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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Rates and predictors of aftercare services among formerly hospitalized adolescents: a prospective naturalistic study.
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Rates and predictors of aftercare services among formerly hospitalized adolescents: a prospective naturalistic study.

机译:以前住院的青少年中后期护理服务的比率和预测因素:一项前瞻性自然主义研究。

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OBJECTIVE: To examine rates and predictors of aftercare use, lengths of service use, and predictors of the duration of aftercare service use among 180 adolescents monitored for up to 8.1 years after discharge from an inpatient psychiatry unit. METHOD: Drawing upon the Anderson-Newman model of service use, severity of illness, enabling, and predisposing factors assessed during the hospitalization were examined as potential predictors of service use. Information about outpatient mental health specialty services after hospitalization was assessed repeatedly and verified with treatment records. RESULTS: Seventy-three percent of adolescents received aftercare within the first month after discharge, and 92% eventually received outpatient services. Fifty-seven percent of adolescents remained in treatment 6 months after initiation of services. Psychiatric comorbidity, prior service use, and presence of a biological parent or grandparent in the home were related to initial service use. Psychiatric comorbidity and history of repeated suicide attempts were related to longer duration, and older age and minority group status were related to shorter duration of aftercare service use. CONCLUSIONS: Most adolescents receive aftercare services, but there are certain groups that are relatively less likely to access or remain in services. Interventions to decrease the barriers to care in such groups may be beneficial.
机译:目的:检查从住院精神病科出院后长达8。1年的180名青少年中,其使用后护理的比率和预测因素,使用服务的时间长度以及使用后护理服务的持续时间的预测因素。方法:根据安德森-纽曼(Anderson-Newman)服务使用模型,将住院期间评估的疾病严重程度,促成因素和诱发因素作为服务使用的潜在预测指标进行了研究。反复评估住院后门诊心理健康专科服务的信息,并与治疗记录进行核实。结果:73%的青少年在出院后的第一个月内接受了后期护理,而92%的青少年最终接受了门诊服务。服务开始后6个月,仍有57%的青少年仍在接受治疗。精神病合并症,以前的服务使用以及亲生父母或祖父母在家中的存在与最初的服务使用有关。精神病合并症和反复自杀未遂的病史与持续时间长有关,而年龄大和少数群体状况与使用后期护理服务的时间短有关。结论:大多数青少年接受了后期护理服务,但某些群体获得或留在服务中的可能性相对较小。采取干预措施减少此类人群的医疗障碍可能是有益的。

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