Evaluation of the physical health of adolescent in-patients in generic and secure services: retrospective case-note review

BJ Psych Bulletin

article

Rebekah Carney¹  Shermin Imran¹  Heather Law¹  Siri Folstad²  Sophie Parker¹ 

[1] Greater Manchester Mental Health NHS Foundation Trust;University of Manchester

关键词: Adolescent;    in-patient;    secure services;    mental health;    physical health.;   

DOI  :  10.1192/bjb.2019.68

学科分类：工程和技术（综合）

来源: Cambridge University Press

【 摘 要 】

Aims and method To assess physical health needs of adolescent in-patients by routine monitoring. A retrospective analysis of case notes was conducted on a 6-month intake to generic and secure adolescent mental health units in Greater Manchester, UK. Results Fifty individuals were admitted (52% female, average age 15.84 years). Diagnoses varied and 66% were prescribed medications before admission. All had a physical health assessment, which identified various physical health risk factors. Average body mass index was 25.99 (range 15.8–44), and increased during in-patient treatment for 84% of individuals who had their body mass recorded more than once. A total of 28% of individuals smoked. Lipids and prolactin levels were elevated across the sample. Clinical implications This evaluation strengthens the argument to optimise physical healthcare for adolescent in-patients and develop physical health interventions, particularly given that we observed elevated lipids and prolactin. Physical health and well-being may not be prioritised when assessing and managing young peoples’ mental health, despite their increased vulnerability for comorbid conditions.

【 授权许可】

CC BY