Teenage School Refusers Grow Up: A Follow-up Study of 168 Subjects, Ten Years on Average after In-Patient Treatment

1985 ◽  
Vol 147 (4) ◽  
pp. 366-370 ◽  
Author(s):  
Ian Berg ◽  
Ann Jackson
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Illness ◽  
Psychiatric Treatment ◽  
Point Prevalence ◽  
Patient Treatment ◽  
Prevalence Rates ◽  
Psychiatric Unit ◽  
Follow Up Study

Efforts were made to follow up 168 young teenage school refusers ten years, on average, after they had been treated as inpatients in an adolescent psychiatric unit. Almost half were well or much improved throughout the follow-up period. Outcome was most satisfactory in intellectually bright children treated under the age of 14 and among those who were well or substantially better shortly after discharge. Thirty per cent of the group had received treatment for psychiatric illness, 14% had seen a psychiatrist and 5% had been admitted to hospital for psychiatric treatment during the follow-up period. Thirty per cent appeared to be disturbed at the time that they were reviewed. The ‘decennial-inception’ and ‘point-prevalence’ rates for psychiatric disorder appeared unduly high by comparison with local and national rates of disturbance.

Undiagnosed Psychiatric Patients

1972 ◽  
Vol 121 (565) ◽  
pp. 647-651 ◽  
Author(s):  
Jay L. Liss ◽  
Amos Welner ◽  
Eli Robins
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Psychiatric Illness ◽  
Chart Review ◽  
Psychiatric Patients ◽  
Psychiatric Research ◽  
Hospital Records ◽  
Follow Up Study ◽  
Narrative Interview

In a previous report records were studied of 256 in-patients who were discharged as undiagnosed, i.e. in-patients who at the time of discharge did not have a definable psychiatric illness (Welner, Liss, Robins and Richardson, 1972). In that study it was shown that when rigorous criteria for psychiatric research (Feighner, Robins, Guze, Woodruff, Winokur and Munoz, 1972) were used 68 per cent of these patients met the criteria for an established psychiatric disorder. It was concluded that: (1) The chart review diagnoses for a population of undiagnosed patients consisted of a variety of established psychiatric disorders and the population was not homogeneous. (The chart review diagnosis is a diagnosis obtained by review of the patients' hospital records and evaluating the information by using diagnostic criteria for psychiatric disorders.) (2) The most efficient way to arrive at a diagnosis was by structured rather than conventional narrative interview. This study is a follow-up study of these patients and attempts to evaluate the validity of the chart review diagnosis. A concordance between the chart review diagnosis and follow-up diagnosis supports the above conclusions. The follow-up study also served to establish diagnosis in patients who had too few symptoms initially to meet the criteria for a diagnosis.

The Effectiveness of a Child Psychiatric Unit: A Follow-up Study

1988 ◽  
Vol 33 (9) ◽  
pp. 793-799 ◽  
Author(s):  
Philip G. Ney ◽  
R. Robert ◽  
Bruce R. Hanton ◽  
Emma S. Brindad
Keyword(s):  
Family Satisfaction ◽  
Treatment Programs ◽  
Older Children ◽  
Psychiatric Unit ◽  
Abused Children ◽  
Physically Abused ◽  
Follow Up Study ◽  
Placement Decisions ◽  
Child Psychiatric

This follow-up study to determine the effectiveness of a child psychiatric unit found evidence to support a program emphasizing a predetermined period of hospitalization. Most measures of family satisfaction, behaviour and social function improved significantly. The unit appears to treat older children as well as those less than 9, children from fighting families as well as those with less fighting, and sexually abused children as well as physically abused children. The program includes: 2 weeks of preadmission evaluations, 5 weeks hospitalization and 5 weeks of follow-up, placement decisions made before admission, primary responsibility for front line staff and treatment programs composed of various combinations of techniques from a list of 65 possible techniques.

Predictors of changes in needs for care in patients receiving community psychiatric treatment: a 4-year follow-up study

2007 ◽  
Vol 116 (s437) ◽  
pp. 31-41 ◽  
Author(s):  
A. Lasalvia ◽  
C. Bonetto ◽  
G. Salvi ◽  
S. Bissoli ◽  
M. Tansella ◽  
...  
Keyword(s):  
Psychiatric Treatment ◽  
Follow Up Study ◽  
Community Psychiatric ◽  
Needs For Care

School Refusal: a 15–20-year Follow-up Study of 35 Swedish Urban Children

1988 ◽  
Vol 152 (6) ◽  
pp. 834-837 ◽  
Author(s):  
Natalia Flakierska ◽  
Marianne Lindström ◽  
Christopher Gillberg
Keyword(s):  
Psychiatric Disorders ◽  
Social Adjustment ◽  
Psychiatric Care ◽  
Urban Children ◽  
School Refusal ◽  
Patient Treatment ◽  
Follow Up Study ◽  
Matched Comparison ◽  
Age And Sex

Results from a 15–20-year follow-up study of 35 7–12–year-old children with school refusal and 35 age- and sex-matched comparison children are reported. The school refusal cases had applied for out-patient adult psychiatric care more often than comparison children. Also they had fewer children of their own. In respect of overall social adjustment and severe psychiatric disorders requiring in-patient treatment, there were no important differences.

Psychiatric Disorders in Children in Long-Term Residential Care: a Follow-Up Study

1979 ◽  
Vol 135 (2) ◽  
pp. 129-135 ◽  
Author(s):  
Stephen Wolkind ◽  
George Renton
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Residential Care ◽  
Original Study ◽  
Behavioural Pattern ◽  
Follow Up Study ◽  
Children’S Homes ◽  
Psychiatric Study

SummaryNinety-two children who had been examined in a psychiatric study of five to twelve year-olds in long-term residential care were followed up four years later. Three-quarters were still in children's homes, but over half had been moved to different establishments. At both the original study and follow-up, the majority showed evidence of psychiatric disorder. Considerable continuity of behavioural pattern was found, particularly amongst those who originally had antisocial disorders, who were also most likely to have had changes of care-taker during the four years. It is suggested that the persistence of their disorder may be due to a vicious circle of unacceptable behaviour and adult rejection.

scholarly journals Clinical Holistic Medicine: Psychodynamic Short-Time Therapy Complemented with Bodywork. A Clinical Follow-Up Study of 109 Patients

2006 ◽  
Vol 6 ◽  
pp. 2220-2238 ◽  
Author(s):  
Søren Ventegodt ◽  
Suzette Thegler ◽  
Tove Andreasen ◽  
Flemming Struve ◽  
Lars Enevoldsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Treatment ◽  
Psychological Treatment ◽  
Holistic Medicine ◽  
Initial Contact ◽  
Initial Condition ◽  
Ability To Work ◽  
Follow Up Study ◽  
Short Time

This is a study of 109 patients who attended the Research Clinic for Holistic Medicine in Copenhagen during the 2004–2006 period, grouped according to the symptoms they presented with. Every new patient was asked to answer a 10-question composite questionnaire containing QOL1, QOL5, and four questions on ability to function socially, ability to function sexually, ability to love, and ability to work, rated on a 5-point Likert scale, on initial contact and after 1–3 months, when the patient had received about five treatments, the patient was asked to complete the questionnaire again, and finally again after 1 year. All had been to their general practitioner first with their problems and 30% had been in psychological/psychiatric treatment before. The patients were treated with short-time psychodynamic therapy (less than 40 sessions) including bodywork when necessary. More than half the patients had a bad or very bad self-assessed mental health before treatment, but after treatment only 15% reported a bad or very bad mental health (p < 0.001). Most had a complex of mental, somatic, existential, and sexual problems. Of the patients, 69.72% did the retest after treatment. We conclude that clinical holistic medicine was able to help the majority of these patients, even when patients had not been sufficiently helped by drugs, psychiatry, or psychology before. We found that outcome of therapy was not connected with severity of initial condition, but probably with the former experience of treatment. If psychiatric or psychological treatment had already failed, the patients were more difficult to help. The Square Curve Paradigm was used to document a large, immediate and lasting effect of the therapy.

In-patient Treatment of 165 Adolescents with Emotional and Conduct Disorders a Study of Outcome

1993 ◽  
Vol 162 (3) ◽  
pp. 345-352 ◽  
Author(s):  
Peter Wells ◽  
Brian Faragher
Keyword(s):  
Emotional Disorders ◽  
Social Services ◽  
Treated Group ◽  
Conduct Disorders ◽  
Patient Treatment ◽  
Follow Up Study ◽  
One Year ◽  
The One ◽  
Different Characteristics

A two-year follow-up study of 165 teenagers with conduct and emotional disorders treated as in-patients on a regional adolescent unit (YPU) is described. The target types of behaviour for each subject were scored independently by the teenager, the parent or guardian, and the professional referrer before admission and at one month, one year and two years after discharge. The significant overall improvement in behaviour observed at one month after discharge was sustained at one and two years. Thirty-three subjects who abandoned treatment within six weeks of admission had made significantly less progress than the fully treated group at one month after discharge, but there were no significant differences at the one- and two-year evaluations. Two years after treatment, between 69% and 79% of the 132 subjects who completed treatment were regarded as improved, depending on which respondent made the assessment. Adolescents who completed treatment had different characteristics from those who terminated treatment prematurely and were more likely to be girls in care referred by social services.

Disulfiram Treatment of Alcoholism

1992 ◽  
Vol 161 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Jonathan Chick ◽  
Kevin Gough ◽  
Wojciech Falkowski ◽  
Peter Kershaw ◽  
Brian Hore ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Alcohol Consumption ◽  
Vitamin C ◽  
Adverse Reactions ◽  
Treatment Withdrawal ◽  
Patient Treatment ◽  
Follow Up Study ◽  
Weekly Alcohol Consumption ◽  
Group Serum

To assess the efficacy of supervised disulfiram as an adjunct to out-patient treatment of alcoholics, a randomised, partially blind, six-month follow-up study was conducted in which 126 patients received 200 mg disulfiram or 100 mg vitamin C under the supervision of a nominated informant. In the opinion of the (blinded) independent assessor, patients on disulfiram increased average total abstinent days by 100 and patients on vitamin C by 69, thus enhancing by one-third this measure of treatment outcome. Mean weekly alcohol consumption was reduced by 162 units with disulfiram, compared with 105 units with vitamin C., and the disulfiram patients reduced their total six-month alcohol consumption by 2572 units compared with an average reduction of 1448 units in the vitamin C group. Serum gamma-GT showed a mean fall of 21 IU/I in patients on disulfiram but rose by a mean of 13 IU/I with vitamin C. Unwanted effects in the disulfiram group led to a dose reduction in seven patients and to treatment withdrawal in four (and in one vitamin C patient). Two-thirds of the disulfiram group asked to continue the treatment at the end of the study. There were no medically serious adverse reactions.

Survival of patients with incident dementia who had a pre-existing psychiatric disorder: a population-based 7-year follow-up study

2011 ◽  
Vol 27 (7) ◽  
pp. 683-691 ◽  
Author(s):  
Xiangfei Meng ◽  
Carl D'Arcy ◽  
Raymond Tempier ◽  
Changgui Kou ◽  
Debra Morgan ◽  
...  
Keyword(s):  
Psychiatric Disorder ◽  
Population Based ◽  
Follow Up Study ◽  
Incident Dementia
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