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Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
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Patient Characteristics and Positive Outcomes Associated With a Novel Youth Inpatient Program for Concurrent

Luc Saulnier, Kamyar Keramatian, Jordan Cohen

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    This study introduces a new inpatient program for adolescents with concurrent substance use and mental health disorders. The program significantly improved quality of life and reduced suicidality in young patients.

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    Area of Science:

    • Adolescent Psychiatry
    • Addiction Medicine
    • Public Health

    Background:

    • Concurrent substance use and mental health disorders in youth present a significant public health challenge.
    • Specialized, comprehensive services are crucial for this population.
    • The opioid overdose crisis in British Columbia spurred the development of new treatment models.

    Purpose of the Study:

    • To introduce a novel inpatient tertiary care facility for youth (13-18 years) with concurrent disorders.
    • To evaluate the efficacy of this specialized service model.
    • To characterize the patient population and treatment outcomes.

    Main Methods:

    • A new inpatient tertiary care unit for adolescents with concurrent disorders was established in 2017.
    • Preadmission and postadmission data were collected for program evaluation.
    • Statistical analysis was used to compare patient outcomes before and after treatment.

    Main Results:

    • Patients showed significantly improved quality of life (d = 0.65) post-discharge compared to admission.
    • Suicidality significantly decreased (d = 0.86) at discharge.
    • Female patients reported lower quality of life, higher suicidality, and more adverse childhood events than male patients.

    Conclusions:

    • The novel concurrent disorders program for youth demonstrates efficacy in improving patient outcomes.
    • The study provides insights into the clinical and demographic characteristics of an understudied adolescent population.
    • This model of care offers a specialized approach to treating concurrent disorders in adolescents.