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[Socio-demographic and clinical characteristics of adolescents hospitalized in French units for inmates: Results of a cross-sectional study]. / Caractéristiques socio-démographiques et cliniques des adolescents détenus hospitalisés en unité hospitalière spécialement aménagée : résultats d'une étude transversale nationale.
Buyle-Bodin, S; Amad, A; Medjkane, F; Bourion-Bedes, S; Thomas, P; Fovet, T.
Afiliação
  • Buyle-Bodin S; Unité hospitalière spécialement aménagée, pôle de psychiatrie, CHU Lille, chemin du Bois de l'hôpital, 59113 Seclin, France. Electronic address: suzanne.buylebodin@gmail.com.
  • Amad A; Unité hospitalière spécialement aménagée, pôle de psychiatrie, CHU Lille, chemin du Bois de l'hôpital, 59113 Seclin, France; CNRS UMR 9193, laboratoire de sciences cognitives et sciences affectives (SCALab-PsyCHIC), université Lille, BP 60149, 59653 Villeneuve d'Ascq cedex, France.
  • Medjkane F; Service de psychiatrie de l'enfant et de l'adolescent, hôpital Fontan 1, CHU Lille, rue Henri-Ghesquière, 59000 Lille, France.
  • Bourion-Bedes S; SMPR de Metz, centre hospitalier Lorquin, 5, rue due Général de Gaulle, 57790 Lorquin, France; EA4360 APEMAC, université de Lorraine, 54000 Nancy, France.
  • Thomas P; Unité hospitalière spécialement aménagée, pôle de psychiatrie, CHU Lille, chemin du Bois de l'hôpital, 59113 Seclin, France; CNRS UMR 9193, laboratoire de sciences cognitives et sciences affectives (SCALab-PsyCHIC), université Lille, BP 60149, 59653 Villeneuve d'Ascq cedex, France.
  • Fovet T; Unité hospitalière spécialement aménagée, pôle de psychiatrie, CHU Lille, chemin du Bois de l'hôpital, 59113 Seclin, France; CNRS UMR 9193, laboratoire de sciences cognitives et sciences affectives (SCALab-PsyCHIC), université Lille, BP 60149, 59653 Villeneuve d'Ascq cedex, France.
Encephale ; 45(3): 207-213, 2019 Jun.
Article em Fr | MEDLINE | ID: mdl-30340780
ABSTRACT

BACKGROUND:

In France, on the first of January 2018, 772 underage persons were in jail or about 1.1 % of the incarcerated population. The prevalence of psychiatric disorders among those inmates is high. As a result psychiatric care (and particularly full-time hospitalization) is essential for this population. The unités hospitalières spécialement aménagées (UHSA) are full-time inpatient hospitalization units for inmates in France. Adults but also underage inmates can be admitted to UHSA for voluntary or involuntary hospitalization. However, no study about the characteristics of young patients admitted to UHSA is currently available. The aim of this study is to describe the population of children and adolescent patients hospitalized in these facilities and to evaluate the care provided.

METHOD:

We conducted a retrospective study, including all the patients under 18 years of age, who have been hospitalized in UHSA since its creation in 2010 until 31 December 2016. Anonymized data concerning socio-demographic profile, clinical symptoms and care provided have been collected from the medical records of each patient.

RESULTS:

Overall 80 underage patients were included, for 120 hospitalisations in UHSA. Those patients are mainly male (80%) with a mean age of 16.7 years. They are mostly hospitalized with their consent (59%) for stays of about 50 days and frequently after self-harm behaviours. The main diagnoses are anxiety disorders (26%) and psychotic disorders (25%). At the end, 86% of the patients are prescribed a psychotropic drug treatment and 40% of those medical drugs are prescribed outside the guidelines. Finally, several specific problems were identified. Especially, contact with families and educators or access to education programs are very challenging.

CONCLUSION:

This study highlights the current difficulties encountered in the management of inmate underage patients in full-time psychiatric hospitalization. In this paper, we propose areas for improvement through (1) specific arrangements to receive young patients (specific service's management in order to reinforce the observation of those young people, to facilitate contact with their families, to improve the access to education programs, etc.); (2) specific arrangements in the treatment offered to young patients in UHSA (specific training course for nurses, specific therapeutic programs, etc.); (3) the development of networks working with psychiatric services inside and outside the prison, educators, families and prison services, in order to promote the continuity of cares.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Prisões / Hospitalização / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: Europa Idioma: Fr Revista: Encephale Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Prisões / Hospitalização / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: Europa Idioma: Fr Revista: Encephale Ano de publicação: 2019 Tipo de documento: Article