Population and service characteristics of youth with schizophrenia-spectrum diagnoses in the Hawaii system of care
Article first published online: 21 MAR 2005
Journal of Child Psychology and Psychiatry
Volume 47, Issue 1, pages 58–62, January 2006
How to Cite
Schiffman, J. and Daleiden, E. L. (2006), Population and service characteristics of youth with schizophrenia-spectrum diagnoses in the Hawaii system of care. Journal of Child Psychology and Psychiatry, 47: 58–62. doi: 10.1111/j.1469-7610.2005.01448.x
- Issue published online: 21 MAR 2005
- Article first published online: 21 MAR 2005
- Manuscript accepted 8 December 2004
- Schizophrenia spectrum;
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.