Schiffman Jason, Daleiden Eric L
University of Hawaii at Manoa, Honolulu 96822-2216, USA.
J Child Psychol Psychiatry. 2006 Jan;47(1):58-62. doi: 10.1111/j.1469-7610.2005.01448.x.
Population and service characteristics were compared for youth (age 0-18 years) with and without schizophrenia-spectrum disorders, who received public mental health services in Hawaii's comprehensive system of care between July 1, 2000 and June 30, 2001.
Electronic records of youth with a diagnosis in the schizophrenia-spectrum (n=71) were compared to all other youth (n=13,904) who received services with respect to age, gender, ethnicity, comorbidity, type of service, and service cost.
The schizophrenia-spectrum group had higher Asian representation, greater comorbidity, and was more likely to receive restrictive services for a higher average annual expense. When restrictive services were provided, they were of similar duration and intensity across groups. Almost all youth received less intensive services, but the schizophrenia-spectrum group received a higher frequency or longer duration of such services.
Although youth with schizophrenia-spectrum disorders were uncommon, collectively they represented a distinct population with above average service consumption. Future monitoring of interventions and outcomes may help develop systematic and effective treatment strategies for youth with schizophrenia-spectrum disorders.
对2000年7月1日至2001年6月30日期间在夏威夷综合护理系统中接受公共心理健康服务的患有和未患有精神分裂症谱系障碍的青少年（0至18岁）的人口和服务特征进行了比较。
将精神分裂症谱系诊断的青少年（n = 71）的电子记录与所有其他接受服务的青少年（n = 13,904）在年龄、性别、种族、合并症、服务类型和服务成本方面进行比较。
精神分裂症谱系组中亚洲人的比例更高，合并症更多，并且更有可能接受限制性服务，平均年度费用更高。当提供限制性服务时，各群体的服务持续时间和强度相似。几乎所有青少年接受的服务强度较低，但精神分裂症谱系组接受此类服务的频率更高或持续时间更长。
尽管患有精神分裂症谱系障碍的青少年并不常见，但总体而言，他们是一个服务消费高于平均水平的独特群体。未来对干预措施和结果的监测可能有助于为患有精神分裂症谱系障碍的青少年制定系统有效的治疗策略。
