Status of mental-health services for adolescents with psychiatric morbidity in youth correctional institutions in Lagos.

IF 0.3 Q4 PSYCHOLOGY, CLINICAL

Journal of Child and Adolescent Mental Health Pub Date : 2017-05-01 DOI:10.2989/17280583.2017.1321550

Olayinka Atilola, Bolanle Ola, Gbonjubola Abiri, Modepeola Sahid-Adebambo, Olubukayo Odukoya, Abiodun Adewuya, Olurotimi Coker, Oluwadamilola Folarin, Adedolapo Fasawe

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引用次数: 15

Abstract

Background: High prevalence rates of psychiatric morbidity have been documented among adolescents within youth correctional institutions in Nigeria. However, there has not been prior investigation to determine the capacity for and nature of mental health services being provided in these institutions.

Objectives: To assess psychiatric morbidity among adolescents within youth correctional institutions in Lagos, while simultaneously examining the capacity for and the scope of mental health services.

Methods: Psychiatric morbidity and alcohol/substance use disorder were assessed among 165 respondents using the Strengths and Difficulties Questionnaire, and the CRAFFT screening tool for adolescent substance use disorder. Availability of mental-health services in the institutions was examined using an 'audit protocol'.

Results: We found prevalence rates of 18.2% and 15.8% of general psychiatric morbidity and alcohol/ substance use disorder, respectively, among the adolescents. Only about a third (34.3%; n = 20) of the operational staff at the institutions had educational backgrounds relevant to psycho-social services for children/adolescents, while less than a quarter (22.4%, n = 13) has ever received any training in child mental health services. There was no evidence of mental health screening and intervention in the service framework within the institutions.

Conclusions: We concluded that there was evidence for significant mental health service gaps within the youth correctional services in Lagos.

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拉各斯青年教养机构中患有精神疾病的青少年的心理健康服务状况。

背景:在尼日利亚的青少年教养机构中，精神病发病率很高。但是，没有事先进行调查，以确定这些机构所提供的精神保健服务的能力和性质。目的:评估拉各斯青少年教养机构内青少年的精神病发病率，同时审查精神卫生服务的能力和范围。方法:采用《优势与困难问卷》和craft青少年物质使用障碍筛查工具，对165名被调查者的精神疾病发病率和酒精/物质使用障碍进行评估。利用一项"审计协议"审查了各机构提供心理健康服务的情况。结果:我们发现青少年中一般精神疾病和酒精/物质使用障碍的患病率分别为18.2%和15.8%。只有大约三分之一(34.3%;这些机构的业务工作人员中(N = 20)具有与儿童/青少年心理社会服务相关的教育背景，而不到四分之一(22.4%，N = 13)曾接受过儿童心理健康服务方面的任何培训。没有证据表明在这些机构的服务框架内进行了精神健康检查和干预。结论:我们的结论是，有证据表明在拉各斯的青少年惩教服务中存在显著的心理健康服务差距。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Child and Adolescent Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).