A retrospective chart review of the clinical and psychosocial profile of psychotic adolescents with co-morbid substance use disorders presenting to acute adolescent psychiatric services at Tygerberg Hospital

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dc.contributor.authorLachman, Anusha
dc.contributor.authorNassen, Rene
dc.contributor.authorHawkridge, Sue
dc.contributor.authorEmsley, Robin A.
dc.date.accessioned2012-06-13T08:43:06Z
dc.date.available2012-06-13T08:43:06Z
dc.date.issued2012
dc.descriptionThe original publication is available at http://www.sajp.org.sa
dc.descriptionLachman, A. et. al. 2012. A retrospective chart review of the clinical and psychosocial profile of psychotic adolescents with co-morbid substance use disorders presenting to acute adolescent psychiatric services at Tygerberg Hospital. South African Journal of Psychiatry, 18 (2):53-60
dc.description.abstractENGLISH ABSTRACT: Background. A large number of adolescents meet criteria for 'dual diagnosis' (a psychiatric disorder plus co-morbid substance use disorder (SUD)), which prolongs treatment response and complicates intervention strategies. The current service model in Cape Town divides the care of such patients into psychiatric treatment and a separate substance use intervention. Child and adolescent mental health services face the challenge of high rates of readmission of adolescents into psychiatric facilities before utilisation of community-based substance abuse services. Objective. There is a scarcity of available treatment guidelines for dual-diagnosis adolescents, and a lack of systematically documented epidemiological and clinical data in South African adolescent populations. Method. A retrospective chart review of adolescent psychiatric admissions to the Tygerberg Adolescent Psychiatric Unit during 2010 was conducted. Relevant epidemiological, clinical and demographic data for those presenting with a dual diagnosis (specifically psychotic disorders and SUD) was recorded. Results. Results suggest a high prevalence of SUD among adolescents presenting with a first-episode psychosis. Statistically significant correlations with lower levels of education were found in those with ongoing substance abuse (specifically cannabis and methamphetamine), and a significant relationship between choice of debut drug and ongoing drug use was also demonstrated. Risk factors for SUD (psychosocial adversities, childhood trauma, family and community exposure to substances, early debut drug ages), risky sexual behaviours, and clinical psychiatric profiles of adolescents with dual diagnosis are described. Conclusions. This cohort had an enhanced risk as a result of genetic vulnerability and environmental availability of substances, and the findings emphasise the differences in presentation, choice of drugs of abuse and psychosocial difficulties of adolescents with a dual diagnosis presenting to a psychiatric facility. We aim to influence role-players to provide more integrated services, and highlight the need for future prospective studies in this adolescent group to assist in improving outcomes.en_ZA
dc.format.extentp. 53-60
dc.identifier.citationLachman, A. et. al. 2012. A retrospective chart review of the clinical and psychosocial profile of psychotic adolescents with co-morbid substance use disorders presenting to acute adolescent psychiatric services at Tygerberg Hospital. South African Journal of Psychiatry, 18 (2):53-60en_ZA
dc.identifier.issn016089685
dc.identifier.urihttp://hdl.handle.net/10019.1/21409
dc.subjectPsychoses in adolescence -- South Africa -- Cape Townen_ZA
dc.subjectSubstance abuse -- South Africa -- Cape Townen_ZA
dc.titleA retrospective chart review of the clinical and psychosocial profile of psychotic adolescents with co-morbid substance use disorders presenting to acute adolescent psychiatric services at Tygerberg Hospitalen_ZA
dc.typeArticle
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