Objectives. The aim of this research is to analyze the therapeutic approach to the psychiatric adolescent within a daily care centre. The experience is that of the Daily Service for Adolescents located into the Neuropsychiatric Unit for Children and Adolescent, ULSS 16 Padua. Matherial and methods. The sample, 60 adolescents, aged 12 to 19 years, was divided into 2 groups: who started and continued the clinical-pedagogical path in the daily service and who, after the location in the daily centre, received indications for the recovery in a community. All patients were evaluated at the beginning and during the clinical-pedagogical path (every 3-6 months) throughout the Youth Self Report questionnaire (YSR 1] - 18) of T. Achenbach and the Global Assessment Functioning scale (GAF). Moreover, information about the adolescent and his/her family and aspects concerning the clinical-pedagogic intervention (diagnosis, therapeutic targets, participation modality to the activities, therapeutic alliance with adolescents and family, therapeutic compliance, clinical outcome) were collectedfor each patient. Results. These variables were analyzed for each group and compared with the aim to verify possible meaningful differences in order to establish previous indicative elements for a residential rather than daily care approach. Conclusions. The study made evident some factors which can be referred to the opportunity of a recovery in a community: younger age (<14 years),family's low socio-culturallevel, monoparental families (because of divorce and/or high parental conflict), medium-severe psychopatology (borderline or psychotic disorders with the presence of psychiatric comorbility), scholastic difficulties with interruption of the educational caree
Psycho-educational intervention for psychiatric adolescents: the experience of a daily service
GATTA, MICHELA;
2009
Abstract
Objectives. The aim of this research is to analyze the therapeutic approach to the psychiatric adolescent within a daily care centre. The experience is that of the Daily Service for Adolescents located into the Neuropsychiatric Unit for Children and Adolescent, ULSS 16 Padua. Matherial and methods. The sample, 60 adolescents, aged 12 to 19 years, was divided into 2 groups: who started and continued the clinical-pedagogical path in the daily service and who, after the location in the daily centre, received indications for the recovery in a community. All patients were evaluated at the beginning and during the clinical-pedagogical path (every 3-6 months) throughout the Youth Self Report questionnaire (YSR 1] - 18) of T. Achenbach and the Global Assessment Functioning scale (GAF). Moreover, information about the adolescent and his/her family and aspects concerning the clinical-pedagogic intervention (diagnosis, therapeutic targets, participation modality to the activities, therapeutic alliance with adolescents and family, therapeutic compliance, clinical outcome) were collectedfor each patient. Results. These variables were analyzed for each group and compared with the aim to verify possible meaningful differences in order to establish previous indicative elements for a residential rather than daily care approach. Conclusions. The study made evident some factors which can be referred to the opportunity of a recovery in a community: younger age (<14 years),family's low socio-culturallevel, monoparental families (because of divorce and/or high parental conflict), medium-severe psychopatology (borderline or psychotic disorders with the presence of psychiatric comorbility), scholastic difficulties with interruption of the educational careePubblicazioni consigliate
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