Pottick Kathleen J, Warner Lynn A, Yoder Kevin A
School of Social Work and Institute for Health, Health Care Policy and Aging Research, Rutgers University, 30 College Ave, New Brunswick, NJ 08901, USA.
J Behav Health Serv Res. 2005 Jul-Sep;32(3):264-81. doi: 10.1007/BF02291827.
This study examines the clinical characteristics of youths who lived away from families at the time of admission to specialty mental health services, and investigates the association between type of nonfamily living situation and admission to residential versus outpatient programs. Of 3995 youths sampled from 1598 mental health programs in the United States, 14% lived away from their own families, either in foster care, group care settings, or correctional settings, or were emancipated. As a group, youths living away from families were more seriously emotionally disturbed and more likely to receive treatment in residential care programs. Youths who lived in foster care were more likely to be admitted to outpatient programs, while youths who lived in group care settings or correctional settings were more likely to be admitted to residential care programs, controlling on demographic and clinical characteristics. Targeting resources to enhance the availability and therapeutic capacity of foster care may facilitate community living, and decrease time spent in institutional settings.
本研究考察了在进入专业心理健康服务机构时离家生活的青少年的临床特征，并调查了非家庭生活状况类型与入住住院项目或门诊项目之间的关联。在美国1598个心理健康项目中抽取的3995名青少年中，14%的人离家生活，他们要么处于寄养、集体照料环境或教养环境中，要么已独立生活。总体而言，离家生活的青少年情绪困扰更严重，更有可能接受住院护理项目的治疗。在控制人口统计学和临床特征的情况下，寄养青少年更有可能进入门诊项目，而处于集体照料环境或教养环境中的青少年更有可能进入住院护理项目。将资源用于提高寄养服务的可及性和治疗能力，可能有助于促进社区生活，并减少在机构环境中花费的时间。
