RESUMEN
Characteristics of 98 clients re-referred to receive services from a community-based crisis intervention program were compared to those of program clients who were served during the same 5.25-year period who were not referred. The majority of re-referrals occurred because of the same challenging behavior causing initial referral. Eight-eight percent of re-referral clients received the additional referral by 2 years after initial discharge. For persons under 30, nonfamily residence and initial diagnosis of self-injurious behavior were the strongest predictors. For those over 30, the most important factor was aggression. Recidivism following crisis intervention appears to be a complex function of client characteristics and community capabilities.
Asunto(s)
Servicios Comunitarios de Salud Mental , Intervención en la Crisis (Psiquiatría) , Discapacidades para el Aprendizaje/complicaciones , Trastornos Mentales/complicaciones , Derivación y Consulta , Adulto , Agresión , Estudios de Cohortes , Femenino , Humanos , Masculino , Trastornos Mentales/prevención & control , Recurrencia , Estudios Retrospectivos , Índice de Severidad de la EnfermedadRESUMEN
When individuals with a developmental disability experience a behavioral or psychiatric crisis, their community placement may be threatened. A model crisis intervention program for individuals with dual diagnoses was discussed and performance and outcomes of such a service for 267 children and adults reviewed. Analysis indicated that 69% of the individuals required only one crisis intervention. Of the 31% requiring two or more, nearly all were re-referred earlier than 2 years post initial crisis intervention. The central, gulf-bridging role of a crisis intervention service in a comprehensive, coordinated, community-based mental health system for dually diagnosed individuals was discussed.