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Residential instability in adolescent inpatients.

P Mundy, J Robertson, M Greenblatt

    Journal of the American Academy of Child and Adolescent Psychiatry
    |March 1, 1989
    PubMed
    Summary

    Residential instability, defined as 5 to 20 domicile moves, affected 30% of adolescent psychiatric inpatients. This instability correlated with neglect, abuse, parental separation, and behavioral issues like poor impulse control and antisocial behavior.

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    Area of Science:

    • Child and Adolescent Psychiatry
    • Developmental Psychology
    • Social Determinants of Health

    Background:

    • Residential instability is a significant concern in adolescent mental health.
    • Understanding associated factors is crucial for targeted interventions.

    Purpose of the Study:

    • To determine the prevalence of residential instability among adolescent psychiatric inpatients.
    • To identify demographic, familial, and behavioral characteristics linked to residential instability.

    Main Methods:

    • Retrospective review of case records for 225 randomly selected adolescent psychiatric inpatients.
    • Analysis of demographic, family composition, life event, and behavior data.

    Main Results:

    • Approximately 30% of the sample experienced high residential instability (5-20 domicile moves).

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  • Residential instability was significantly associated with caregiver neglect, abuse, parental separation, multiple hospitalizations, lower IQ, poor impulse control, and antisocial behavior.

    • Conclusions:

    • Residential instability is prevalent in adolescent psychiatric inpatient populations.
    • It is linked to adverse childhood experiences and behavioral challenges, potentially impacting treatment resistance and the development of antisocial behaviors.