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Does the use of Health Care and Special School Services, Prior to Admission for Psychiatric Inpatient Treatment, Differ Between Adolescents Housed by Child Welfare Services and Those Living with Their Biological Parent(s)?

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Abstract

We examined whether the use of health care and special school services, prior to admission for psychiatric inpatient treatment, differed between adolescents from child welfare units and those living at their parental home. 208 boys and 300 girls aged 12–17 years were admitted for psychiatric hospital between 2001 and 2006. Child welfare adolescents had used more health services/treatments prior to psychiatric hospital admission than adolescents living with their biological family. The best discriminating factors between study groups for both genders, were previous psychiatric hospitalizations, unemployed parents, use of special school services and self-perceived serious anxiety/tension or trouble controlling violent behavior. Repeated school grades and previous use of psychotropic medications were discriminating factors only in girls. Adolescents in child welfare deserve adequate mental health evaluations at an early stage, with referral to appropriate adolescent psychiatric services if required. Appropriate service provision and properly planned treatments may reduce the amount of intensive and sometimes unnecessary psychiatric inpatient treatments.

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References

  • Ambrosini, P. J. (2000). Historical development and present status of the schedule for affective disorders and schizophrenia for school-age children (K-SADS). Journal of the American Academy of Child and Adolescent Psychiatry, 39, 49–58.

    Article  PubMed  CAS  Google Scholar 

  • Bellamy, J. L., Gopalan, G., & Traube, D. E. (2010). A national study of the impact of outpatient mental health services for children in long-term foster care. Clinical Child Psychology and Psychiatry, 15, 467–479.

    Article  PubMed  Google Scholar 

  • Brand, A. E., & Brinich, P. M. (1999). Behavioral problems and mental health contacts in adopted, foster, and non-adopted children. Journal of Child Psychology and Psychiatry, 40, 1221–1229.

    Article  PubMed  CAS  Google Scholar 

  • Burns, B. J., Phillips, S. D., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., et al. (2004). Mental health need and access to mental health services by youths involved with child welfare: a national survey. Journal American Academic of Child Adolescents Psychiatry, 43, 960–970.

    Article  Google Scholar 

  • Chernoff, R., Combs-Orme, T., Risley-Curtiss, C., & Heisler, A. (1994). Assessing the health status of children entering foster care. Pediatrics, 93, 594–601.

    PubMed  CAS  Google Scholar 

  • Child Welfare Act (2007). Finnish law 417/2007. Availabe from http://www.finlex.fi/en/laki/kaannokset/2007/en20070417 (Accessed 2008, October).

  • Duppong Hurley, K., Trout, A., Chmelka, M. B., Burns, B. J., Epstein, M. H., Thompson, R. W., et al. (2009). The changing mental health needs of youth admitted to residential group home care: Comparing mental health status at admission in 1995 and 2004. Journal of Emotional and Behavioral Disorders, 17, 164–176.

    Article  Google Scholar 

  • Faruggia, S. P., Greenberger, E., Chuansheng, C., & Heckhausen, J. (2006). Perceived social environment and adolescents’ well-being and adjustment: comparing a foster care sample with a matched sample. Journal of Youth and Adolescence, 35, 249–358.

    Article  Google Scholar 

  • Ford, T., Vostanis, P., Meltzer, H., & Goodman, R. (2007). Psychiatric disorder among British children looked after by local authorities: comparison with children living in private households. British Journal of Psychiatry, 190, 319–325.

    Article  PubMed  Google Scholar 

  • Hazen, A. L., Hough, R. L., Landsverk, J. A., & Wood, P. A. (2004). Use of mental health services by youths in public sectors of care. Mental Health Services Research, 6, 213–226.

    Article  PubMed  Google Scholar 

  • Hiitola, J., (2008). Selvitys vuonna 2006 huostaanotetuista ja sijaishuuoltoon sijoitetuista lapsista. (Article in Finnish). Stakes, Helsinki. Available from http://www.stakes.fi/verkkojulkaisut/tyopaperit/T21-2008-VERKKO.pdf. (Accessed 2008, August).

  • Hjern, A., & Vinnerljung, B. (2002). Healthcare for children in foster and residential care. Acta Pediatrica, 91, 1153–1154.

    Article  CAS  Google Scholar 

  • Hukkanen, R. (2002). Psychosocial problems of children placed in children’s homes. Annales Universitatis Turkuensis, Medica –ontologica, 524.

  • Hukkanen, R., Sourander, A., Bergroth, L., & Piha, J. (1999). Psychosocial factors and adequacy of services for children in children’s homes. European Child and Adolescent Psychiatry, 8, 268–275.

    Article  PubMed  CAS  Google Scholar 

  • Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999). Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of General Psychiatry, 56, 600–606.

    Article  PubMed  CAS  Google Scholar 

  • Karlsson, L., Pelkonen, M., Ruuttu, T., Kiviruusu, O., Heilä, H., Holi, M., et al. (2006). Current comorbidity among consecutive adolescent psychiatric outpatients with DSM-IV mood disorders. European Child and Adolescent Psychiatry, 15(4), 220–231.

    Article  PubMed  Google Scholar 

  • Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children—present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal American Academic of Child Adolescents Psychiatry, 36, 980–988.

    Article  CAS  Google Scholar 

  • Kim, Y. S., Cheon, K. A., Kim, B. N., Chang, S. A., Yoo, H. J., Kim, J., et al. (2004). The reliability and validity of kiddie–schedule for affective disorders and schizophrenia–present and lifetime version—Korean version (K-SADS-PL-K). Yonsei Medical Journal, 29, 81–89.

    Google Scholar 

  • Kokkevi, A., & Hargers, C. (1995). European adaptation of a multidimensional assessment instrument for drug and alcohol dependents. European Addiction Research, 1, 208–210.

    Article  Google Scholar 

  • Komro, K. A., Flay, B. R., Biglan, A., & Promise Neighborhoods Research Consortium. (2011). Creating nurturing environments: a science-based framework for promoting child health and development within high-poverty neighborhoods. Clinical Child and Family Psychology Review, 14, 111–134.

    Article  PubMed  Google Scholar 

  • Kumar, S., Robinson, E., & Kumar Sinha, V. (2002). What leads to frequent re-hospitalization when community care is not well developed? Social Psychiatry and Psychiatric Epidemiology, 37, 435–440.

    Article  PubMed  Google Scholar 

  • Laukkanen, E., Hintikka, J. J., Kylmä, J., Kekkonen, V., & Marttunen, M. (2010). A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services. BMC Health Services Research, 10, 261.

    Article  PubMed  Google Scholar 

  • Leslie, L. K., Hurlburt, M. S., James, S., Landsverk, J., Slymen, D. J., & Zhang, J. (2005). Relationship between entry into child welfare and mental health service use. Psychiatric Service, 56, 981–987.

    Article  Google Scholar 

  • Mariu, K. R., Merry, S. N., Robinson, E. M., & Watson, P. D. (2012). Seeking professional help for mental health problems, among New Zealand secondary school students. Clinical Child Psychology and Psychiatry, 17(2), 284–297.

    Article  PubMed  Google Scholar 

  • McCrae, J. (2009). Emotional and behavioral problems reported in child welfare over 3 years. Journal of Emotional and Behavioral Disorders, 17, 17–28.

    Article  Google Scholar 

  • McCrae, J. S., Barth, R. P., & Guo, S. (2010). Changes in maltreated children’s emotional-behavioral problems following typically provided mental health services. American Journal of Orthopsychiatry, 80, 350–361.

    Article  PubMed  Google Scholar 

  • McCue Horwitz, S., Hurlburt, M. S., Heneghan, A., Zhang, J., Rolls-Reutz, J., Fisher, E., et al. (2012). Mental health problems in young children investigated by U.S. child welfare agencies. Journal of American Academy of Child and Adolescent Psychiatry, 51(6), 572–581.

    Article  Google Scholar 

  • McMillen, J. C., Scott, L. D., Zima, B. T., Ollie, M. T., Munson, M. R., & Spitznagel, E. (2004). Use of mental health services among older youths in foster care. Psychiatric Services, 55, 811–817.

    Article  PubMed  Google Scholar 

  • Ministry of Social Affairs and Health (2012) Performance audit report 6/2012 Child Welfare. Available (in Finnish) from http://www.e-julkaisu.fi/vtv/lastensuojelu/ (Accessed 2012, May). Abstract in English available from http://www.vtv.fi/files/2982/06_2012_tiivistelma_lastensuojelu_EN.pdf (Accessed 2012, May).

  • National Institute for Health and Welfare in Finland (2009). Official Statistics of Finland. Social Protection.Child Welfare 2008. Available from http://www.stakes.fi/tilastot/tilastotiedotteet/2009/Tr19_09.pdf (Accessed 2009, October).

  • Neault, N., Mullany, B., Powers, J., Coho-Mescal, V., Parker, S., Walkup, J., et al. (2012). Fatherhood roles and drug use among young American Indian men. American Journal of Drug and Alcohol Abuse, 38(5), 395–402.

    Article  PubMed  Google Scholar 

  • Newton, R. R., Litrownik, A. J., & Landsverk, J. A. (2000). Children and youth in foster care: distangling the relationship between problem behaviors and number of placements. Child Abuse and Neglect, 24, 1363–1374.

    Article  PubMed  CAS  Google Scholar 

  • Nutzel, J., Schmid, M., Goldbeck, L., & Fegert, J. M. (2005). Psychiatric support for children and adolescents in residential care in a Germany sample. Praxis der Kinderpsychologie und Kinderpsychiatrie, 54, 627–644.

    PubMed  Google Scholar 

  • Pilowsky, D. (1995). Psychopathology among children placed in family foster care. Psychiatric Services, 46, 906–910.

    PubMed  CAS  Google Scholar 

  • Racusin, R., Maerlender, A. C., Sengupta, A., Isquith, P. K., & Straus, M. B. (2005). Psychosocial treatment of children in foster care: a review. Community Mental Health Journal, 41, 199–221.

    Article  PubMed  Google Scholar 

  • Ringeisen, H., Casanueva, C., Urato, M., & Cross, T. (2008). Special health care needs among children in the child welfare system. Pediatrics, 122, 232–241.

    Article  Google Scholar 

  • Rycus, J. S., & Hughs, R. C. (1998). Field guide to child welfare. Washington, DC: Child Welfare League of America. CWLA Press, Washington D.C.

    Google Scholar 

  • Saarento, O., Nieminen, P., Hakko, H., Isohanni, M., & Väisänen, E. (1997). Utilization of psychiatric in-patient care among new patients in a comprehensive community-care system: a 3-year follow-up study. Acta Psychiatrica Scandinavica, 95(2), 132–139.

    Article  PubMed  CAS  Google Scholar 

  • Sawyer, M. G., Carbone, J. C., Searle, A. K., & Robinson, P. (2007). The mental health and wellbeing of children and adolescents in home-based foster care. The Medical Journal of Australia, 186, 181–184.

    PubMed  Google Scholar 

  • Schmid, M., Goldbeck, L., Nuetzel, J., & Fegert, J. M. (2008). Prevalence of mental disorders among adolescents in German youth Welfare institutions. Child and Adolescent Psychiatry and Mental Health, 2, 2.

    Article  PubMed  Google Scholar 

  • Stanley, N., Riordan, D., & Alaszewski, H. (2005). The mental health of looked after children: matching response to need. Health and Social Care in the Community, 13, 239–248.

    Article  PubMed  Google Scholar 

  • Stiffman, A. R., Pescosolido, B., & Cabassa, L. J. (2004). Building a model to understand youth service access: the gateway provider model. Mental Health Services Research, 6, 189–198.

    Article  PubMed  Google Scholar 

  • Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: gender and psychopathology. Annual Review of Clinical Psychology, 4, 275–303.

    Article  PubMed  Google Scholar 

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Correspondence to Matti Laukkanen.

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Laukkanen, M., Hakko, H., Räsänen, P. et al. Does the use of Health Care and Special School Services, Prior to Admission for Psychiatric Inpatient Treatment, Differ Between Adolescents Housed by Child Welfare Services and Those Living with Their Biological Parent(s)?. Community Ment Health J 49, 528–539 (2013). https://doi.org/10.1007/s10597-013-9600-z

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  • DOI: https://doi.org/10.1007/s10597-013-9600-z

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