Mental assessment of child and adolescents in health measure

Year 2017, Volume: 42 Issue: 3, 484 - 489, 30.09.2017

Serhat Nasıroğlu

https://doi.org/10.17826/cutf.296421

Cited By: 7

Abstract

Purpose: The aim of this study is to examine the psychiatric disorders and sociodemographical variables of the children and adolescents referred to child and adolescent psychiatry clinics by the juvenile courts along with an health measure.

Material and Methods: The psychiatric diagnoses and education precautions of children under health measure are recorded. Besides sociodemographic characteristics of the children and adolescents referred to Sakarya University Child and Adolescent Psychiatry clinic for health measures have been also examined retrospectively.

Results: Fifteen percent of the children fif not meet any diagnostic criteria, while 15% of the children were diagnosed with posttraumatic stress disorder, 17% of them were shown to be mental retardation 26.3% of them were attention deficit hyperactivity disorder+conduct disorder and 45% of them had other diagnoses. 78% of the children received medical treatment. 50% of the children and adolescents were from rural areas. 28% of the children were reported to quit the school.

Conclusion: The study has shown that a large proportion of the examined children were diagnosed with at least one psychiatric disorder. Further studies are needed in order to determine the risks and the protective factors that affect the admitted children to the child protection system psychologically.

Keywords

child, Health measure, mental disorders

Sağlık tedbiri alınan çocuk ve ergenlerin ruhsal açıdan değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı, çocuk mahkemeleri tarafından sağlık tedbiri alınan ve çocuk ergen psikiyatrisi polikliniğine yönlendirilen olguların ruhsal bozukluk tanılarını ve sosyodemografik değişkenlerini incelemektir.

Gereç ve Yöntem: Sakarya Üniversitesi Çocuk Psikiyatri Polikliniği'ne sağlık tedbiri alınması nedeniyle yönlendirilen çocuk ve ergenler ruhsal bozukluk tanıları, eğitim tedbiri alınıp alınmadığı ve sosyodemografik özellikleri açısından geriye dönük olarak incelenmiştir.

Bulgular: Çocuk ve ergenlerin  % 15’nde tanı olmadığı, %15’nde travma sonrası stres bozukluğu, % 17’nde mental retardasyon ve % 26,3’ünde dikkat eksikliği hiperaktivite bozukluğu +davranım bozukluğu ve %45’nde ise diğer tanılar saptanmıştır. Çocuk ve ergenlerin %79’nda ilaç tedavisi uygulanmış olduğu, %50’sinin il merkezinden ve geri kalanlar ise diğer ilçelerden geldiği belirlenmiştir. Çalışmadaki çocuk ve ergenlerin %28’i okulu bırakmış olduğu saptanmıştır.

Sonuç: Çalışmamız çocuk mahkemeleri tarafından sağlık tedbiri alınan çocukların yüksekoranlarda ruhsal bozukluk tanısı aldıklarını göstermektedir. Çocuk koruma sistemi içinde bulunan çocukların ruh sağlığını etkileyen risk ve koruyucu faktörlerin belirlenmesi amacıyla ülkemizde daha fazla çalışma yapılması gerekmektedir

Keywords

çocuk, Sağlık tedbiri, ruhsal bozukluk

References

• 1. Erükçü G, Akbaş E. Türkiye’de çocuk mahkemeleri uygulamalarına eleştirel bir bakış. İnsan ve Toplum Bilimleri Araştırmaları Dergisi. 2012;1:135-153.
• 2. Çocuk Koruma Kanunu (ÇKK). 5395 Sayılı Kanun. 03.07.2005.
• 3. Hussey DL. Falletta L. Eng A. Risk factors for mental health diagnoses among children adopted from the public child welfare system. Child Youth Serv Rev. 2012;34:2072-80.
• 4. Finkelhor D, Turner HA, Shattuck A, Hamby SL. Prevalence of childhood exposure to violence, crime, and abuse: results from the National Survey of Children’s Exposure to Violence. JAMA Pediatrics. 2015;169:746-54.
• 5. Colgrove J, Bayer R. Manifold restraints: liberty, public health, and the legacy of Jacobson v Massachusetts. Am J Public Health. 2005;95:571-6.
• 6. Takaoka K, Mizoguchi F, Wada I, Nakazato M, Shiraishi T, Ando S et al. How parents suspected of child maltreatment change their cognition and behavior: a process model of outreach and child protection, generated via grounded theory. Child Youth Serv Rev. 2016;71:257-65.
• 7. Herrenkohl TI, Hong S, Klika JB, Herrenkohl RC, Russo MJ. Developmental impacts of child abuse and neglect related to adult mental health, substance use, and physical health. J Fam Violence. 2013;28:191-9.
• 8. Woods SB, Farineau HM, McWey LM. Physical health, mental health, and behaviour problems among early adolescents in foster care. Child Care Health Dev. 2013;39:220-7.
• 9. Jee S, Szilagyi M, Blatt S, Meguid V, Auinger P, Szilagyi P. Timely identification of mental health problems in two foster care medical homes. Child Youth Serv Rev. 2010;32:685-90.
• 10. Galehouse P, Herrick C, Raphel S. On foster care International Society of Psychiatric‐Mental Health Nurses. J Child Adolesc Psychiatr Nurs. 2010;23:36-9.
• 11. Nesmith A. Parent–child visits in foster care: reaching shared goals and expectations to better prepare children and parents for visits. Child Adolesc Social Work J. 2013;30:237-55.
• 12. Abram KM, Choe JY, Washburn JJ, Teplin LA, King DC, Dulcan MK. Suicidal ideation and behaviors among youths in juveniledetention. J AmAcad Child AdolescPsychiatry. 2008;47:291-300.
• 13. Nemeroff CB. Paradise lost: the neurobiological and clinical consequences of child abuse and neglect. Neuron. 2016;89:892-909.
• 14. Reams R. Children birth to three entering the state's custody.Infant Ment Health J. 1999;20:166-174.
• 15. Reilly T. Transition from care: status and outcomes of youth who age out of foster care. Child Welfare. 2003;82:727-46.
• 16. Pears KC, Kim HK, Fisher PA, Yoerger K. Early school engagement and late elementary outcomes for maltreated children in foster care. Dev Psychol. 2013;49:2201-11.
• 17. Garland AF, Hough RL, McCabe KM, Yeh MAY, Wood PA, Aarons GA. Prevalence of psychiatric disorders in youths across five sectors of care. J Am Acad Child Adolesc Psychiatry. 2001;40:409-18.
• 18. Mohr-Jensen C, Steinhausen HC. A meta-analysis and systematic review of the risks associated with childhood attention-deficit hyperactivity disorder on long-term outcome of arrests, convictions, and incarcerations. Clin Psychol Rev. 2016;48:32-42.
• 19. Copeland WE, Miller-Johnson S, Keeler G, Angold A, Costello EJ. Childhood psychiatric disorders and young adult crime: a prospective, population-based study. Am J Psychiatry. 2007;164:1668-75.
• 20. Rauh VA, Margolis AE. Research Review: Environmental exposures, neurodevelopment, and child mental health–new paradigms for the study of brain and behavioral effects. J Child Psychol Psychiatry. 2016;57:775-93.
• 21. Cook PJ, Kang S. Birthdays, schooling, and crime: regression-discontinuity analysis of school performance, delinquency, dropout, and crime initiation. Am Econ J Appl Econ. 2016;8:33-57