为寄养青年和残疾青年提供的心理健康服务。
Mental health services for youths in foster care and disabled youths.
作者信息
dosReis S, Zito J M, Safer D J, Soeken K L
机构信息
School of Pharmacy, University of Maryland, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Md., USA.
出版信息
Am J Public Health. 2001 Jul;91(7):1094-9. doi: 10.2105/ajph.91.7.1094.
OBJECTIVES
This study assessed whether mental health services for youths differ with respect to medical assistance aid category.
METHODS
Computerized claims for 15,507 youths with Medicaid insurance in a populous county of a mid-Atlantic state were used to establish population-based prevalence estimates of mental disorders and psychotherapeutic treatments during 1996.
RESULTS
An analysis of service claims revealed that the prevalence of mental disorders among youths enrolled in foster care (57%) was twice that of youths receiving Supplemental Security Income (SSI; 26%) and nearly 15 times that of other youths receiving other types of aid (4%). Rates of mental health service use were pronounced among foster care youths aged 6 to 14 years. Attention deficit/hyperactivity disorder, depression, and developmental disorders were the most prevalent disorders. Stimulants, antidepressants, and anticonvulsants were the most prevalent medications.
CONCLUSIONS
Youths enrolled in foster care and youths receiving SSI use far more mental health services than do youths in other aid categories. Additional research should evaluate the complexity and outcomes of mental health services for youths in foster care.
目的
本研究评估了青少年心理健康服务在医疗救助类别方面是否存在差异。
方法
利用大西洋中部某州一个人口众多的县中15507名参加医疗补助保险的青少年的计算机化理赔数据，来确定1996年基于人群的精神障碍患病率估计值以及心理治疗情况。
结果
对服务理赔的分析显示，寄养青少年中精神障碍的患病率（57%）是领取补充保障收入（SSI）的青少年（26%）的两倍，几乎是领取其他类型救助的其他青少年（4%）的15倍。6至14岁的寄养青少年心理健康服务使用率较高。注意力缺陷/多动障碍、抑郁症和发育障碍是最常见的疾病。兴奋剂、抗抑郁药和抗惊厥药是最常用的药物。
结论
寄养青少年和领取SSI的青少年比其他救助类别的青少年使用心理健康服务的频率要高得多。进一步的研究应评估寄养青少年心理健康服务的复杂性和效果。
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