Predicting patterns of service utilization within children\u27s mental health agencies

Background: Some children with mental health (MH) problems have been found to receive ongoing care, either continuously or episodically. We sought to replicate patterns of MH service use over extended time periods, and test predictors of these patterns. Methods: Latent class analyses were applied to 4 years of visit data from five MH agencies and nearly 6000 children, 4-to 13-years-old at their first visit. Results: Five patterns of service use were identified, replicating previous findings. Overall, 14% of cases had two or more episodes of care and 23% were involved for more than 2 years. Most children (53%) were seen for just a few visits within a few months. Two patterns represented cases with two or more episodes of care spanning multiple years. In the two remaining patterns, children tended to have just one episode of care, but the number of sessions and length of involvement varied. Using discriminant function analyses, we were able to predict with just over 50% accuracy children\u27s pattern of service use. Severe externalizing behaviors, high impairment, and high family burden predicted service use patterns with long durations of involvement and frequent visits. Conclusions: Optimal treatment approaches for children seen for repeated episodes of care or for care lasting multiple years need to be developed. Children with the highest level of need (severe pathology, impairment, and burden) are probably best served by providing high intensity services at the start of care

The Grizzly, April 19, 1984

New Facilities Will Result in Improved English, Modern Language Departments • UC Backs Hart at Bloomsburg Convention • Stress Management Topic of Lecture • Collector\u27s Plates Displayed at Ursinus • Beverly Oehlert Makes a Difference • The Elvis Brothers: Movin\u27 Up • Team Effort Produces Wins for Softball • Ursinus Professor Reviews Books • Men\u27s Lacrosse Evens Record at 3-3 • Men\u27s Track Off to Quick Start • Netmen Victorious • Grizzlies Drop Game to Widener • UC Women Spark Olympic Field Hockey Team to the Gold • Women\u27s Tennis Wins Three; Record Is 4-3 • Grizzly Bears Fell Into a Tailspin • Ursinus Golf Team Begins Spring Seasonhttps://digitalcommons.ursinus.edu/grizzlynews/1117/thumbnail.jp

The Grizzly, April 6, 1984

Loyalty Fund Phon-a-thon, Successful • Parsons Re-elected VP of Historical Society • Nagy\u27s Stellar Lecture • McQuaid Presents Views on Candidates • Letters to the Editor: Fraternities Help to Combat Apathy; Bubble World ; UC Social Life Needs Help; Pledging Not Destructive; Pledging Enhances Development; To Ban Pledging not a Positive Aspect; In Memory of Zeta Chi; Pledging to Expand Socially • Patrol Pattern Changed, Woman is Assaulted • The Limerick Syndrome: What Would UC do? • Mardi Gras Ball Declared Success • Changing Picture of Health in \u2780\u27s • Ride for Your Life! • Two Views on the Bussing Situation • Women\u27s Tennis Splits in Opening Matches • Softball Undefeated at 6-0 • Tennis Team Nets Two Victories • Denning Captures Fencing Title • Strizke, Rosenberg Qualify for Gymnastics Championship • Men\u27s Track Kicks off \u2784 Season • Men\u27s Lacrosse Thumps Bloomsburg • Hot Hitting Leads Bears Batsmen to Victories • Baseball Team Raises Record to 6-3 • Women\u27s Track Promisinghttps://digitalcommons.ursinus.edu/grizzlynews/1116/thumbnail.jp

Cross-Sectoral Data Linkage: Tracking Mental Health Service Utilization from Childhood into Adulthood

Introduction Of the 15-18% of children and youth in Canada with a mental health disorder, some receive specialized mental health (MH) services and need additional treatment as young adults. Lack of a shared database across child and adult sectors has prevented examining predictors of future MH health service use. Objectives and Approach We examined predictors of mental health service utilization in adulthood, and compared a sample of youth who received specialized MH treatment and age-, sex-, and region- matched controls. Patient-level administrative data from five MH agencies funded by the Ministry of Children and Youth Services (MCYS) in Ontario, with population health sector datasets held at the Institute for Clinical Evaluative Sciences (ICES). We expanded previous definitions of coding a MH visit by including codes specific to long-lasting childhood MH diagnoses (e.g., Attention Deficit-Hyperactivity Disorder). Results Our match rate for linking the MCYS treated youth with their population health data was 77%. Youth who received MH treatment (N= 2957) were twice as likely as matched controls (N= 8891) to have a MH visit in the medical system in adulthood (i.e., after age 18). The most common diagnostic codes for the first visit were anxiety, depressive disorders, and ADHD. The median survival time (when 50% had a visit) from age 18 to first MH visit was 3.3 years. In adjusted Cox regressions, significant predictors of having an adult MH visit included service use history in both medical and MH systems during childhood and adolescence (e.g., ongoing pattern of children’s MH service use). Conclusion/Implications This study represents the first longitudinal, case-control cohort study in Canada to examine MH service utilization in the medical sector by youth treated for MH problems. The linkage of information from multiple datasets allowed for a broader understanding of MH service utilization across sectors of care, specific to children and youth

SMARTfarm Learning Hub: Next generation technologies for agricultural education: Final report 2018

In 2015-2016 there were 282,000 people employed in agriculture in Australia (Australian Bureau of Agricultural and Resource Economics and Sciences [ABARES], 2017). Despite the recognition that the modern agricultural industry is complex and demanding, it still has one of the lowest proportion of workers with post-secondary qualifications across the economy (Senate Standing Committees on Education, Employment and Workplace Relations, 2012), with approximately 7.8 per cent of the agricultural workforce with tertiary qualifications compared with 25 per cent for the broader population (Pratley, 2012). Pratley and Botwright Acuna (2015) have also reported that there is already a skills shortage in the industry, with an estimated four jobs available for every tertiary agricultural graduate in Australia

A water Cherenkov counter sensitive to nonwaveshifted ultraviolet Cherenkov photons

We describe a prototype water Cherenkov counter which has been built and tested with relativistic cosmic ray muons. An analysis of the expected photoelectron yield is described. The predicted result of 315 +/- 31 photoelectrons is compared with the experimental result of 272 +/- 30 photoelectrons. We find that over 70% of the Cherenkov photons detected have wavelengths less than 400 nm.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/25977/1/0000043.pd

Multi-messenger searches via IceCube’s high-energy neutrinos and gravitational-wave detections of LIGO/Virgo

We summarize initial results for high-energy neutrino counterpart searches coinciding with gravitational-wave events in LIGO/Virgo\u27s GWTC-2 catalog using IceCube\u27s neutrino triggers. We did not find any statistically significant high-energy neutrino counterpart and derived upper limits on the time-integrated neutrino emission on Earth as well as the isotropic equivalent energy emitted in high-energy neutrinos for each event

In-situ estimation of ice crystal properties at the South Pole using LED calibration data from the IceCube Neutrino Observatory

The IceCube Neutrino Observatory instruments about 1 km3 of deep, glacial ice at the geographic South Pole using 5160 photomultipliers to detect Cherenkov light emitted by charged relativistic particles. A unexpected light propagation effect observed by the experiment is an anisotropic attenuation, which is aligned with the local flow direction of the ice. Birefringent light propagation has been examined as a possible explanation for this effect. The predictions of a first-principles birefringence model developed for this purpose, in particular curved light trajectories resulting from asymmetric diffusion, provide a qualitatively good match to the main features of the data. This in turn allows us to deduce ice crystal properties. Since the wavelength of the detected light is short compared to the crystal size, these crystal properties do not only include the crystal orientation fabric, but also the average crystal size and shape, as a function of depth. By adding small empirical corrections to this first-principles model, a quantitatively accurate description of the optical properties of the IceCube glacial ice is obtained. In this paper, we present the experimental signature of ice optical anisotropy observed in IceCube LED calibration data, the theory and parametrization of the birefringence effect, the fitting procedures of these parameterizations to experimental data as well as the inferred crystal properties.</p