Child Psychiatry and Human Development

, Volume 20, Issue 2, pp 99–111 | Cite as

Survey of admission policies for child and adolescent inpatient services: A national sample

  • P. Alex Mabe
  • William T. Riley
  • Elizabeth R. Sunde


In a national sampling of child inpatient directors, survey responses suggested variability in the use of many admission criteria. Yet, severity of symptoms, potential effectiveness of outpatient treatment, and extent of medical complications appeared to be commonly used admission criteria. DSM-III diagnoses were inconsistently used admission criteria, and many diagnoses were considered suitable for admission in extenuating circumstances only.

Key Words

Survey Hospitalization Admission Criteria 


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  1. 1.
    Carson DI: A provider speaks on diagnosis of adolescents and third-party payors.J Nat'l Assn Private Psychiat Hosp 8:9–12, 1976.Google Scholar
  2. 2.
    Rosen BM, Kramer M, Redick RW & Willner SG:Utilization of psychiatric facilities by children. (Public Health Service Publication No. 1869). Washington, D.C., 1968.Google Scholar
  3. 3.
    U.S. Congress, Office of Technology Assessment:Children's Mental Health: Problems and Services—A Background Paper. (OTA-BP-H-33). Washington, D.C.: U.S. Government Printing Office, 1986.Google Scholar
  4. 4.
    Dalton R & Forman MA: Conflicts of interest associated with the psychiatric hospitalization of children.Amer J Orthopsychiat 57:12–14, 1987.Google Scholar
  5. 5.
    Hustead E, Sharfstein S, Muszynski S, Brady J & Cahil J: Reductions in coverage for mental and nervous illness in the federal employees health benefits program, 1980–1984.Amer J Psychiat 142:181–186, 1985.Google Scholar
  6. 6.
    Sharfstein SS & Taube CA: Reductions in insurance for mental disorders.Amer J Psychiat 139:1425–1430, 1982.Google Scholar
  7. 7.
    Buck JA: Should mental health services be structured like medical care.Inquiry, 19:211–221, 1982.Google Scholar
  8. 8.
    American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.). Washington, DC: Author, 1987.Google Scholar
  9. 9.
    Beigel A & Sharfstein SS: Mental health care providers,Amer J Psychiat 141:668–672, 1984.Google Scholar
  10. 10.
    Landers S: Is your teen moody?APA Monitor 9(2):18–19, 1988.Google Scholar
  11. 11.
    National Institute of Mental Health:Inventory of Mental Health Organizations (Form OMB No. 0930-0081, revised 3–82. ADM 25-1), 1982.Google Scholar
  12. 12.
    Berlin, IN: Developmental issues in the psychiatric hospitalization of children.Amer J Psychiatr 135:1044–1048, 1978.Google Scholar
  13. 13.
    Blotcky M, Dimperio T, & Gossett J: Follow-up of children treated in psychiatric hospitals: A review of studies.Amer J Psychiat 141:1499–1507, 1984.Google Scholar
  14. 14.
    Byng-Hall, J, & Bruggen, P: Family admission decisions as a therapeutic tool. In S Walrond-Skinner (Ed.),Developments in family therapy, Boston, MA: Routledge & Kegan Paul Ltd., 1981. Pp. 154–166.Google Scholar
  15. 15.
    Isaacs, M:Acute inpatient psychiatric services for children and adolescents. Bethesda, MD: Alpha Center for Health Planning, 1983.Google Scholar
  16. 16.
    Kashani, JH, & Cantwell, DP: Characteristics of children admitted to inpatient community mental health centers.Arch Gen Psychiat 40:397–400, 1983.Google Scholar
  17. 17.
    Marsden, G, McDermott, JF, & Minor, D: Selection of children for residential treatment.J Amer Acad Child Psychiat 16:427–438, 1977.Google Scholar
  18. 18.
    Mezzich, JE, Evancznk, KJ, Mathias, RJ, & Coffman, GA: Admission decisions and multiaxial diagnosis.Arch Gen Psychiat 41:1001–1004, 1984.Google Scholar
  19. 19.
    Petti, TA: Residential and inpatient treatment. In GP Sholevar, RM Benson, & BJ Blinder (Eds.)Emotional disorders in children and adolescents. New York: Spectrum Publications, 1980. Pp. 209–228.Google Scholar
  20. 20.
    Rinsley, DB: Principles of therapeutic milieu with children. In GP Sholevar, RM Benson, & BJ Blinder (Eds.)Emotional disorders in children and adolescents. New York: Spectrum Publications, 1980. Pp. 191–208.Google Scholar
  21. 21.
    Schain, RJ, Bughi, S, Gardella, D, & Guthrie, D: Characteristics of children admitted to a state mental hospital.Hosp Com Psychiat 31: 49–51, 1980.Google Scholar
  22. 22.
    Silver, LB:Professional standards review organizations: A handbook for child psychiatrists. American Academy of Child Psychiatry, 1976.Google Scholar
  23. 23.
    Muszynski S, Brady J, & Sharfstein SS: Coverage for Mental and Nervous Disorders: Summaries of 300 Private Sector Health Insurance Plans. Washington, D.C.,American Psychiatric Press, 1983.Google Scholar
  24. 24.
    Christ, AE, Tsemberis S, & Andrews H: Childhood disorder Diagnosis-Related Group: Viability in a prospective payment system.J Amer Acad Child Adol Psychiat 26:825–828, 1987.Google Scholar
  25. 25.
    English JT, Sharfstein SS, Scherl DJ, Astrachan B, & Muszynski IL: Diagnosis-related groups and general hospital psychiatry.Amer J Psychiat 143: 131–139, 1986.Google Scholar
  26. 26.
    Taube CE, Lee ES, & Forthofer RN: Diagnosis-related groups of mental disorders, alcoholism, and drug abuse: Evaluation of alternatives.Hosp and Com Psychiat 35:452–455, 1984.Google Scholar
  27. 27.
    Wallinga JV: The hospitalized child: Intervention and prevention. In I.N. Berlin & L.A. Stone (Eds.),Basic Handbook of Child Psychiatry: Vol 4. New York: Basic Books Inc, 1979, Pp. 128–135.Google Scholar
  28. 28.
    Winsberg BG, Bialer I, Kupietz S, et al.: Home vs. hospital care of children with behavior disorders: A controlled investigation.Arch Gen Psychiat 37:413–418, 1980.Google Scholar

Copyright information

© Human Sciences Press 1989

Authors and Affiliations

  • P. Alex Mabe
    • 1
  • William T. Riley
    • 1
  • Elizabeth R. Sunde
    • 1
  1. 1.Department of Psychiatry and Health BehaviorMedical College of GeorgiaAugusta

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