3.40 CROSS-CULTURAL PARENT PERSPECTIVES OF PSYCHOSOCIAL FUNCTIONING IN CHILDREN WITH COCHLEAR IMPLANTS

3.40 CROSS-CULTURAL PARENT PERSPECTIVES OF PSYCHOSOCIAL FUNCTIONING IN CHILDREN WITH COCHLEAR IMPLANTS

NEW RESEARCH POSTERS 3.40 – 3.43 3.40 CROSS-CULTURAL PARENT PERSPECTIVES OF PSYCHOSOCIAL FUNCTIONING IN CHILDREN WITH COCHLEAR IMPLANTS Roshini R. Ku...

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NEW RESEARCH POSTERS 3.40 – 3.43

3.40 CROSS-CULTURAL PARENT PERSPECTIVES OF PSYCHOSOCIAL FUNCTIONING IN CHILDREN WITH COCHLEAR IMPLANTS Roshini R. Kumar, MRC, Pediatric Psychology, Children’s Medical Center Dallas, 6300 Harry Hines Blvd, 12th Floor, Dallas, TX 75235 Objectives: Effects of cochlear implantation on children with significant hearing loss extend beyond communication outcomes to include psychosocial well-being. To date, no studies compare psychosocial functioning of pediatric cochlear implant users cross-culturally. This study reports American parent perspectives of psychosocial functioning in children using cochlear implants and compares these ratings to ratings by British, Dutch, and Finnish parents of children with cochlear implants. Methods: American parents (N ¼ 33) of children with cochlear implants participated. Mean age at implantation was 2.47 years, mean duration of implant use was 7.47 years, and mean chronological age was 9.85 years. Data for the British, Dutch, and Finnish sample groups were obtained through published studies. All participants completed Children with Cochlear Implants: Parental Perspectives questionnaire, which includes eight domains of cochlear implant outcomes as follows: communication, general functioning, well-being, self-reliance, social relations, education, effects of implantation, and support of the child. Relationships between psychosocial functioning and demographic variables were assessed using Spearman correlations. Crosscultural differences in psychosocial domain scores were computed using one sample t-test. An alpha level was set to <0.01. Results: American parents rated communication, general functioning, and social relations most positively, and they rated education and effects of implantation least positively. Cross-culturally, American ratings were more positive than Dutch parents and less positive than Finnish parents for all domains, with the exception of well-being and support of the child. American parents rated education and effects of implantation less positively than British parents. Conclusions: Limited access to cochlear implant-related accommodations and varying parent expectations likely explain the differences in low ratings of education and effects of implantation in the United States and in cross-cultural differences. Providing useful cochlear implant accommodations at school and preparing parents for realistic outcomes could greatly benefit children with cochlear implants and their families.

FAM SAC SP Supported by the E. Rhodes and Leona B. Carpenter Foundation http://dx.doi.org/10.1016/j.jaac.2016.09.172

3.41 CORRELATES OF PSYCHIATRIC INPATIENT READMISSIONS OF CHILDREN AND ADOLESCENTS WITH MENTAL DISORDERS Eugene Grudnikoff, MD, Northwell Health, 400 Sunrise Highway, Carone Hall - 203, Amityville, NY 11701; Tricia McNeilly, MS; Christoph U. Correll, MD Objectives: Psychiatric readmission is a costly problem affecting the pediatric population. Sparse research had identified risk factors for readmission, such as more severe or psychotic diagnoses, prior hospitalizations, history of substance use, but had not focused broadly on patient, caregiver, and systems factors to identify trends contributing to readmission. Methods: The Family/Caregiver Interview Tool (FCIT) is a 5-page clinicianadministered interview was conducted with parents of youth readmitted within 30 days. Chi-square and ANOVA tests were used for the analysis of categorical and continuous variables respectively. Results: Over the course of one year period, 07.01.2014-06.30.2015, 1231 youth (female¼57.9%, mean age¼14.6  2.7 y.o.) experienced 1534 hospitalizations; raw readmission rate was 18.2% and 30-day readmission rate was 11.2%; hospitalizations of readmitted youth were characterized, most consequentially, by longer length of stay (14.3 days vs. 8.4 days), and higher rates of treatment with antipsychotic medication (75.5% vs. 47.2%). Compared to 30-day readmitted youth, those readmitted after longer intervals were more likely to reside at a residential treatment facility rather than with family or foster parents. Detailed FCIT revealed that caregiver’s ability to fill a prescription after discharge potentially delayed readmission (19 days, vs.

J OURNAL OF THE AMERICAN ACADEMY OF CHILD & ADOLESCENT P SYCHIATRY VOLUME 55 NUMBER 10S OCTOBER 2016

13 days), while immediate follow-up or aftercare hastened it. Exacerbation of illness was responsible for majority (73-85%) of 30-day readmissions, based on both, clinicians’ and caregivers’ impressions; system of care factors accounted for 13% of readmissions; caregivers consistently underestimated environment of care factors (including caregiver’s stress and mental illness) as the cause for readmission. Conclusions: FCIT revealed that caregivers face multiple obstacles at discharge and after the child leaves the hospital, particularly with obtaining medications; that they underestimate their own contribution to child’s deterioration; and that shorter time to scheduled follow-up hastens readmission. Available factors associated with social determinants of health were not strongly associated with readmission.

EBP ICP http://dx.doi.org/10.1016/j.jaac.2016.09.173

3.42 INCREASING COLLABORATION BETWEEN CHURCH LEADERS AND CHILD AND ADOLESCENT MENTAL HEALTH PROVIDERS Esther Yang, MD, University of California, Irvine, 293 North State College Blvd., #3047, Orange, CA 92868 Objectives: There is limited research studying the prevalence, utilization, and access to psychiatric services for Koreans living in the United States. The church has historically played an important role for Korean-Americans. This study identifies effective ways for the child and adolescent mental health community to collaborate with church leaders who interact with KoreanAmerican youth. Methods: From 2014 to 2015, clergy working with predominantly KoreanAmerican youth from ages 4 to 22 years were sent anonymous online surveys to identify the most common needs of their community, their perceptions of mental illness, and ways mental health providers can collaborate and assist these church leaders. Results: Church leaders (68 percent) have seen youth dealing with excessive worry, 54 percent deal with drug and alcohol use, and 15 percent with suicidal thoughts; they have counseled youth dealing with these issues. However, only 13.6 percent of church leaders identify as feeling very confident in advising these youths. In addition, survey results show that they feel uncomfortable in referring youth to services, citing lack of knowledge of a referral source as their main reason. Conclusions: Church leaders working with Korean-American youth perceive there to be a significant number of youths in their congregation dealing with mental health issues but feel ill-prepared to address these issues.

CC SP Supported by an APA/SAMHSA Fellowship http://dx.doi.org/10.1016/j.jaac.2016.09.174

3.43 THE INTERNET IS GENDERED AND LIKELY RELEVANT TO THE EVALUATION OF GENDER-VARIANT YOUTH Brandon Johnson, MD, Psychiatry, Columbia University and Cornell University, 166 E 90th St Apt 5D, New York, NY 101282392; Heino F.L. Meyer-Bahlburg, PhD Objectives: In the context of increasing youth Internet use, this poster reviews the literature on differences in Internet use between boys and girls from convenience sample groups to provide a foundation for including gendered Internet behavior in the comprehensive assessment of gender variant youth. Methods: Searches were performed in PubMed and PsycInfo with the following search terms: Internet content, gender differences, children, teen, and adolescents. Relevant articles were chosen based on their discussion of gender differences in Internet use. References within the selected articles that met the same criteria were also included. Articles were limited to those in the English language. Results: A total of nine articles from the two databases proved relevant to the current question of gendered Internet use. The studies ranged in content from differential website traffic to variation in social network usage and to exposure to sexually explicit Internet material. In several sources, it was

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