Jacquet Y, Mabrut J P
l'Unité de Soins pour Adolescents, Centre Hospitalier, Cholet.
Arch Fr Pediatr. 1991 Mar;48(3):179-83.
The authors report their experience of management of 12-18 years adolescents in the year 1987 using a multidisciplinary approach. Eighty adolescents were hospitalized in the adolescent ward (5 beds) of a pediatric unit (38 beds; 1,691 admissions). Follow-up was carried out in a specialized out-patient clinic (SOPC) (660 patients) in a common-place apartment lent by the town-hall. A day hospital (12 beds) was reserved for those patients presenting with more important psychological problems. The causes for hospitalization (64% of females, 36% of males) consisted for 1/3 of somatic problems and for 2/3 of psychological problems, of which 40% were suicide attempts. 70% of these adolescents were met again in the SOPC (36% by a pediatrician, 29% by the pedopsychiatric team). Such a structure, open towards the outside, working in a multifocal and multidisciplinary way but with the same care team allows, in spite of some difficulties and doubts, responding to the local needs and facing a more global management and a better follow-up of adolescents with difficulties.
作者报告了他们在1987年采用多学科方法管理12至18岁青少年的经验。80名青少年在一家儿科病房（38张床位；1691例入院）的青少年病房（5张床位）住院。随访在一个由市政厅出借的普通公寓中的专科门诊（SOPC）（660名患者）进行。日间医院（12张床位）留给那些有更严重心理问题的患者。住院原因（女性占64%，男性占36%）中，三分之一是躯体问题，三分之二是心理问题，其中40%是自杀未遂。这些青少年中有70%在SOPC再次接受治疗（36%由儿科医生治疗，29%由儿童精神科团队治疗）。这样一个向外部开放、以多焦点和多学科方式运作但由同一护理团队负责的结构，尽管存在一些困难和疑虑，但仍能够满足当地需求，并对有困难的青少年进行更全面的管理和更好的随访。
