Population and service characteristics of youth with schizophrenia-spectrum diagnoses in the Hawaii system of care


Jason Schiffman, University of Hawaii at Manoa, 2430 Campus Road, Gartley Hall 110, Honolulu, Hawaii, USA 96822-2216; Tel: (808) 956-6267; Fax: (808) 956-4700; Email: schiffma@hawaii.edu


Background:  Population and service characteristics were compared for youth (age 0–18 years) with and without schizophrenia-spectrum disorders, who received public mental health services in Hawaii's comprehensive system of care between July 1, 2000 and June 30, 2001.

Methods:  Electronic records of youth with a diagnosis in the schizophrenia-spectrum (n = 71) were compared to all other youth (n = 13,904) who received services with respect to age, gender, ethnicity, comorbidity, type of service, and service cost.

Results:  The schizophrenia-spectrum group had higher Asian representation, greater comorbidity, and was more likely to receive restrictive services for a higher average annual expense. When restrictive services were provided, they were of similar duration and intensity across groups. Almost all youth received less intensive services, but the schizophrenia-spectrum group received a higher frequency or longer duration of such services.

Conclusions:  Although youth with schizophrenia-spectrum disorders were uncommon, collectively they represented a distinct population with above average service consumption. Future monitoring of interventions and outcomes may help develop systematic and effective treatment strategies for youth with schizophrenia-spectrum disorders.