Treatments and Services Provided to Children Diagnosed with Bipolar Disorder
| Autor: | Kathryn M. Schak, Peter S. Jensen, Julio M. Bernardi, Christopher A. Wall, Amandeep Singh, Cosima C. Swintak, Jennifer L. Vande Voort |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Mental Health Services medicine.medical_specialty Bipolar Disorder Adolescent medicine.medical_treatment Child Health Services 03 medical and health sciences 0302 clinical medicine Healthcare delivery Health care Developmental and Educational Psychology medicine Humans Bipolar disorder Child Antipsychotic Psychiatry business.industry Medical record medicine.disease Combined Modality Therapy Mental health 030227 psychiatry Hospitalization Psychotherapy Psychiatry and Mental health Mood Adolescent Health Services Family medicine Pediatrics Perinatology and Child Health Female business 030217 neurology & neurosurgery Antipsychotic Agents Healthcare system |
| Zdroj: | Child Psychiatry & Human Development. 47:494-502 |
| ISSN: | 1573-3327 0009-398X |
| DOI: | 10.1007/s10578-015-0582-7 |
| Popis: | To better understand the types and quantity of mental health services and medication usage for youth diagnosed with bipolar disorder (BD) within an integrated healthcare system, medical records were reviewed from 2000 to 2011. Eighty-five youth diagnosed with BD were identified and healthcare services (medication and psychotherapy follow-up appointments, emergency room (ER) visits, admissions, phone contacts) and visit-related details (medication usage) were abstracted for 2 years after initial BD diagnosis. Despite complex medication regimens (91.7 and 81.2 % received mood stabilizers and antipsychotic agents, respectively), medication appointments were infrequent, averaging 1 visit every 2 months. Only 36 (42 %) of 85 youth were noted to receive psychotherapy services following BD diagnosis, also averaging 1 visit every 2 months. Most (58.8 %) patients needed one or more hospitalizations during the follow-up period; nearly half (48.2 %) had psychiatric ER visits. The relative lack of psychotherapy and infrequent follow-up visits suggests need for improvement to optimize healthcare delivery. |
| Databáze: | OpenAIRE |
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