Clinical, Discharge and Psychosocial Profiles of Adolescents with Substance Use Disorder Accessing Inpatient Psychiatry in Ontario, Canada
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abstract
Objective:The aim for this study was to explore the proportion of
patients with a Substance Use Disorder (SUD), their proportion of overall
admissions, and their psychosocial histories at a regional child and adolescent
inpatient psychiatric unit.Methods:A retrospective chart review was conducted on all admissions of patients
with a SUD. Abstracted patient data included demographic information, diagnoses,
psychosocial histories, living situation at the time of admission, legal involvement
and charges, whether an alternate level of care was needed, and discharge plans.Results:From September 2018 to February 2020, of the 540 patients admitted, 126
(23.3%) had a SUD recorded in their charts and accounted for 34.6% of the total
number of admissions. Their mean age was 15.85 (SD 1.10; range 13 to 18) years,
and most were identified as female (n=81; 64%), which is consistent with the number
of female patients admitted during the study period (n=366 female of 540 admitted;
X2=0.56, p= 0.45). Common psychiatric diagnoses included mood, trauma, and
stressor-related and anxiety disorders. Most patients (124; 98.4%) had a history of
psychosocial adversity, 90 (71.4%) patients had a parent with a mental illness or a
SUD, 55 (44%) reported being bullied, 54 (43%) reported being sexually assaulted
and several (n=41;33%) had experienced precarious living situations.Conclusion:Adolescent inpatients with a SUD were also managing a complex
array of clinical and psychosocial challenges. Upon discharge from the hospital,
some patients were placed on waitlists, and many patients were referred to
specialized treatment far from home, highlighting the need for additional,
comprehensive programs for SUD and the constellation of psychosocial problems
associated with these disorders.
