Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

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

Abstract

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.

This is a preview of subscription content, log in to check access.

References

  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.

  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.

  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.

  4. 4.

    Dalton R & Forman MA: Conflicts of interest associated with the psychiatric hospitalization of children.Amer J Orthopsychiat 57:12–14, 1987.

  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.

  6. 6.

    Sharfstein SS & Taube CA: Reductions in insurance for mental disorders.Amer J Psychiat 139:1425–1430, 1982.

  7. 7.

    Buck JA: Should mental health services be structured like medical care.Inquiry, 19:211–221, 1982.

  8. 8.

    American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.). Washington, DC: Author, 1987.

  9. 9.

    Beigel A & Sharfstein SS: Mental health care providers,Amer J Psychiat 141:668–672, 1984.

  10. 10.

    Landers S: Is your teen moody?APA Monitor 9(2):18–19, 1988.

  11. 11.

    National Institute of Mental Health:Inventory of Mental Health Organizations (Form OMB No. 0930-0081, revised 3–82. ADM 25-1), 1982.

  12. 12.

    Berlin, IN: Developmental issues in the psychiatric hospitalization of children.Amer J Psychiatr 135:1044–1048, 1978.

  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.

  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.

  15. 15.

    Isaacs, M:Acute inpatient psychiatric services for children and adolescents. Bethesda, MD: Alpha Center for Health Planning, 1983.

  16. 16.

    Kashani, JH, & Cantwell, DP: Characteristics of children admitted to inpatient community mental health centers.Arch Gen Psychiat 40:397–400, 1983.

  17. 17.

    Marsden, G, McDermott, JF, & Minor, D: Selection of children for residential treatment.J Amer Acad Child Psychiat 16:427–438, 1977.

  18. 18.

    Mezzich, JE, Evancznk, KJ, Mathias, RJ, & Coffman, GA: Admission decisions and multiaxial diagnosis.Arch Gen Psychiat 41:1001–1004, 1984.

  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.

  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.

  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.

  22. 22.

    Silver, LB:Professional standards review organizations: A handbook for child psychiatrists. American Academy of Child Psychiatry, 1976.

  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.

  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.

  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.

  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.

  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.

  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.

Download references

Author information

Correspondence to P. Alex Mabe PhD.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Mabe, P.A., Riley, W.T. & Sunde, E.R. Survey of admission policies for child and adolescent inpatient services: A national sample. Child Psych Hum Dev 20, 99–111 (1989). https://doi.org/10.1007/BF00711657

Download citation

Key Words

  • Survey
  • Hospitalization
  • Admission Criteria