Can the Health of the Nation Outcome Scales for Children and Adolescents predict the necessity of inpatient stay during assertive community treatment?

Details

Serval ID
serval:BIB_5D7C75A9DB2A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Can the Health of the Nation Outcome Scales for Children and Adolescents predict the necessity of inpatient stay during assertive community treatment?
Journal
Psychiatry research
Author(s)
Urben S., Mantzouranis G., Baier V., Halfon O., Villard E., Holzer L.
ISSN
1872-7123 (Electronic)
ISSN-L
0165-1781
Publication state
Published
Issued date
30/08/2016
Peer-reviewed
Oui
Volume
242
Pages
345-348
Language
english
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Abstract
Understanding the trajectories of youths within Child and Adolescents Mental Health Service (CAMHS) is of primary importance. Our objective is to assess the usefulness of the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) to predict inpatient (IP) stay for youths followed by assertive community treatment (ACT) teams. 82 youths followed exclusively by ACT and 42 who needed IP were assessed with the HoNOSCA at admission to the program. The HoNOSCA allowed the computing of three scores: a total score, an externalizing symptoms (Ext) score and an emotional problems (Emo) score. Logistic regressions revealed that the three HoNOSCA scores at admission of ACT predicted later need for hospitalization. Using ROC curve analyses, we set up cut off scores with appropriate sensitivity and specificity for the HoNOSCA Total and Ext to optimally predict the need for hospitalization. This study revealed that the HoNOSCA may be a useful tool to predict the need for later IP during ACT. Such knowledge is important to set up the best therapeutic strategies.

Keywords
Adolescent, Child, Community Mental Health Services/methods, Community Mental Health Services/trends, Female, Hospitalization/trends, Humans, Inpatients/psychology, Male, Mental Disorders/epidemiology, Mental Disorders/psychology, Mental Disorders/therapy, Outcome Assessment (Health Care)/methods, Outcome Assessment (Health Care)/trends, Predictive Value of Tests, Switzerland/epidemiology, Assertive community treatment, Evidence-based, HoNOSCA, Inpatient treatment
Pubmed
Web of science
Create date
01/07/2016 9:53
Last modification date
20/08/2019 14:15
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