and evaluate predictors of follow-up status suggested in previous research. These analyses will be supplemented with methods to develop individual growth curves of clinical course over time, and to discern how these curves are correlated with patient, family, course-in- hospital, and aftercare characteristics.