Variables | Untrained | Pretraining | Post-training | |||
Obs | Mean/Prop. (LCI, UCI) | Obs | Mean/Prop. (LCI, UCI) | Obs | Mean/Prop. (LCI, UCI) | |
System | ||||||
Wait time (days) | 5515 | 26.69 (25.76 to 27.63) | 482 | 24.70 (22.28 to 27.11) | 407 | (27.96 to 34.67) |
Length of stay (days) | 4953 | 116.85* (112.86 to 120.84) | 453 | 158.90 (145.85 to 171.95) | 270 | (78.21 to 103.43) |
Repeat admissions | 14 727 | 6.76* (6.70 to 6.83) | 1673 | 7.60 (7.42 to 7.78) | 1339 | 7.25* (7.04 to 7.46) |
Demographics | ||||||
Age | 14 727 | 11.78* (11.71 to 11.85) | 1673 | 9.64 (9.44 to 9.85) | 1339 | 9.80* (9.58 to 10.02) |
Sex (0 = female) | 14 727 | 0.521* (0.513 to 0.529) | 1673 | 0.383 (0.36 to 0.407) | 1339 | 0.397* (0.37 to 0.423) |
Family composition (single parent) (0 = biological/step parent) | 8055 | 0.201 (0.192 to 0.21) | 972 | 0.2 (0.175 to 0.226) | 810 | 0.18 (0.16 to 0.21) |
Family composition (foster care/ward) (0 = biological/step parent) | 8055 | 0.16 (0.15 to 0.17) | 972 | 0.14 (0.12 to 0.16) | 810 | 0.16 (0.14 to 0.19) |
MTP | ||||||
Admission CGAS | 3586 | 48.27 (47.91 to 48.62) | 340 | 46.98 (45.87 to 48.07) | 256 | 46.29* (44.89 to 47.69) |
Discharge CGAS | 3302 | 55.37 (54.91 to 55.82) | 317 | 55.66 (54.25 to 57.07) | 179 | 54.89 (52.96 to 56.82) |
Admission strength concern | 2245 | 16.88 (16.55 to 17.20) | 267 | 16.12 (15.11 to 17.13) | 119 | 16.65 (14.97 to 18.32) |
Discharge strength concern | 2095 | 32.93 (32.26 to 33.60) | 260 | 35.64 (33.56 to 37.73) | 112 | 35.30 (31.78 to 38.83) |
Number of provisional comorbid diagnoses | 14 727 | 0.20 (0.19 to 0.21) | 1673 | 0.19 (0.16 to 0.21) | 1339 | 0.23 (0.20 to 0.27) |
WCWL-CMH-PCS items | ||||||
Danger to self | 2236 | 0.54 (0.5 to 0.59) | 204 | 0.45 (0.30 to 0.60) | 200 | 0.29* (0.22 to 0.36) |
Danger to others | 2236 | 0.03 (0.023 to 0.039) | 204 | 0.06 (0.03 to 0.098) | 200 | 0.03 (0.01 to 0.05) |
Psychotic symptoms | 2236 | 0.08 (0.05 to 0.10) | 204 | 0.14 (0.03 to 0.24) | 200 | 0.07 (0.02 to 0.12) |
Global age-appropriate developmental progress | 2236 | 0.05 (0.04 to 0.06) | 204 | 0.08 (0.04 to 0.12) | 200 | 0.08 (0.04 to 0.11) |
CGAS on referral | 2236 | 5.96 (5.84 to 6.09) | 204 | 6.18 (5.72 to 6.63) | 200 | 6.58* (6.20 to 6.96) |
Internalised symptoms | 2236 | 5.09 (4.95 to 5.24) | 204 | 5.19 (4.72 to 5.65) | 200 | 5.00 (4.57 to 5.43) |
Externalised symptoms/disruptive behaviour | 2236 | 0.72* (0.67 to 0.77) | 204 | 1.10 (0.926 to 1.27) | 200 | 1.05* (0.88 to 1.2) |
Comorbid medical conditions | 2236 | 0.24 (0.21 to 0.26) | 204 | 0.25 (0.17 to 0.33) | 200 | 0.24 (0.16 to 0.31) |
Comorbid psychiatric conditions | 2236 | 0.65* (0.61 to 0.70) | 204 | 0.90 (0.72 to 1.08) | 200 | 1.03* (0.89 to 1.17) |
Harmful substance use/misuse | 2236 | 0.04 (0.03 to 0.05) | 204 | 0.05 (0.02 to 0.09) | 200 | 0.04 (0.01 to 0.06) |
Significant biological family history of mental illness | 2236 | 1.45 (1.42 to 1.49) | 204 | 1.47 (1.35 to 1.59) | 200 | 1.46 (1.34 to 1.58) |
School and/or work | 2236 | 0.11 (0.10 to 0.13) | 204 | 0.13 (0.08 to 0.17) | 200 | 0.09 (0.05 to 0.13) |
Social/friendships/community functioning | 2236 | 0.48* (0.46 to 0.50) | 204 | 0.57 (0.51 to 0.64) | 200 | 0.58* (0.51 to 0.65) |
Does the child/adolescent (patient) have problems in the context of the home? | 2236 | 2.90* (2.83 to 2.97) | 204 | 3.27 (3.04 to 3.49) | 200 | 2.8* (2.56 to 3.04) |
Family functioning or factors affecting child | 2236 | 0.48 (0.46 to 0.50) | 204 | 0.42 (0.35 to 0.49) | 200 | 0.36* (0.29 to 0.42) |
Prognosis without further intervention | 2236 | 3.48 (3.32 to 3.64) | 204 | 3.67 (3.14 to 4.19) | 200 | 3.54 (3.01 to 4.06) |
Degree of likely benefit with further intervention | 2236 | 8.29* (8.18 to 8.40) | 204 | 7.68 (7.36 to 7.99) | 200 | 8.10 (7.74 to 8.46) |
Reason for referral (in each category base comparison, 0 = externalising behaviour) | ||||||
Internalising/emotional issues | 14 727 | 0.04* (0.04 to 0.05) | 1673 | 0.02 (0.02 to 0.03) | 1339 | 0.04 (0.03 to 0.05) |
Developmental/organic concerns | 14 727 | 0.03 (0.025 to 0.03) | 1673 | 0.03 (0.025 to 0.043) | 1339 | 0.04* (0.03 to 0.05) |
Eating issues | 14 727 | 0.046* (0.04 to 0.05) | 1673 | 0.01 (0.01 to 0.03) | 1339 | 0.02* (0.01 to 0.03) |
Adjustment problems | 14 727 | 0.13* (0.125 to 0.136) | 1673 | 0.23 (0.22 to 0.26) | 1339 | 0.22* (0.20 to 0.25) |
School/learning/attention problems | 14 727 | 0.002 (0.001 to 0.003) | 1673 | 0.003 (0.001 to 0.007) | 1339 | 0.004 (0.002 to 0.01) |
Social/family issues | 14 727 | 0.009* (0.007 to 0.011) | 1673 | 0.002 (0 to 0.005) | 1339 | 0.004 (0.001 to 0.009) |
Thought disturbances/perceptual issues | 14 727 | 0.33* (0.327 to 0.342) | 1673 | 0.24 (0.22 to 0.26) | 1339 | 0.25* (0.22 to 0.27) |
Harmful behaviour/thoughts to self | 14 727 | 0.289* (0.28 to 0.296) | 1673 | 0.32 (0.3 to 0.35) | 1339 | 0.26* (0.23 to 0.28) |
Harmful behaviour/thoughts to others | 14 727 | 0.055* (0.052 to 0.059) | 1673 | 0.072 (0.06 to 0.085) | 1339 | 0.10** (0.086 to 0.13) |
Addictive or legal issues | 14 727 | 0.039 (0.035 to 0.042) | 1673 | 0.034 (0.026 to 0.044) | 1339 | 0.053 (0.042 to 0.066) |
Other | 14 727 | 0.01 (0.008 to 0.012) | 1673 | 0.007 (0.003 to 0.012) | 1339 | 0.01 (0.006 to 0.017) |
Emergent (scheduled=0) | 14 727 | 0.004 (0.003 to 0.005) | 1673 | 0.002 (0.001 to 0.006) | 1339 | 0.001 (0.00001 to 0.004) |
*In post-training column 95% CIs for post-training group differ from pretraining or untrained group.
*In untrained column 95% CIs for untrained group differ from pretraining group.
CGAS, Children's Global Assessment Scale; LCI, lower confidence interval; MTP, measureable treatment plan; UCI, upper confidence interval; WCWL-CMH-PSC, Western Canada Waitlist Child Mental Health Priority Criteria Score.