Conflict of interest statement: No conflicts declared.
The effect of inpatient care on measured Health Needs in children and adolescents
Article first published online: 28 MAY 2009
© 2009 The Authors. Journal compilation © 2009 Association for Child and Adolescent Mental Health
Journal of Child Psychology and Psychiatry
Volume 50, Issue 10, pages 1273–1281, October 2009
How to Cite
Jacobs, B., Green, J., Kroll, L., Tobias, C., Dunn, G. and Briskman, J. (2009), The effect of inpatient care on measured Health Needs in children and adolescents. Journal of Child Psychology and Psychiatry, 50: 1273–1281. doi: 10.1111/j.1469-7610.2009.02093.x
- Issue published online: 17 SEP 2009
- Article first published online: 28 MAY 2009
- Manuscript accepted 3 February 2009
Background: The concept of ‘health need’ relates patient problems in symptom and psychosocial domains to available appropriate treatments. We studied the effectiveness of inpatient treatment in modifying measured ‘Health Needs’ in children and adolescents admitted to UK inpatient units.
Methods: A prospective cohort study of 150 children and adolescents admitted to eight UK inpatient units, using formal pre-admission, pre-discharge and 1-year follow-up measurement of Health Needs.
Results: Total patient ‘Cardinal Problems’ reduced highly significantly (p < .001) from 8.5 at admission to 5.7 at discharge (effect size .81) and to 4.1 one year after discharge (effect size 1.35). Functional domains free of ‘Health Needs’ increased from 14.9 to 19.4 (effect size 1.08) from the point of admission to the end of follow-up. These changes were clinically meaningful, present in all domains and reduced morbidity to a level typical of outpatient cases.
Conclusions: Admission (mean length 116 days, SD 88) leads to clinically important improvement in measured Health Needs over multiple domains for children with serious, complex mental health difficulties. These improvements in multiple symptom and functional domains persist over the next year.