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Mental health services for youths in foster care and disabled youths.

机译:为寄养儿童和残疾青年提供精神保健服务。

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摘要

OBJECTIVES: This study assessed whether mental health services for youths differ with respect to medical assistance aid category. METHODS: Computerized claims for 15,507 youths with Medicaid insurance in a populous county of a mid-Atlantic state were used to establish population-based prevalence estimates of mental disorders and psychotherapeutic treatments during 1996. RESULTS: An analysis of service claims revealed that the prevalence of mental disorders among youths enrolled in foster care (57%) was twice that of youths receiving Supplemental Security Income (SSI; 26%) and nearly 15 times that of other youths receiving other types of aid (4%). Rates of mental health service use were pronounced among foster care youths aged 6 to 14 years. Attention deficit/hyperactivity disorder, depression, and developmental disorders were the most prevalent disorders. Stimulants, antidepressants, and anticonvulsants were the most prevalent medications. CONCLUSIONS: Youths enrolled in foster care and youths receiving SSI use far more mental health services than do youths in other aid categories. Additional research should evaluate the complexity and outcomes of mental health services for youths in foster care.
机译:目的:本研究评估了针对青少年的心理健康服务在医疗救助类别方面是否有所不同。方法:使用计算机化的大西洋中部人口众多县的15507名青年获得医疗补助保险的索赔,用于建立1996年期间基于人群的精神障碍和心理治疗治疗的患病率估算。结果:对服务索赔的分析表明,接受寄养的年轻人中的精神障碍(57%)是获得补充安全收入(SSI; 26%)的年轻人的两倍,是其他接受其他类型援助的年轻人(4%)的近15倍。在6至14岁的寄养青年中,使用精神卫生服务的比例显着。注意缺陷/多动障碍,抑郁和发育障碍是最普遍的障碍。兴奋剂,抗抑郁药和抗惊厥药是最流行的药物。结论:参加寄养的年轻人和接受SSI的年轻人比其他援助类别的年轻人使用更多的精神卫生服务。进一步的研究应评估寄养儿童的心理健康服务的复杂性和结果。

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