Pumariega A J, Johnson N P, Sheridan D
University of South Carolina School of Medicine, USA.
J Ment Health Adm. 1995 Fall;22(4):426-32. doi: 10.1007/BF02518636.
Residential group homes are increasingly important components of the system of mental health care for children and adolescents. However, they often do not have sufficient resources to provide active therapeutic programs as a result of their usual missions in serving abandoned or runaway youth. The authors studied 299 youth, ages 12 to 17 years, in five large residential group home programs in South Carolina. The instruments administered were (1) the Center for Epidemiological Survey-Depression Scale (CES-D), (2) a brief substance abuse questionnaire, and (3) questions about socioeconomic status, previous placements, and family relationship variables. A significant percentage scored above conservative clinical cut-off scores for the CES-D (51.7% scored 16 or above and 33.6% scored 23 or above). The youth also had significant levels of substance abuse problems. However, these variables were not predictive of previous multiple out-of-home placements (runaway behavior was predictive). These findings support the importance of addressing the clinical needs of youth in these programs.
家庭式集体寄养机构日益成为儿童和青少年心理健康护理体系的重要组成部分。然而，由于其服务被遗弃或离家出走青少年的日常使命，它们往往没有足够资源来提供积极的治疗项目。作者对南卡罗来纳州五个大型家庭式集体寄养项目中的299名12至17岁青少年进行了研究。所使用的工具包括：（1）流行病学调查中心抑郁量表（CES-D）；（2）一份简短的药物滥用调查问卷；（3）关于社会经济地位、之前安置情况和家庭关系变量的问题。相当大比例的青少年在CES-D上的得分高于保守的临床临界分数（51.7%的得分在16分及以上，33.6%的得分在23分及以上）。这些青少年还存在显著程度的药物滥用问题。然而，这些变量并不能预测之前多次的家庭外安置情况（离家出走行为具有预测性）。这些发现支持了在这些项目中满足青少年临床需求的重要性。
