Garland A F, Hough R L, McCabe K M, Yeh M, Wood P A, Aarons G A
Child and Adolescent Services Research Center, Children's Hospital and Health Center, San Diego, CA, USA.
J Am Acad Child Adolesc Psychiatry. 2001 Apr;40(4):409-18. doi: 10.1097/00004583-200104000-00009.
To examine the prevalence of psychiatric disorders among youths from the following five public sectors of care: alcohol and drug services (AD), child welfare (CW), juvenile justice (JJ), mental health (MH), and public school services for youths with serious emotional disturbance (SED) in San Diego, California.
The Diagnostic Interview Schedule for Children was administered between October 1997 and January 1999 for 1,618 randomly selected youths aged 6-18 years who were active in at least one of the five sectors.
Fifty-four percent of the participants met criteria for at least one study disorder. Attention-deficit/hyperactivity disorder (ADHD) and disruptive behavior disorders (50%) were much more common than anxiety (10%) or mood (7%) disorders. Youths who were active in the MH and SED sectors were more likely than those not in these sectors to meet criteria for a disorder; youths in the CW sector were least likely.
Rates of psychiatric disorders, specifically ADHD and disruptive behavior disorders, are extremely high for youths in public sectors of care. Rates are generally higher in sectors designed to serve youths with psychiatric needs, but the prevalence of disorders was also high in sectors not specifically designed for this need (e.g., CW and JJ).
调查加利福尼亚州圣地亚哥市以下五个公共护理部门中青少年精神障碍的患病率：酒精和药物服务部门（AD）、儿童福利部门（CW）、青少年司法部门（JJ）、心理健康部门（MH）以及为有严重情绪障碍（SED）的青少年提供服务的公立学校。
1997年10月至1999年1月期间，对1618名年龄在6至18岁之间、至少活跃于五个部门之一的随机抽取的青少年进行了儿童诊断访谈表调查。
54%的参与者符合至少一种研究障碍的标准。注意缺陷/多动障碍（ADHD）和破坏性行为障碍（50%）比焦虑障碍（10%）或情绪障碍（7%）更为常见。活跃于心理健康和严重情绪障碍部门的青少年比未活跃于这些部门的青少年更有可能符合障碍标准；儿童福利部门的青少年可能性最小。
公共护理部门中青少年的精神障碍发生率，尤其是ADHD和破坏性行为障碍的发生率极高。在旨在为有精神需求的青少年提供服务的部门中，发生率通常更高，但在并非专门为此需求设计的部门（如儿童福利和青少年司法部门）中，障碍的患病率也很高。
