Pelkonen M
Kellokoski Hospital, Uusimaa Mental Health District, Kellokoski, Finland.
Acta Psychiatr Scand. 1990 Apr;81(4):317-21. doi: 10.1111/j.1600-0447.1990.tb05456.x.
In order to evaluate and develop an inpatient program for adolescents, a follow-up study was carried out based on interviews with 58 adolescents discharged from the inpatient unit on average 7 years before. The mental status of these patients had been poor on admission. At the time of follow-up interviews, approximately 30% of patients appeared to have normal, socially varied lives. The results were better for patients whose treatment at the unit had lasted for more than 3 months and had included psychotherapy. Roughly 10% of the patients at the time of follow-up interviews had severe problems. The prognosis was worst for the patients who needed to be transferred from the adolescent unit to adult psychiatric treatment units because of suicidal and violent behavior. Young patients with severe disturbances need an individualized, multidisciplinary treatment approach, including individual psychotherapy and vocational training. The treatment should continue uninterrupted on an outpatient basis.
为了评估和制定一个针对青少年的住院治疗项目，基于对平均7年前从住院部出院的58名青少年的访谈进行了一项随访研究。这些患者入院时精神状态较差。在随访访谈时，约30%的患者似乎过着正常、社交多样的生活。在该科室接受治疗超过3个月且包括心理治疗的患者结果更好。随访访谈时约10%的患者有严重问题。因自杀和暴力行为而需要从青少年科室转至成人精神科治疗科室的患者预后最差。有严重障碍的年轻患者需要个体化、多学科的治疗方法，包括个体心理治疗和职业培训。治疗应在门诊基础上持续不间断进行。
