Abstract
We investigated the clinical characteristics and placement decisions among a group of children who were wards of the state and had been evaluated for a crisis assessment. The sample consisted of 383 children and adolescents (ages 2-20 years) who were wards of the Illinois Department of Children and Family Services (DCFS). This study retrospectively reviewed the symptoms, risk factors, functioning and co-morbid variables, and placement or system characteristics of these children using a structured assessment tool, the Childhood Severity of Psychiatric Illness (CSPI). Results indicated that risk behaviors as rated on the CSPI, including suicidality, dangerousness, and runaway tendency, were significant predictors of psychiatric hospitalization. The importance of more widespread usage of standardized assessment tools in evaluating children's mental health needs is discussed.
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REFERENCES
Amqvist, F. (1988a). Predictive signs for adolescent disturbance: A model for identification of children at risk. Psychiatria Fennica, 19, 9–19.
Amqvist, F. (1988b). Mental health in young people in relation to child welfare and institutional care in childhood. Acta Psychiatrica Scandinavica, 78, 41–48.
Behar, L. (1985). Changing patterns of state responsibility: A case study of North Carolina. Journal of Clinical Child Psychology, 14, 188–195.
Behar, L. (1990). Financing mental health services for children and adolescents. Bulletin of the Menninger Clinic, 54, 127–139.
Burchard, J. D., & Clarke, R. T. (1990). The role of individualized care in a service delivery system for children and adolescents with severely maladjusted behavior. Journal of Mental Health Administration, 17, 48–60.
Clark, H. B., & Clarke, R. T. (1996). Research on the wraparound process and individualized services for children with multi-system needs. Journal of Child and Family Studies, 5, 1–5.
Clark, H. B., Lee, B., Prange, M. E., & McDonald, B. A. (1 996). Children lost within the foster care system: Can wraparound service strategies improve placement outcomes? Journal of Child and Family Studies, 5, 39–54.
Cole, R. F., & Poe, S. L. (1993). Partnerships for care: Systems of care for children with serious emotional disturbances and their families. Washington, DC: Washington Business Group on Health.
Collins, B. G., & Collins, T. M. (1994). Child and adolescent mental health: Building a system of care. Journal of Counseling & Development, 72, 239–243.
Duchnowski. A. J., & Friedman, R. M. (1990). Children's mental health: challenges for the nineties. Journal of Mental Health Administration, 17, 3–12.
Eber, L., Osueh, R., & Reditt, C. A. (1996). School-based applications of the wraparound process: Early results on service providion and student outcomes. Journal of Child and Family Studies, 5, 83–99.
Friedman, R. M. (1988). Individualizing services. Update: Improving services for emotionally disturbed children, 3, 10–12, 19.
Hyde, K. L., Burehard, J. D., & Woodworth, K. (1996). Wrapping services in an urban setting. Journal of Child and Family Studies, 5, 67–82.
Kiesler, C. A. (1994). Mental health policy and the psychiatric inpatient care of children: Implications for families. In J. Blacher (Ed.), When there's no place like home: Options for children living apart from their natural families (pp. 101–120). Baltimore, MD: Paul H. Brookes Publishing Co.
Knitzer, J., & Yelton, S. (1990). Collaboration between child welfare and mental health: Both systems must exploit the program possibilities. Public Welfare, 48, 24–33.
Lyons, J. S., O'Mahoney, M. T., Doheny, K. M., Dworkin, L. N., & Miller, S. I. (1995). The prediction of short-stay psychiatric inpatients. Administration and Policy in Mental Health, 23, 17–25.
Lyons, J. S., O'Mahoney, M. T., Miller, S. I., Neme, J., Kabat, J., & Miller, F. (1997). Predicting readmission to the psychiatric hospital. Implications for quality indicators. American Journal of Psychiatry, 154, 337–340.
McMillen, J. C. (1992). Attachment theory and clinical social work. Clinical Social Work Journal, 20, 205–218.
Parker, K. C., & Forrest, D. (1993). Attachment disorder: An emerging concern for school counselors. Elementary School Guidance and Counseling, 27, 209–215.
Pecora, P. J. (1991). Investigating allegations of child maltreatment: The strengths and limitations of current risk assessment systems. Child and Youth Services, 15, 73–92.
Quinn, K. P., Epstein, M. H., & Cumblad, C. L. (1995). Developing comprehensive, individualized community-based services for children and youth with emotional and behavior disorders: Direct service providers' perspectives. Journal of Child & Family Studies, 4, 19–42.
Roberts, J. (1986). Fostering the sexually abused child. Adoption and Fostering, 10, 8–11.
Roys, P. (1984). Ethnic minorities and the child welfare system. International Journal of Social Psychiatry, 30, 102–118.
Sondheimer, D. L., Rowland, M. D., & Schoenwald, S. K. (1994). Alternatives to the hospitalization of youth with a serious emotional disturbance. Special Issue: Task force report on innovative models of mental health services for children, adolescents, and their families. Journal of Clinical Child Psychology, 23, 7–12.
Thompson, A. H., & Fuhr, D. (1992). Emotional disturbance in fifty children in the care of a child welfare system. Journal of Social Service Research, 15, 95–112.
VanDenBerg, J. E., & Grealish, E. M. (1996). Individualized services and supports through the wraparound process: Philosophy and procedures. Journal of Child and Family Studies, 5, 7–21.
Widom, C. S. (1989). Pathways to criminal violence. Newbury Park, CA: Sage.
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Lyons, J.S., Kisiel, C.L., Dulcan, M. et al. Crisis Assessment and Psychiatric Hospitalization of Children and Adolescents in State Custody. Journal of Child and Family Studies 6, 311–320 (1997). https://doi.org/10.1023/A:1025052219532
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DOI: https://doi.org/10.1023/A:1025052219532