title: Predictors of residential placement following a psychiatric crisis episode among children and youth in state custody.
abstract: This study examined the extent and correlates of entry into residential care among 603 children and youth in state custody who were referred to psychiatric crisis services. Overall, 27% of the sample was placed in residential care within 12 months after their 1st psychiatric crisis screening. Among the children and youth placed in residential care, 51% were so placed within 3 months of their 1st crisis screening, with an additional 22% placed between 3 and 6 months after screening. Risk behavior and functioning, psychiatric hospitalization following screening, older age, placement type, and caregiver's capacity for supervision were associated with increased residential placement. The findings highlight the importance of early identification and treatment of behavior and functioning problems following a crisis episode among children and youth in state custody to reduce the need for subsequent residential placement. Having an inpatient psychiatric episode following a crisis episode places children at greater risk for residential placement, suggesting that the hospital is an important point for diversion programs. Children and youth in psychiatric crisis may also benefit from efforts to include their families in the treatment process.
authors.affiliation: School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA. parkjm@illinois.edu
authors.forename: Jung Min
authors.initials: JM
authors.lastname: Park
authors.forename: Neil
authors.initials: N
authors.lastname: Jordan
authors.forename: Richard
authors.initials: R
authors.lastname: Epstein
authors.forename: David S
authors.initials: DS
authors.lastname: Mandell
authors.forename: John S
authors.initials: JS
authors.lastname: Lyons
mesh_terms: D000293:Adolescent; D002648:Child; D002655:Child Custody; D015331:Cohort Studies; D005260:Female; D006077:Government Agencies; D006801:Humans; D007087:Illinois; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy; D011237:Predictive Value of Tests; D012112:Residential Facilities / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors