Poster Presentation
Wednesday, July 11, 2007
9:00 AM - 9:45 AM
Wednesday, July 11, 2007
2:45 PM - 3:30 PM
Intensive outpatient case management for children in emotional crisis
Cathy R. Robey-Williams, BSN, MS, Behavioral Health, Spartanburg Regional Hospital System, Spartanburg, SC, USA and Kathleen Scharer, PhD, MS, BS, College of Nursing, University of South Carolina, Columbia, SC, USA.
| Learning Objective #1: Describe evidence-based rationale for intensive case management as an intervention for children with emotional crisis. |
| Learning Objective #2: Analyze a proposed model of care that is a multidisciplinary, multiagency,collaborative approach to management of children and their families in their home ecology. |
The primary aim of this study is to test the effectiveness of intensive out-patient case management (IOPCM) compared with standard treatment in children seeking emergency psychiatric care. A secondary aim is to demonstrate lower overall cost of IOPCM over traditional inpatient admission and treatment. The design for this quasi-experimental study is a repeated measure analysis with four measures taken per subjects that are randomly assigned to treatment and control groups. Children that meet inclusion criteria for intervention will be randomized to the intervention group (IOPCM) or control group which will receive usual care which includes monitoring until in-patient transfer can be accomplished. Parental written consent and child verbal assent for ages 6-11 and youth written consent for age 12 and over will be obtained prior to randomization. Descriptive statistics will be computed on the variables. Expected mean squares will be calculated and the appropriate combination will be used for hypothesis tests with specific functions of the repeated measures. General linear model analyses in SAS (GLM and MIXED procedures) will be used to examine the effects of: 1). Time, 2). Treatment, and 3). Time by treatment interaction. Since this is a repeated measures design, the intra-class correlation (RHO) is assumed to be positive and constant across all repeated measures. Psychometric variables measured within groups and between groups for suicide intent, depression, anxiety, risk behavior, and positive parenting will be collected at four separate times. Positive integration into community will be evidenced by school attendance, success via grade point average for each quarter, pro social peer relationships, and absence of delinquency. Demographic variables that will be measured include: age, gender, and race, diagnosis at discharge, previous DSM-IV diagnosis, and funding status at time of initial visit.