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Youths’ Experiences of School Re-Integration Following Psychiatric Hospitalization

机译:精神病住院后青少年重返学校的经历

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Objective The purpose of this study was to report youths’ experiences of school re-integration post-discharge from psychiatric hospital. No reports of school reintegration from the patient perspective could be located; hence, a second objective was to explore school-related and clinical factors associated with youth who reported an unfavourable school re-integration experiences. Methods Patients were recruited while in hospital for acute psychiatric care. They provided informed consent to be contacted post discharge regarding their perceptions of their school reintegration experience. About ten weeks after discharge youth were surveyed via telephone (n=40) or online (n=22) surveys. Results Of the 121 youth who agreed to be contacted after discharge, 62 youth completed the post-discharge survey. Almost half (n=29) of the youth reported that they had considerable difficulty with school reintegration. Youth reported managing social situations, academic pressures and emotions as substantial problems. Youth who reported a negative transition experience had significantly worse scores on self-reported Total and emotion subscale of the Strength and Difficulties Questionnaire, and concern about the impact of emotions on school re-entry, and significantly less psychiatrist-reported improvement than youth who reported a neutral or positive transition experience. There were no differences between the two groups on school-related variables. Youth with prior admission reported greater difficulties with peers and significantly worse clinical factors than youth without prior admissions. Conclusions High emotional difficulty scores and concern about the impact of emotions on reintegration prior to discharge distinguished youths with negative school reintegration experiences. These patients may benefit from greater assistance with managing their emotional problems, and coping and social skills training before and during school reintegration.
机译:目的这项研究的目的是报告青少年从精神病院出院后重返学校的经历。从患者的角度来看,没有关于学校重返社会的报道;因此,第二个目标是探索与报告不良学校融合经历的青年相关的学校相关和临床因素。方法招募住院患者进行急性精神病治疗。他们提供了知情同意,以便在出院后就其对学校重返社会的看法进行联系。出院后约十周,通过电话(n = 40)或在线(n = 22)调查对青年进行了调查。结果在同意出院后被联系的121名青年中,有62名青年完成了出院后调查。几乎一半(n = 29)的青年报告说他们在重返学校方面有很大的困难。青年报告说,管理社会情况,学业压力和情感是重大问题。与自我报告的青年相比,报告过渡经历为负面的青年在“力量与困难问卷”的自我报告的总分和情绪子量表上的得分明显差,并且担心情绪对学校重返的影响,而心理医生报告的改善要少得多。中立或积极的过渡经历。两组在学校相关变量方面没有差异。与没有先入院的年轻人相比,先入院的年轻人报告与同伴的困难更大,而临床因素则明显更糟。结论出院前有负面学校融合经历的杰出青年在情绪困难方面得分较高,并担心情绪对重新融入社会的影响。这些患者可能会受益于更大的帮助,以处理他们的情绪问题,并在学校重返学校之前和期间进行应对和社交技能培训。

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