Evaluating Readmission Rates for a Statewide In-Home Ecosystemic Family-Based Treatment Program for Youth with Serious Emotional Disturbance.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Community Mental Health Journal Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI:10.1007/s10597-024-01295-2
Amy D Herschell, Shari L Hutchison, C Wayne Jones, Steven Simms, Patricia A Johnston, Irina O Karpov
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Abstract

Family Based Mental Health Services (FBMHS) with an embedded clinical model, Ecosystemic Structural Family Therapy, is an intervention designed for youth with a serious emotional disturbance (SED) who are at risk of out-of-home placement. The current evaluation examines the association between receipt of FBMHS and rates of out-of-home and community-based care during and after an episode of FBMHS. We identified 25,016 Medicaid-enrolled youth ages 3 to 17 years with receipt of a new FBMHS episode from 1/1/2015 to 6/30/2021. 14% of youth received out-of-home services. Rates of out-of-home service decreased during receipt of FBMHS (14.25-6.98%, p < .0001) and remained lower 6 months following discharge (to 6.95%, p < .0001). Short and longer doses of service were both associated with decreased rates of out-of-home services. FBMHS has been scaled across a large geographic area and is associated with lower rates of out-of-home placement for youth with SED.

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评估全州范围内针对有严重情感障碍青少年的家庭式生态系统治疗计划的再入院率。
以家庭为基础的心理健康服务(FBMHS)采用嵌入式临床模式 "生态系统结构家庭疗法"(Ecosystemic Structural Family Therapy),是一种针对有严重情绪障碍(SED)且面临家庭外安置风险的青少年而设计的干预措施。当前的评估研究了在接受 FBMHS 治疗期间和之后,接受 FBMHS 治疗与家庭外护理和社区护理率之间的关系。我们确定了 25,016 名参加医疗补助计划的 3 至 17 岁青少年,他们在 2015 年 1 月 1 日至 2021 年 6 月 30 日期间接受了一次新的 FBMHS 服务。14% 的青少年接受了家庭外服务。在接受 FBMHS 服务期间,家庭外服务的比率有所下降(14.25-6.98%,p
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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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