Comprehensive Description of Adolescents Admitted to a Public Psychiatric Inpatient Unit and their Families

Tonge, Bruce John; Hughes, Georgina Catherine; Pullen, Jill Marie; Beaufoy, Jeanette Ann; Gold, Stanley

doi:10.1080/00048670802119770

Cited by 15 publications

(5 citation statements)

References 34 publications

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“…In the same way, in adult psychiatric populations, it has been demonstrated that illness severity is not simply a matter of diagnosis, but is related to a variety of psychosocial variables [ 20 ]. Previous studies on young clinical populations have also found that beyond psychopathology itself, socio-demographic variables [ 21 ] and family characteristics [ 9 ] influence the level of treatment received by children and adolescents with emotional and behavioural problems.…”

Section: Discussionmentioning

confidence: 99%

“…Problem recognition by parents and service use depends on the parents’ level of education and the amount of stress they experience [ 6 , 7 ]. It has also been shown that the intensity of treatment is associated not only with the level of psychopathology, but also with the family’s profile [ 8 , 9 ]. The organization of the healthcare system, specifically the interface between primary and specialist care, has to be considered when dealing with the help-seeking process.…”

Section: Introductionmentioning

confidence: 99%

“…In this regard, the literature has two major limitations: ( i ) most of the published literature is from the US, where there is no National Health Service (NHS) and as a consequence referral sources and pathways to care are different from countries equipped with a public NHS [ 10 ]; ( ii ) many studies have been conducted on general population samples, while only a few studies have focused on clinical samples [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Reasons and pathways of first-time consultations at child and adolescent mental health services: an observational study in Italy

Pedrini

Sisti

Tiberti

et al. 2015

Child Adolesc Psychiatry Ment Health

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BackgroundAn increasing number of young people have made contact with the Child and Adolescent Mental Health Services (CAMHS). However, only a small proportion of the population with emotional problems, actually seek specialized care. Research concerning the help-seeking process and pathways to care of a clinical sample could help to develop effective health policies to facilitate access to specialized care.AimTo analyze the access pattern for CAMHS, reasons of contact and care pathways of a consecutive sample of first-time patients. Our aim was to analyze the association between source of referral, socio-demographic and clinical variables.MethodsStandardized assessment instruments and information concerning access patterns and care pathways were collected from 399 patients at first-time contact with CAMHS in a Northern Italian Region.ResultsMost patients were referred to CAMHS by school teachers (36 %) or health professionals (32 %), while only 17 % of the parents sought help by themselves. School issues (50 %) and emotional problems (17 %) were the most frequent reasons for contact. The proportion of first-time contacts with no diagnosis of mental disorder at their first consultation did not differ by source of referral. Parents of children who did not receive a clinical diagnosis of mental disorders described them as “psychosocially impaired” and their condition as “clinically severe” likewise parents of patients who received a psychiatric diagnosis. Patients with externalizing problems were more frequently referred by the parents themselves, while youth with internalizing problems were more often referred through health professionals. Families with non-traditional structures (adoptive, foster care, mono-parental) were more likely to consult CAMHS directly, while immigrant youth were more often referred by teachers.ConclusionSocio-demographic and clinical characteristics can affect pathways to care. To improve early access to care for children and adolescents with ongoing mental disorders, a plan for proper action addressed to teachers and health professionals may well be important. This would improve their ability to recognize emotional and behavioral problems and use proper referral pathways, while informative intervention addressed to non-Italian families should inform them about the functioning and the mission of CAMHS.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reasons and pathways of first-time consultations at child and adolescent mental health services: an observational study in Italy

Pedrini

Sisti

Tiberti

et al. 2015

Child Adolesc Psychiatry Ment Health

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“…A few studies have investigated the characteristics of youth placed in residential programs by exploring diagnoses, previous treatment experience, and family history (Connor et al, 2004;Hussey & Guo, 2002;Lyons, LibmanMintzer, Kisiel, & Shallcross, 1998;Tonge, Hughes, Pullen, Beaufoy, & Gold, 2008). Yet, none of these studies explore characteristics of youth across multiple settings, examining common trends among the population of adolescents in wilderness and residential treatment.…”

Section: Participants In Residential and Wilderness Treatmentmentioning

confidence: 98%

Who are They? A Descriptive Study of Adolescents in Wilderness and Residential Programs

Bettmann

Lundahl

Msw

et al. 2011

Residential Treatment For Children & Youth

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Although residential and wilderness treatment programs are growing in popularity, little is known about the adolescents placed within them. This study analyzed a random sample of 473 psychological evaluations of adolescents in residential and wilderness treatment centers for participants' cognitive functioning, aggression, family history of mental health, substance abuse, trauma, past treatment experiences, and reasons for current placement. The results suggest that participants were primarily delinquent, substance-abusing, and oppositional. Results also revealed nearly a third of the sample reported self-harming behaviors and nearly half reported recent traumatic events. The profile of this population carries important implications for residential treatment providers. KEYWORDS residential treatment, adolescents, wilderness therapy, outdoor behavioral healthcareThe lead author is part-owner of a wilderness therapy program and the fifth author owns a psychological testing company that tests clients of wilderness therapy and residential treatment programs.

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“…Overall, the results of studies investigating social differences in depression are hard to summarize due to methodological differences such as the measures used to assess depression as well as social position [ 7 , 9 , 11 , 14 , 15 , 17 – 20 , 26 , 27 ]. So far most studies on social position and poor mental health in adolescence have been based on psychiatric disorders overall [ 14 , 16 , 28 , 29 ], poor mental health overall [ 6 , 8 , 10 , 12 , 13 , 16 , 30 , 31 ], or self-reported depressive symptoms [ 7 , 9 , 11 , 15 – 17 , 19 , 26 , 32 ]. Only a few studies focus on diagnosed depression or mood disorders specifically [ 18 , 20 , 27 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

Social differences in diagnosed depression among adolescents in a Swedish population based cohort

et al. 2018

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BackgroundPopulation based research regarding social differences in diagnosed depression in adolescence is sparse. In this study unique material containing in-and outpatient data was used to determine if low social position in childhood increases the risk of diagnosed depression in adolescence. To further examine this association, gender differences and interactions were explored.MethodsThe study population was extracted from the Stockholm Youth Cohort (SYC), a register based cohort containing psychiatric care for all young people in Stockholm County and information about social position. For the purpose of this study, all in the SYC who turned 13 years old during 2001–2007, in total 169,262 adolescents, were followed up in 2005–2011 for diagnoses of depression until age 18. Associations were estimated with Cox regression models and presented as Hazard Ratios (HR).ResultsThe risk of diagnosed depression was higher for adolescents with parents with low education (HR = 1.1, CI = 1.0–1.2) and medium education (HR = 1.1, CI = 1.1–1.2) compared to high as well as for those with lower household income (for example, medium low, HR = 1.2, CI = 1.1–1.3) and for those with parents who received an unemployment benefit (HR = 1.3, CI = 1.2–1.4). No differences were found for those with the lowest household income compared to those with the highest level. Adolescents with parents born outside the Nordic countries had a lower risk of diagnosed depression (HR = 0.7, CI = 0.6–0.7). An interaction effect was found between gender and parental education.ConclusionsSocial differences were found but the magnitude was modest and gender differences small.

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Comprehensive Description of Adolescents Admitted to a Public Psychiatric Inpatient Unit and their Families

Abstract: Findings indicate the multiplicity of issues facing adolescent inpatients including psychiatric symptoms, impaired personal and family functioning and family cultural and background factors. Treatment that focuses on only some of these factors may have limited effectiveness.

Cited by 15 publications

References 34 publications

Reasons and pathways of first-time consultations at child and adolescent mental health services: an observational study in Italy

Reasons and pathways of first-time consultations at child and adolescent mental health services: an observational study in Italy

Who are They? A Descriptive Study of Adolescents in Wilderness and Residential Programs

Social differences in diagnosed depression among adolescents in a Swedish population based cohort

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