Advertisement

School Mental Health

, Volume 11, Issue 4, pp 629–649 | Cite as

“Lost in Transition”: A Systematic Mixed Studies Review of Problems and Needs Associated with School Reintegration After Psychiatric Hospitalization

  • Anne-Marie TougasEmail author
  • Jessica Rassy
  • Émilie Frenette-Bergeron
  • Katherine Marcil
Review Paper

Abstract

The purpose of this review was to identify the problems and needs associated with school reintegration after psychiatric hospitalization. Principles outlined by the Evidence for Policy and Practice Information and Coordinating Centre (EPPI-Centre) for systematic mixed studies reviews were used to search 14 electronic databases with all possible literature from inception to September 2017. Quality was appraised by two sets of two independent reviewers using an adapted version of the Mixed Methods Appraisal Tool. Fourteen studies met the inclusion criteria. The key themes revolve around the different systems of the bioecological model: the youth ontosystem, microsystems (family, school) and mesosystems (family–hospital, family–school, school–hospital). Predominant emergent themes of each system converged toward a better communication, collaboration and coordination among all concerned actors. Many problems seem to alter school reintegration after psychiatric hospitalization and different needs are still required to be met. Future research directions and implications for intervention are discussed.

Keywords

School reentry Psychiatric illness Hospitalization Transition Systematic mixed studies review 

Notes

Acknowledgements

This study was funded by the Social Science and Humanities Research Council (SSRH), Insight Development Grant #430-2014-01036. The authors greatly appreciated the assistance of the following members of the advisor committee: Stéphanie Mailloux, Clode-Roxane Fleury, Isabelle Fortier, Constance Lambert, Betty Gagné and Linda Champoux.

Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interests to disclose.

Ethical Standard

This article does not contain any studies with human participants or animals performed by the author.

References

References marked with an asterisk indicate studies included in the review

  1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4, Text Revision ed.). Washington, DC: Author.Google Scholar
  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  4. Bardach, N. S., Coker, T. R., & Zima, B. T. (2014). Common and costly hospitalizations for pediatric mental health disorders. Pediatrics,133(4), 602–609.  https://doi.org/10.1542/peds.2013-3165.CrossRefPubMedPubMedCentralGoogle Scholar
  5. *Bechberger, A. M. (2012). The role of school psychologist in partial hospitalization program-to-school transitions (Doctoral thesis). Retrieved from ProQuest Dissertations and Theses database. (UMI Number: 3493891). Temple University, Philadelphia, Pennsylvania, United States.Google Scholar
  6. Beecham, J. (2014). Annual research review: Child and adolescent mental health interventions: A review of progress in economic studies across different disorders. Journal of Child Psychology and Psychiatry,55(6), 714–732.  https://doi.org/10.1111/jcpp.12216.CrossRefPubMedGoogle Scholar
  7. Blader, J. C. (2004). Symptom, family, and service predictors of children’s psychiatric rehospitalization within one year of discharge. Journal of the American Academy of Child and Adolescent Psychiatry,43(4), 440–451.  https://doi.org/10.1097/00004583-200404000-00010.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Blader, J. C. (2011). Acute inpatient care for psychiatric disorders in the United States, 1996 through 2007. Archives of General Psychiatry,68(12), 1276–1283.  https://doi.org/10.1001/archgenpsychiatry.2011.84.CrossRefPubMedGoogle Scholar
  9. *Blizzard, A. M., Weiss, C. L., Wideman, R., & Stephan, S. H. (2016). Caregiver perspectives during the post inpatient hospital transition: A mixed methods approach. Child & Youth Care Forum,45(5), 759–780.  https://doi.org/10.1007/s10566-016-9358-x.CrossRefGoogle Scholar
  10. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and by design. Cambridge, MA: Harvard University Press.Google Scholar
  11. Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology,22(6), 723–742.CrossRefGoogle Scholar
  12. Case, B. G., Olfson, M., Marcus, S. C., & Siegel, C. (2007). Trends in the inpatient mental health treatment of children and adolescents in US community hospitals between 1990 and 2000. Archives of General Psychiatry,64(1), 89–96.  https://doi.org/10.1001/archpsyc.64.1.89.CrossRefPubMedGoogle Scholar
  13. Chen, H. T. (2015). Practical program evaluation: Theory-driven evaluation and the integrated evaluation perspective. Los Angeles: Sage.Google Scholar
  14. *Clemens, E. V., Welfare, L. E., & Williams, A. M. (2010). Tough transitions: Mental health care professionals’ perception of the psychiatric hospital to school transition. Residential Treatment for Children and Youth,27, 243–263.  https://doi.org/10.1080/0886571X.2010.520631.CrossRefGoogle Scholar
  15. *Clemens, E. V., Welfare, L. E., & Williams, A. M. (2011). Elements of successful school reentry after psychiatric hospitalization. Preventing School Failure,55(4), 202–213.  https://doi.org/10.1080/1045988X.2010.532521.CrossRefGoogle Scholar
  16. Fontanella, C. A. (2008). The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents. American Journal of Orthopsychiatry,78(2), 187–198.  https://doi.org/10.1037/a0012557.CrossRefPubMedGoogle Scholar
  17. Gandhi, S., Chiu, M., Lam, K., Cairney, J. C., Guttmann, A., & Kurdyak, P. (2016). Mental health service use among children and youth in Ontario: Population-based trends over time. Canadian Journal of Psychiatry,61(2), 119–124.  https://doi.org/10.1177/0706743715621254.CrossRefPubMedGoogle Scholar
  18. Garbarino, J., & Abramowitz, R. H. (1992). The ecology of human development. In J. Garbarino (Ed.), Children and families in the social environment (pp. 11–33). New York: Aldine Press.Google Scholar
  19. Garrison, M. M., Richardson, L. P., Christakis, D. A., & Connell, F. (2004). Mental illness hospitalizations of youth in Washington State. Archives of Pediatrics and Adolescent Medicine,158(8), 781–785.  https://doi.org/10.1001/archpedi.158.8.781.CrossRefPubMedGoogle Scholar
  20. *Gill, F., Butler, S., & Pistrang, N. (2016). The experience of adolescent inpatient care and the anticipated transition to the community: Young people’s perspectives. Journal of Adolescence,46, 57–65.  https://doi.org/10.1016/j.adolescence.2015.10.025.CrossRefPubMedGoogle Scholar
  21. Gough, D., Thomas, J., & Oliver, S. (2012). An introduction to systematic reviews. Thousand Oaks: Sage.Google Scholar
  22. Guba, E. G. (1981). Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Technology Research and Development,29(2), 75–91.  https://doi.org/10.1007/BF02766777.CrossRefGoogle Scholar
  23. *Iverson, P. J. (2017). Adolescents’ experiences returning to school after a mental health hospitalization (Doctoral thesis). Retrieved from ProQuest Dissertations and Theses database. (UMI Number: 10269205). Minnesota State University, Mankato, United States.Google Scholar
  24. Kagabo, R., Kim, J., Hashibe, M., Kleinschmit, K., & Clark, C. (2016). Predictors of hospital readmission for children with psychiatric illness who have received an initial course of treatment. Journal of Psychiatry and Mental Health,1(2), 1–7.  https://doi.org/10.16966/2474-7769.109.CrossRefGoogle Scholar
  25. Ladores, S. (2015). Concept analysis of health care transition in adolescents with chronic conditions. Journal of Pediatric Nursing,30, e119–e129.  https://doi.org/10.1016/j.pedn.2015.06.003.CrossRefPubMedGoogle Scholar
  26. Lindsay, S., Hartman, L. R., Reed, N., Gan, C., Thomson, N., & Solomon, B. (2015). A systematic review of hospital-to-school reintegration interventions for children and youth with acquired brain injury. PLoS ONE,10(4), e0124679.  https://doi.org/10.1371/journal.pone.0124679.CrossRefPubMedPubMedCentralGoogle Scholar
  27. *Marks, J. (1987). Services for children returning to school after brief psychiatric hospitalization. Social Work in Education,9(3), 169–179.  https://doi.org/10.1093/cs/9.3.169.CrossRefGoogle Scholar
  28. *McLeer, S., Pain, K., & Johnson, S. (1992). Do teachers’ behavioral expectations effect the transition from a psychiatric program to community schools? Research report, 22 p. Edmonton, Alberta, Canada.Google Scholar
  29. Meagher, S. M., Rajan, A., Wyshak, G., & Goldstein, J. (2013). Changing trends in inpatient care for psychiatrically hospitalized youth: 1991–2008. Psychiatric Quarterly,84(2), 159–168.  https://doi.org/10.1007/s11126-012-9235-1.CrossRefPubMedGoogle Scholar
  30. Meleis, A. I., Sawyer, L. M., Im, E., Messias, D. K. H., & Schumacher, K. (2000). Experiencing transitions: An emerging middle-range theory. Advances in Nursing Science,23, 12–28.  https://doi.org/10.1097/00012272-200009000-00006.CrossRefPubMedGoogle Scholar
  31. Pace, R., Pluye, P., Bartlett, G., Macaulay, A. C., Salsberg, J., Jagosh, J., et al. (2011). Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. International Journal of Nursing Studies,49(1), 47–53.  https://doi.org/10.1016/j.ijnurstu.2011.07.002.CrossRefPubMedGoogle Scholar
  32. Pineault, R., & Daveluy, C. (1995). La planification de la santé : Concepts, méthodes, stratégies. Montréal (Québec): Éditions Nouvelles.Google Scholar
  33. Pluye, P., Gagnon, M. P., Griffiths, F., & Johnson-Lafleur, J. (2009). A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary studies in mixed studies reviews. International Journal of Nursing Studies,46(4), 529–546.  https://doi.org/10.1016/j.ijnurstu.2009.01.009.CrossRefPubMedPubMedCentralGoogle Scholar
  34. Pluye, P., & Hong, Q. N. (2014). Combining the power of stories and the power of numbers: Mixed methods research and mixed studies reviews. The Annual Review of Public Health,35, 29–45.  https://doi.org/10.1146/annurev-publhealth-032013-182440.CrossRefPubMedGoogle Scholar
  35. Pluye, P., Robert, E., Cargo, M., Bartlett, G., O’Cathain, A., Griffiths, F.,… & Rousseau, M. C. (2011) Proposal: A mixed methods appraisal tool for systematic mixed studies reviews. Available online at: http://mixedmethodsappraisaltoolpublic.pbworks.com.
  36. *Preyde, M., Parekh, S., Warne, A., & Heintzman, J. (2017). School reintegration and perceived needs: The perspectives of child and adolescent patients during psychiatric hospitalization. Child and Adolescent Social Work Journal,34(6), 517–526.  https://doi.org/10.1007/s10560-017-0490-8.CrossRefGoogle Scholar
  37. *Rager, R. Y. (2013). Hospital to school transitions for children: A multiple case study of family experience. (Doctoral thesis). Retrieved from http://digitalscholarship.unlv.edu/thesesdissertations/2020. University of Nevada, Las Vegas, Nevada, United States.
  38. Savina, E., Simon, J., & Lester, M. (2014). School reintegration following psychiatric hospitalization: An ecological perspective. Child & Youth Care Forum,43(6), 729–746.  https://doi.org/10.1007/s10566-014-9263-0.CrossRefGoogle Scholar
  39. *Shelley, C. (2007). Four-month follow-up of an adolescent psychiatric hospitalization: Predictors of school adjustment (Doctoral thesis). Retrieved from ProQuest Dissertations and Theses database (UMI Number: 3252069). Pace University, New York, NY.Google Scholar
  40. *Simon, J. B., & Savina, E. A. (2005). Facilitating hospital to school transitions: Practices of hospital-based therapists. Residential Treatment for Children and Youth,22(4), 49–66.  https://doi.org/10.1300/J007v22n04_04.CrossRefGoogle Scholar
  41. *Simon, J. B., & Savina, E. A. (2010). Transitioning children from psychiatric hospital to schools: The role of the special educator. Residential Treatment for Children and Youth,27, 41–54.  https://doi.org/10.1080/08865710903508084.CrossRefGoogle Scholar
  42. Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology,8(45), 1–10.  https://doi.org/10.1186/1471-2288-8-45.CrossRefGoogle Scholar
  43. Thompson, A. L., Christiansen, H. L., Elam, M., Hoag, J., Irwin, M. K., Voll, M., et al. (2015). Academic continuity and school reentry support as a standard of care in pediatric oncology. Pediatric Blood & Cancer,62(S5), S805–S817.  https://doi.org/10.1002/pbc.25760.CrossRefGoogle Scholar
  44. *Tisdale, J. M. (2014). Psychiatric hospitalization to school transitions: Examining professional perceptions of effectiveness and fidelity. (Doctoral thesis). Retrieved from Open Access Dissertations (Paper 279). University of Rhode Island, Kingston, Rhode Island, United States.Google Scholar
  45. Trask, E. V., Fawley-King, K., Garland, A. F., & Aarons, G. A. (2016). Do aftercare mental health services reduce risk of psychiatric rehospitalization for children? Psychological services,13(2), 127–132.  https://doi.org/10.1037/ser0000043.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Psychoeducation, Faculty of EducationUniversité de SherbrookeSherbrookeCanada
  2. 2.Groupe de recherche sur les inadaptations sociales de l’enfance (GRISE)SherbrookeCanada
  3. 3.Institut universitaire de première ligne en santé et services sociaux (IUPLSSS)SherbrookeCanada
  4. 4.Faculty of Medicine and Health Sciences, School of NursingUniversité de SherbrookeLongueuilCanada

Personalised recommendations