Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart Review
Background: Adolescent inpatients with substance use disorder (SUD) and a history of child maltreatment (CM) present a vulnerable population at considerable risk of poor health and social outcomes. The aims of this study were to explore the proportion of adolescent inpatients with SUD and a history...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Adolescents |
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| Online Access: | https://www.mdpi.com/2673-7051/2/1/3 |
| _version_ | 1797447712105299968 |
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| author | Michèle Preyde Shrenik Parekh John Heintzman |
| author_facet | Michèle Preyde Shrenik Parekh John Heintzman |
| author_sort | Michèle Preyde |
| collection | DOAJ |
| description | Background: Adolescent inpatients with substance use disorder (SUD) and a history of child maltreatment (CM) present a vulnerable population at considerable risk of poor health and social outcomes. The aims of this study were to explore the proportion of adolescent inpatients with SUD and a history of CM and to compare these patients to inpatients with SUD and no history of CM. Methods: In this retrospective chart review, we explored adolescent patients who were consecutively admitted to a regional child and adolescent inpatient unit for psychiatric care and met DSM (5th ed) criteria for SUD. A standardized form was created and used to extract clinical information and psychosocial histories. Results: From 1 September 2019 to 28 February 2020, 126 adolescents were admitted with SUD, and for 80 (63.3%) patients, a history of CM was recorded in the medical charts. Patients with a history of CM were significantly more likely to be female (<i>p</i> = 0.02), have longer lengths of stay (<i>p</i> = 0.04), to be readmitted (<i>p</i> = 0.03), be diagnosed with trauma/stress-related (<i>p</i> = 0.04) and eating disorders (<i>p</i> = 0.05), to have a parent with a mental illness (<i>p</i> = 0.01), experienced physical (<i>p</i> < 0.01) and sexual (<i>p</i> < 0.01) assaults and homelessness (<i>p</i> < 0.01), and to engage in self-harming behaviors (<i>p</i> < 0.01) than inpatients with SUD but no history of CM. Conclusions: Almost two-thirds of adolescent inpatients with an SUD reported a history of CM. Addressing their specific clinical and psychosocial vulnerabilities through comprehensive treatment and discharge plans may reduce readmission and improve quality of life. |
| first_indexed | 2024-03-09T13:59:52Z |
| format | Article |
| id | doaj.art-5dc2faf38e2b452d8817d016e86d1697 |
| institution | Directory Open Access Journal |
| issn | 2673-7051 |
| language | English |
| last_indexed | 2024-03-09T13:59:52Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Adolescents |
| spelling | doaj.art-5dc2faf38e2b452d8817d016e86d16972023-11-30T10:27:28ZengMDPI AGAdolescents2673-70512022-01-0121222910.3390/adolescents2010003Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart ReviewMichèle Preyde0Shrenik Parekh1John Heintzman2Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, CanadaChild and Adolescent Psychiatry, Grand River Hospital, Kitchener, ON N2G 1G3, CanadaChild and Adolescent Psychiatry, Grand River Hospital, Kitchener, ON N2G 1G3, CanadaBackground: Adolescent inpatients with substance use disorder (SUD) and a history of child maltreatment (CM) present a vulnerable population at considerable risk of poor health and social outcomes. The aims of this study were to explore the proportion of adolescent inpatients with SUD and a history of CM and to compare these patients to inpatients with SUD and no history of CM. Methods: In this retrospective chart review, we explored adolescent patients who were consecutively admitted to a regional child and adolescent inpatient unit for psychiatric care and met DSM (5th ed) criteria for SUD. A standardized form was created and used to extract clinical information and psychosocial histories. Results: From 1 September 2019 to 28 February 2020, 126 adolescents were admitted with SUD, and for 80 (63.3%) patients, a history of CM was recorded in the medical charts. Patients with a history of CM were significantly more likely to be female (<i>p</i> = 0.02), have longer lengths of stay (<i>p</i> = 0.04), to be readmitted (<i>p</i> = 0.03), be diagnosed with trauma/stress-related (<i>p</i> = 0.04) and eating disorders (<i>p</i> = 0.05), to have a parent with a mental illness (<i>p</i> = 0.01), experienced physical (<i>p</i> < 0.01) and sexual (<i>p</i> < 0.01) assaults and homelessness (<i>p</i> < 0.01), and to engage in self-harming behaviors (<i>p</i> < 0.01) than inpatients with SUD but no history of CM. Conclusions: Almost two-thirds of adolescent inpatients with an SUD reported a history of CM. Addressing their specific clinical and psychosocial vulnerabilities through comprehensive treatment and discharge plans may reduce readmission and improve quality of life.https://www.mdpi.com/2673-7051/2/1/3inpatientssubstance use disorderchild maltreatmentlength of stayreadmissions |
| spellingShingle | Michèle Preyde Shrenik Parekh John Heintzman Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart Review Adolescents inpatients substance use disorder child maltreatment length of stay readmissions |
| title | Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart Review |
| title_full | Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart Review |
| title_fullStr | Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart Review |
| title_full_unstemmed | Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart Review |
| title_short | Vulnerable Populations: Comparison of Characteristics of Adolescent Inpatients with Substance Use Disorder and a History of Child Maltreatment to Inpatients without a History of Child Maltreatment: A Retrospective Chart Review |
| title_sort | vulnerable populations comparison of characteristics of adolescent inpatients with substance use disorder and a history of child maltreatment to inpatients without a history of child maltreatment a retrospective chart review |
| topic | inpatients substance use disorder child maltreatment length of stay readmissions |
| url | https://www.mdpi.com/2673-7051/2/1/3 |
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