Predictors of Length of Stay Among Youths Hospitalized in State Hospitals in Illinois

Abstract

Using data from the Integrated Database on Children and Family Services in Illinois, we examined factors associated with the length of psychiatric hospitalization of youths in state hospitals between July 1, 1987 and June 30, 1992. Univariate analysis indicated that those diagnosed with attention deficit, psychotic, and conduct disorder experienced longer hospitalizations. In contrast, youths diagnosed with depressive disorders, drug and alcohol disorders, and adjustment disorders had shorter hospitalizations. Youths receiving services from multiple sectors of the human service delivery system experienced longer hospitalizations. Youths living in communities with state hospital linked community-based mental health services had shorter hospitalizations. Males experienced longer hospitalizations than females and African American youths experienced longer hospitalizations than White youths. Hispanic youths experienced shorter stays than either White or African American youths. The proportional hazards model indicated that being female, a history of previous admissions, multiservice use, and dangerousness were all associated with the decreased likelihood of discharge. Psychotic, attention deficit, and bipolar disorders were also associated with a decreased likelihood of hospital discharge. Youths with depressive disorders and African Americans with psychotic disorders had an increased likelihood of discharge. Increased age was also associated with the increased likelihood of discharge.