Atilola Olayinka, Ola Bolanle, Abiri Gbonjubola, Sahid-Adebambo Modepeola, Odukoya Olubukayo, Adewuya Abiodun, Coker Olurotimi, Folarin Oluwadamilola, Fasawe Adedolapo
a Department of Behavioural Medicine , Lagos State University College of Medicine , Ikeja Lagos , Nigeria.
b Department of Psychiatry , Lagos State University Teaching Hospital Ikeja , Lagos , Nigeria.
J Child Adolesc Ment Health. 2017 May;29(1):63-83. doi: 10.2989/17280583.2017.1321550.
High prevalence rates of psychiatric morbidity have been documented among adolescents within youth correctional institutions in Nigeria. However, there has not been prior investigation to determine the capacity for and nature of mental health services being provided in these institutions.
To assess psychiatric morbidity among adolescents within youth correctional institutions in Lagos, while simultaneously examining the capacity for and the scope of mental health services.
Psychiatric morbidity and alcohol/substance use disorder were assessed among 165 respondents using the Strengths and Difficulties Questionnaire, and the CRAFFT screening tool for adolescent substance use disorder. Availability of mental-health services in the institutions was examined using an 'audit protocol'.
We found prevalence rates of 18.2% and 15.8% of general psychiatric morbidity and alcohol/ substance use disorder, respectively, among the adolescents. Only about a third (34.3%; n = 20) of the operational staff at the institutions had educational backgrounds relevant to psycho-social services for children/adolescents, while less than a quarter (22.4%, n = 13) has ever received any training in child mental health services. There was no evidence of mental health screening and intervention in the service framework within the institutions.
We concluded that there was evidence for significant mental health service gaps within the youth correctional services in Lagos.
尼日利亚青少年教养机构中的青少年精神疾病患病率很高。然而，此前尚未进行调查以确定这些机构提供心理健康服务的能力和性质。
评估拉各斯青少年教养机构中青少年的精神疾病患病率，同时考察心理健康服务的能力和范围。
使用优势与困难问卷以及青少年物质使用障碍的CRAFFT筛查工具，对165名受访者的精神疾病患病率和酒精/物质使用障碍进行评估。通过“审核方案”检查各机构心理健康服务的可获得性。
我们发现青少年中一般精神疾病患病率和酒精/物质使用障碍患病率分别为18.2%和15.8%。各机构中只有约三分之一（34.3%；n = 20）的运营人员具有与儿童/青少年心理社会服务相关的教育背景，而接受过儿童心理健康服务培训的人员不到四分之一（22.4%，n = 13）。各机构的服务框架中没有心理健康筛查和干预的迹象。
我们得出结论，拉各斯青少年教养服务中存在明显的心理健康服务差距。
