- Email: [email protected]
‘To Everything There is a Season’: Mental Health-Related Hospitalizations by Youth and Adults
Poster Symposia / 60 (2017) S21eS38
and homeless youth populations. We hypothesize that RIP will decrease trauma responses after enrollment at 3, 6, and 12 months. Methods: All youth who were enrolled in RIP between 2008 and 2015 in the St. Paul area and assessed for trauma responses at enrollment and at 3, 6, and/or 12 months post enrollment were included (N¼361, ages 11-17, 96% girls). Trauma responses were measured using the UCLA PTSD Index, plus a 4-item scale of emotional distress in the past 30 days. An ANOVA was used to assess if trauma responses changed over time, and a growth curve analysis was conducted using dose variables (i.e. RN visits, parent visits, case management visits, and empowerment group attendance) to determine what aspects of the intervention independently predicted any change. Growth curve modeling was used to implicitly impute missing data. Results: Seventy-three percent of enrolled runaways had PTSD symptom scores that met the cutoff for PTSD at entry to the program. Trauma response mean scores (both PTSD and emotional distress symptoms) significantly decreased at 3 and 6 months and were maintained at 12 months (p<0.001). RN visits (p<0.001) and empowerment groups (p¼0.01) were both significant independent predictors of the decrease in PTSD symptoms. RN visits (p<0.001) and empowerment groups (p<0.001) were also significant independent predictors of the decrease in recent emotional distress. Conclusions: The Runaway Intervention Program, particularly the RN visits and empowerment group elements of the intervention, had an influence on decreasing trauma responses in runaway youth with a history of sexual violence after 3 and 6 months of enrollment, and those decreases were maintained at 12 months. Given the high rates of PTSD and emotional distress among runaways who have been sexually exploited or experience other sexual violence, approaches such as RIP offer promise for improving mental health outcomes. Sources of Support: Ramsey County Attorney’s Office; Children’s Hospital Association; Safe Harbors Service Grant MN Department of Health; Office of Justice Programs; Bremmer Foundation. 40. ‘TO EVERYTHING THERE IS A SEASON’: MENTAL HEALTH-RELATED HOSPITALIZATIONS BY YOUTH AND ADULTS Scott T. Ronis, PhD, Amanada K. Slaunwhite, PhD, Paul A. Peters, PhD, David A.A. Miller, MA.
S23
models on standardized rates of hospital admission by quarter. At the first stage of data analysis, we measured variations in hospital admissions per quarter for patients by age and disease type. In the second stage of data analysis, hospital admissions per quarter were further analyzed using curve estimation models to identify portions of the year with high or low rates of admissions using linear, quadratic, and cubic functions. Results: Between 2004 and 2014, there were 57,730 mental health-related hospital admissions by 41,690 patients. The majority of mental health-related admissions to hospital were by adults 20 years of age and older (90.14%, N¼52,040); however the odds of children and adolescents (aged 3-19 years) being admitted to hospital were 19% higher in 2014 compared to 2004, and there was a 36% decrease in the odds of mental health-related hospitalizations by adults aged 20 and over. Regression analysis found large variations in mental health-related hospital admissions by quarter for children and adolescents and no observable differences by quarter for adults 20 years and over. Youth aged 11 to 15 (R2¼.381, F¼7.58, p¼.001), and 16 to 19 years (R2¼.343, F¼6.451, p¼.001) had significantly greater admissions to hospital in the first quarter (January, February, March) in contrast to the third quarter (July, August, September). Hospital admissions for children and adolescents aged 3-19 years with neurosis (R2¼.359, F¼6.895, p¼.001) and mood disorders (R2¼.297, F¼5.204, p¼.004) had the greatest seasonal variation, whereas there were no identifiable seasonal differences in admissions attributed to substance use, behavioural disorders (i.e., eating disorders), personal disorders, or psychosis. Conclusions: The results of this study indicate that mental healthrelated hospital admissions by children and adolescents are generally higher during the academic calendar. These findings support efforts to leverage opportunities in schools to prevent and detect emerging mental health problems among youth. In addition, the amount and range of community-based resources should complement the seasonal variations so that inpatient and acute services may be less utilized. Sources of Support: Department of Health of the Province of New Brunswick, a New Brunswick Health Research Foundation and Canadian Institutes for Health Research (CIHR)-Strategy for Patient Oriented Research-Maritime SPOR SUPPORT Unit Post-Doctoral Fellowship award, and a CIHR-funded Community-Based Primary Health Care Team Grant. 41.
University of New Brunswick.
Purpose: Utilization of inpatient hospital and acute care services by children and adolescents has become a growing issue in Canada and the United States (US) due to increases in hospital admissions and emergency room visits. Despite increasing rates of mental health-related hospitalizations among children and adolescents, little is known about the non-demographic or disease related factors that influence the likelihood of young people being admitted to hospital for mental health problems. The primary purpose of this study was to address this limitation in the literature by measuring seasonal variations in mental health-related hospitalizations by youth over a nine-year period using administrative health data from New Brunswick, Canada. Methods: Hospital admissions records from January 2004 to March 2014 were obtained from the provincial Discharge Abstract Database (DAD). Seasonal trends in mental health-related hospitalizations were analyzed using regression curve estimation
THE INFLUENCE OF EXCEEDING IDEAL PARTNER CHARACTERISTICS ON ADOLESCENT MEN’S SEXUAL BEHAVIORS Rebekah L. Williams, MD, Devon J. Hensel, PhD. Indiana University School of Medicine.
Purpose: Ideals for romantic partners affect partner selection and relationship satisfaction. However, little is known about the association between partner ideals and sexual behaviors, and no data has been published in adolescent males. We assess the influence of young men’s ideal partner characteristics on sexual relationship behaviors. Methods: Data were drawn from a longitudinal cohort study of sexual behaviors and sexual relationships in adolescent men (N¼72; 14 to 17 years at enrollment, 60% African American). Participants were recruited through respondent-driven and community-focused methods from multi-ethnic, low to middle income areas associated with high rates of unintended pregnancy and
and homeless youth populations. We hypothesize that RIP will decrease trauma responses after enrollment at 3, 6, and 12 months. Methods: All youth who were enrolled in RIP between 2008 and 2015 in the St. Paul area and assessed for trauma responses at enrollment and at 3, 6, and/or 12 months post enrollment were included (N¼361, ages 11-17, 96% girls). Trauma responses were measured using the UCLA PTSD Index, plus a 4-item scale of emotional distress in the past 30 days. An ANOVA was used to assess if trauma responses changed over time, and a growth curve analysis was conducted using dose variables (i.e. RN visits, parent visits, case management visits, and empowerment group attendance) to determine what aspects of the intervention independently predicted any change. Growth curve modeling was used to implicitly impute missing data. Results: Seventy-three percent of enrolled runaways had PTSD symptom scores that met the cutoff for PTSD at entry to the program. Trauma response mean scores (both PTSD and emotional distress symptoms) significantly decreased at 3 and 6 months and were maintained at 12 months (p<0.001). RN visits (p<0.001) and empowerment groups (p¼0.01) were both significant independent predictors of the decrease in PTSD symptoms. RN visits (p<0.001) and empowerment groups (p<0.001) were also significant independent predictors of the decrease in recent emotional distress. Conclusions: The Runaway Intervention Program, particularly the RN visits and empowerment group elements of the intervention, had an influence on decreasing trauma responses in runaway youth with a history of sexual violence after 3 and 6 months of enrollment, and those decreases were maintained at 12 months. Given the high rates of PTSD and emotional distress among runaways who have been sexually exploited or experience other sexual violence, approaches such as RIP offer promise for improving mental health outcomes. Sources of Support: Ramsey County Attorney’s Office; Children’s Hospital Association; Safe Harbors Service Grant MN Department of Health; Office of Justice Programs; Bremmer Foundation. 40. ‘TO EVERYTHING THERE IS A SEASON’: MENTAL HEALTH-RELATED HOSPITALIZATIONS BY YOUTH AND ADULTS Scott T. Ronis, PhD, Amanada K. Slaunwhite, PhD, Paul A. Peters, PhD, David A.A. Miller, MA.
S23
models on standardized rates of hospital admission by quarter. At the first stage of data analysis, we measured variations in hospital admissions per quarter for patients by age and disease type. In the second stage of data analysis, hospital admissions per quarter were further analyzed using curve estimation models to identify portions of the year with high or low rates of admissions using linear, quadratic, and cubic functions. Results: Between 2004 and 2014, there were 57,730 mental health-related hospital admissions by 41,690 patients. The majority of mental health-related admissions to hospital were by adults 20 years of age and older (90.14%, N¼52,040); however the odds of children and adolescents (aged 3-19 years) being admitted to hospital were 19% higher in 2014 compared to 2004, and there was a 36% decrease in the odds of mental health-related hospitalizations by adults aged 20 and over. Regression analysis found large variations in mental health-related hospital admissions by quarter for children and adolescents and no observable differences by quarter for adults 20 years and over. Youth aged 11 to 15 (R2¼.381, F¼7.58, p¼.001), and 16 to 19 years (R2¼.343, F¼6.451, p¼.001) had significantly greater admissions to hospital in the first quarter (January, February, March) in contrast to the third quarter (July, August, September). Hospital admissions for children and adolescents aged 3-19 years with neurosis (R2¼.359, F¼6.895, p¼.001) and mood disorders (R2¼.297, F¼5.204, p¼.004) had the greatest seasonal variation, whereas there were no identifiable seasonal differences in admissions attributed to substance use, behavioural disorders (i.e., eating disorders), personal disorders, or psychosis. Conclusions: The results of this study indicate that mental healthrelated hospital admissions by children and adolescents are generally higher during the academic calendar. These findings support efforts to leverage opportunities in schools to prevent and detect emerging mental health problems among youth. In addition, the amount and range of community-based resources should complement the seasonal variations so that inpatient and acute services may be less utilized. Sources of Support: Department of Health of the Province of New Brunswick, a New Brunswick Health Research Foundation and Canadian Institutes for Health Research (CIHR)-Strategy for Patient Oriented Research-Maritime SPOR SUPPORT Unit Post-Doctoral Fellowship award, and a CIHR-funded Community-Based Primary Health Care Team Grant. 41.
University of New Brunswick.
Purpose: Utilization of inpatient hospital and acute care services by children and adolescents has become a growing issue in Canada and the United States (US) due to increases in hospital admissions and emergency room visits. Despite increasing rates of mental health-related hospitalizations among children and adolescents, little is known about the non-demographic or disease related factors that influence the likelihood of young people being admitted to hospital for mental health problems. The primary purpose of this study was to address this limitation in the literature by measuring seasonal variations in mental health-related hospitalizations by youth over a nine-year period using administrative health data from New Brunswick, Canada. Methods: Hospital admissions records from January 2004 to March 2014 were obtained from the provincial Discharge Abstract Database (DAD). Seasonal trends in mental health-related hospitalizations were analyzed using regression curve estimation
THE INFLUENCE OF EXCEEDING IDEAL PARTNER CHARACTERISTICS ON ADOLESCENT MEN’S SEXUAL BEHAVIORS Rebekah L. Williams, MD, Devon J. Hensel, PhD. Indiana University School of Medicine.
Purpose: Ideals for romantic partners affect partner selection and relationship satisfaction. However, little is known about the association between partner ideals and sexual behaviors, and no data has been published in adolescent males. We assess the influence of young men’s ideal partner characteristics on sexual relationship behaviors. Methods: Data were drawn from a longitudinal cohort study of sexual behaviors and sexual relationships in adolescent men (N¼72; 14 to 17 years at enrollment, 60% African American). Participants were recruited through respondent-driven and community-focused methods from multi-ethnic, low to middle income areas associated with high rates of unintended pregnancy and