• 作者：L. Ch ; ellier ; I. Atger ; H. Peyre
• 关键词：Prise en charge institutionnelle ; Soin-é ; tudes ; Psychopathologie adolescente ; Insertion professionnelle ; Troubles psychiatriques sé ; vè ; res
• 刊名：Neuropsychiatrie de l'enfance et de l'adolescence
• 出版年：January, 2014
• 年：2014
• 卷：62
• 期：1
• 页码：10-18
• 全文大小：392 K

Interest

The Dupr茅 clinic of Sceaux is a 鈥渃are and study鈥?center, which has developed a multidimensional program including medical care, institutional psychotherapy and school studies for adolescents and young adults aged 16聽to 25聽suffering from severe psychiatric disorder, social impairment and/or school drop-out. To our knowledge, there are very few studies that have been conducted on the patient's clinical characteristics and the specific cares that can influence outcomes.

Method

We studied a sample of 55聽patients treated at the Dupr茅 clinic between 2007聽and 2012 (mean duration of hospitalization = 570聽days; mean admission Global Assessment of Functioning Scale (GAF) score = 43.6). GAF scores at time of admission and at time of discharge, other relevant clinical and socio-demographic characteristics of the patients and the specific cares received during hospitalization were collected. Most of the patients had a diagnosis of psychotic disorder (28%), personality disorder (25%) or eating disorder (23%).

Results

Sixty percent of these patients were considered as 鈥済ood responders鈥?(i.e., an increase in GAF scores 鈮?#xA0;25%) and the others (40%) were considered as 鈥減oor responders鈥? Adolescents who participated in a specific care focusing on the professional integration were more likely to be good responder (75% versus 44% among adolescents who did not participate in this specific care, P = 0.023).

Conclusion

Given the limitations of our study (small sample, observational study), the potential interests of specific cares focusing on the professional integration of adolescents in 鈥渃are and study鈥?center should be further studied.