加拿大安大略省接受住院精神病治疗的药物使用障碍青少年的临床、出院和心理社会概况

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2021-04-19 DOI:10.2174/2210676611666210419101102
M. Preyde, Katelyn Whitworth, Marco DiCroce, A. Markov, Shrenik Parekh, J. Heintzman
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引用次数: 3

摘要

探讨在地区儿童和青少年住院精神科的药物使用障碍(SUD)患者比例、他们在总入院人数中的比例以及他们的心理社会史。对所有SUD患者的入院情况进行了回顾性图表审查。摘要患者数据包括人口统计信息、诊断、心理社会史、入院时的生活状况、法律参与和指控、是否需要替代级别的护理以及出院计划。从2018年9月到2020年2月,在540名入院患者中,126名(23.3%)患者的病历中记录了SUD,占入院总人数的34.6%。他们的平均年龄为15.85岁(标准差1.10;13至18岁),大多数患者为女性(n=81;64%),这与研究期间入院的女性患者数量一致(540名患者中,n=366名女性;X2=0.56,p=0.45)。常见的精神病诊断包括情绪、创伤和压力源相关的焦虑障碍。大多数患者(124名;98.4%)有心理社会逆境史,90名(71.4%)患者的父母患有精神疾病或SUD,55名(44%)患者报告受到欺凌,54名(43%)患者报告遭到性侵,一些患者(n=41;33%)经历过不稳定的生活状况。患有SUD的青少年住院患者也在应对一系列复杂的临床和心理社会挑战。出院后,一些患者被列入等待名单,许多患者被转诊到远离家的专业治疗,这突出了对SUD和与这些疾病相关的一系列心理社会问题的额外、全面的计划的必要性。
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Clinical, Discharge and Psychosocial Profiles of Adolescents with Substance Use Disorder Accessing Inpatient Psychiatry in Ontario, Canada
To explore the proportion of patients with a Substance Use Disorder (SUD), their proportion of overall admissions and their psychosocial histories at a regional child and adolescent inpatient psychiatric unit. A retrospective chart review was conducted on all admissions of patients with a SUD. Abstracted patient data included demographic information, diagnoses, psychosocial histories, living situation at the time of admission, legal involvement and charges, whether an alternate level of care was needed and discharge plans. From September 2018 to February 2020, of the 540 patients admitted, 126 (23.3%) had a SUD recorded in their charts and accounted for 34.6% of the total number of admissions. Their mean age was 15.85 (SD 1.10; range 13 to 18) years and most were identified as female (n=81; 64%) which is consistent with the number of female patients admitted during the study period (n=366 female of 540 admitted; X2=0.56, p= 0.45). Common psychiatric diagnoses included mood, trauma and stressor-related and anxiety disorders. Most patients (124; 98.4%) had a history of psychosocial adversity, 90 (71.4%) patients had a parent with a mental illness or a SUD, 55 (44%) reported being bullied, 54 (43%) reported being sexually assaulted and several (n=41;33%) had experienced precarious living situations. Adolescent inpatients with a SUD were also managing a complex array of clinical and psychosocial challenges. Upon discharge from hospital, some patients were placed on waitlists and many patients were referred to specialized treatment far from home highlighting the need for additional, comprehensive programs for SUD and the constellation of psychosocial problems associated with these disorders.
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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