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Section VI: National Mental Health Statistics
Table 2. Illness characteristics of youtha admitted to organized
mental health care in the United States by program service setting in 1997
| |
Program Service Setting |
| |
Inpatient
(N = 286,176) |
Outpatient
(N = 962,813) |
Residential care
(N = 65,949) |
Total
(N = 1,314,938) |
| |
% |
Standard Error |
% |
Standard Error |
% |
Standard Error |
% |
Standard Error |
| Severity of Illnessb |
|
|
|
|
|
|
|
|
| GAF ≤ 50c |
54.7 |
3.8 |
31.8 |
1.7 |
53.7 |
5.8 |
37.9 |
1.6 |
| GAF ≤ 60d |
79.4 |
3.2 |
61.2 |
1.8 |
76.0 |
5.5 |
65.9 |
1.5 |
| Missing |
6.9 |
2.4 |
13.9 |
1.7 |
13.9 |
4.3 |
12.4 |
1.4 |
| Number of Diagnoses |
|
|
|
|
|
|
|
|
| Two diagnoses |
43.3 |
3.0 |
24.7 |
1.3 |
40.6 |
4.2 |
29.6 |
1.2 |
| One diagnosis |
52.3 |
3.0 |
67.0 |
1.4 |
48.0 |
4.6 |
62.8 |
1.2 |
| No diagnosis |
4.4 |
1.2 |
8.3 |
0.9 |
11.5 |
3.8 |
7.6 |
0.7 |
| Diagnostic Disorders |
|
|
|
|
|
|
|
|
| Disruptive behavior |
17.4 |
2.6 |
34.6 |
1.4 |
33.1 |
3.8 |
30.8 |
1.2 |
| Mood |
44.3 |
3.3 |
13.5 |
1.0 |
26.2 |
4.4 |
20.9 |
1.1 |
| Anxiety |
4.9 |
1.2 |
8.2 |
0.7 |
8.9 |
2.4 |
7.5 |
0.6 |
| Developmental and pervasive |
4.3 |
1.3 |
5.6 |
0.7 |
4.0 |
1.3 |
5.2 |
0.6 |
| Social conditions (V code) |
* |
* |
4.8 |
0.6 |
* |
* |
3.6 |
0.4 |
| Alcohol or drug use |
4.9 |
1.3 |
2.9 |
0.4 |
3.2 |
1.3 |
3.4 |
0.4 |
| Psychotic |
7.2 |
2.0 |
1.3 |
0.5 |
1.8 |
0.8 |
2.6 |
0.6 |
| Personality |
5.6 |
1.3 |
0.9 |
0.2 |
* |
* |
2.1 |
0.3 |
| No, deferred, or other diagnosis |
4.4 |
1.2 |
8.3 |
0.9 |
11.5 |
3.8 |
7.6 |
0.7 |
Note: Youth population includes all children and
adolescents under age 18. This table represents 4,014 observations (1,314,938
weighted observations) from the 1997 Client Patient Sample Survey. U.S.
territories of Puerto Rico, Guam, and the U.S. Virgin Islands were excluded
(21 observations).
a Youth population includes all children
and adolescents under age 18.
b GAF is Global Assessment
of Functioning. Severity of illness cutoff points from Manderscheid, R.
M., & Sondheimer, D. L. (1996).
c This score represents a
less inclusive, more stringent definition of "seriously emotionally disturbed"
youth. Its narrative description is, "Moderate degree of interference in
functioning in most social areas of severe impairment of functioning in
one area, such as might result from, for example, suicidal preoccupation
and ruminations, school refusal and other forms of anxiety, obsessive rituals,
major conversion symptoms, frequent anxiety attacks, frequent episodes of
aggressive or other ant-social behavior with some preservation of meaningful
social relationships."
d This score represents a more inclusive,
less conservative definition of "seriously emotionally disturbed" youth.
Its narrative description is, "Variable functioning with sporadic difficulties
or symptoms in several but not all social areas. Disturbance would be apparent
to those who encounter the child in a dysfunctional setting or time but
not to those who see the child in settings in where functioning is appropriate."
* Estimate is based on five or fewer sample cases or has a relative standard
error of 50 percent or higher; therefore, it is not shown because it does
not meet standards of reliability. |
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