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The Maudsley long-term follow-up of child and adolescent depression: 1; psychiatric outcomes in adulthood
- Authors:
- FOMBONNE Eric, et al
- Journal article citation:
- British Journal of Psychiatry, 179, September 2001, pp.210-217.
- Publisher:
- Cambridge University Press
Strong links exist between juvenile and adult depression but comorbid conduct disorder in childhood may mitigate this continuity. This article aims to test the impact of comorbid conduct disorder on psychiatric adult outcomes. A group of 149 subjects assessed at the Maudsley Hospital in the period 1970-1983 and meeting DSM-IV criteria for major depressive disorder with or without conduct disorder were interviewed 20 years later. Data were collected on the lifetime history of psychiatric disorders. Found that adult depressive recurrence was high for major depression (62.4%) and any depression (75.2%) and survival analyses showed no difference between the two groups. The group with conduct disorders had higher rates of drug misuse and dependence, alcoholism and antisocial personality disorders. Concludes that adolescent depression carries an elevated risk of adult depression irrespective of comorbidity. Comorbid conduct disorder in childhood is associated with raised rates of other psychiatric outcomes.
Adolescents' self-reported problems as predictors or psychopathology in adulthood: 10-year follow-up study
- Authors:
- HOFSTRA Marijke B., VAN DER ENDE Jan, VERHULST Frank C.
- Journal article citation:
- British Journal of Psychiatry, 179, September 2001, pp.203-209.
- Publisher:
- Cambridge University Press
Knowledge of the course of psychopathology from adolescence into adulthood is needed to answer questions concerning origins and prognosis of psychopathology across a wide age range. This article investigates the 10-year course and predictive value of self-reported problems in adolescence in relation to psychopathology in adulthood. Subjects from the general population in the Netherlands aged 11-19 years, were assessed with the Youth Self-Report (YSR) at initial assessment, and with the Young Adult Self-Report (YASR), the Composite International Diagnostic Interview (CIDI) and three sections of the Diagnostic Interview Schedule (DIS) 10 years later. Of the subjects with deviant YSR total problem scores, 23% (males) and 22% (females) had deviant YASR total problem scores at follow-up. Subjects with initial deviant YSR total problem, internalising and externalising scores had higher prevalences of DSM-IV diagnoses at follow-up. Concludes that adolescent problems tended to persist into adulthood to a moderate degree. High rates of problems during adolescence are risk factors for psychiatric disorders in adulthood.
A health promotion project for young people who are looked after
- Author:
- RIVRON Marilyn
- Journal article citation:
- Adoption and Fostering, 25(2), Summer 2001, pp.70-71.
- Publisher:
- Sage
Young people who are looked after, especially in residential units, have more general health and mental health problems, and lower rates of immunisation when compared with their age-matched peers. Reports a brief report on a project to improve health outcomes as outlined by Children First (Welsh Office, 1999). The project was targeted at young people looked after in the five residential units in Cardiff, and those recognised by social services as being particularly in need.
The Substance of young needs review 2001
- Authors:
- CHRISTIAN Jane, CROME Ilana, GILVARRY Eilish, JOHNSON Paul, McARDLE Paul, McCARTHY Steve
- Publisher:
- Health Advisory Service
- Publication year:
- 2001
- Pagination:
- 138p.
- Place of publication:
- London
Many children who misuse substances have multiple antecedent and co-occurring mental health, social and educational problems. Often these date from preschool years , occur against even generations of diversity, occur in individuals with vulnerabilities such as learning difficulties and other developmental problems and are deeply entrenched. Consequently any successful intervention must be capable of addressing multiple vulnerabilities.
Mental health services for looked after children: implications from two studies
- Authors:
- MINNIS Helen, PRIORE Christina Del
- Journal article citation:
- Adoption and Fostering, 25(4), Winter 2001, pp.27-38.
- Publisher:
- Sage
Two recent studies by Glasgow researchers have highlighted the high level of emotional and behaviourial difficulties experienced by looked after children. One was a survey of children entering the care system (Dimigen et al, 1999) while the other was a randomised controlled trial of a training programme for foster carers. The survey was carried out in Glasgow, while the trial was carried out across another part of the Central Belt of Scotland. Despite their different designs and geographical areas, the two studies came up with complementary results. The results are synthesised in this article and are used to argue that practitioners need to take a fresh look at mental health services for looked after children and the assessments which should determine what these children need.
Ignored or ineligible: the reality for adults with autism spectrum disorders
- Authors:
- BARNARD Judith, et al
- Publisher:
- National Autistic Society
- Publication year:
- 2001
- Pagination:
- 28p.,tables,bibliog.
- Place of publication:
- London
Argues that people with autism or Asperger syndrome suffer from social exclusion and barriers to accessing services. Surveys problems relating to their rights to assessment and support; the difficulties they experience in maintaining independent living; their lack of choice in employment and housing; their exclusion from social relationships; and the consequences for them in impaired mental health. Makes recommendations for improved practice, particularly the breaking down of eligibility criteria which may exclude them from learning disability services, and the improvement of transition plans for young people moving into adulthood.