Use of a multidimensional assessment tool in a psychiatric adolescent care unit.

Détails

ID Serval
serval:BIB_601DC9EE57DF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Use of a multidimensional assessment tool in a psychiatric adolescent care unit.
Périodique
Journal of evaluation in clinical practice
Auteur(s)
Laget J., Sofia C., Bolognini M., Plancherel B., Halfon O., Stéphan P.
ISSN
1356-1294
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
12
Numéro
5
Pages
549-58
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article - Publication Status: ppublish
Résumé
AIMS: Adolescent mental health problems require treatment and care that are adapted to their needs. To evaluate this issue, it was decided to implement a multidimensional instrument focused on a global approach to adolescent social and behavioural functioning, combined with the ICD-10 classification. METHODS: The combination of an assessment interview and a classification tool enabled the method to integrate the measurement of several domains of patient-based outcome rather than focus on the measurement of symptoms. A group of 68 adolescents from an inpatient unit were compared with 67 adolescents from the general population. RESULTS: Results suggest that adolescents from the care unit adopt significantly riskier behaviour compared with adolescents from the control group. As expected, the main problems identified refer to the psychological and familial areas. A cluster analysis was performed and provided three different profiles: a group with externalizing disorders and two groups with internalizing disorders. On the basis of a structured interview it was possible to obtain information in a systematic way about the adolescents' trajectory (delinquency, physical and sexual abuse, psychoactive substance use). CONCLUSION: It was shown that treatment and care should not focus exclusively on mental health symptoms, but also upon physical, psychological and social aspects of the adolescent. A global approach helps in the consideration of the multitude of factors which must be taken into account when working with people with serious mental health problems and may help to turn the care unit's activity more specifically towards the needs of these adolescents.
Mots-clé
Adolescent, Female, Humans, International Classification of Diseases, Interview, Psychological, Male, Mental Disorders, Severity of Illness Index, Substance Abuse Detection, Switzerland
Pubmed
Web of science
Création de la notice
10/03/2008 12:24
Dernière modification de la notice
20/08/2019 15:17
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