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Necesidades de salud mental de los niños en cuidado seguro por delitos graves o persistentes: un estudio prospectivo
L Kroll1, J Rothwell, D Bradley
1Manchester Children's Trust, Manchester, UK.
Lancet (London, England)
|June 22, 2002
Resumen
Los niños en cuidado seguro tienen importantes necesidades de salud mental, incluyendo depresión y ansiedad. Si bien se satisfacen algunas necesidades, el apoyo psicológico y psiquiátrico requiere una mejora en las unidades seguras.
Área de la Ciencia:
- Psiquiatría Infantil y Adolescente.
- Psicología Forense Psicología Forense
- Psicología del desarrollo Psicología del desarrollo.
Sus antecedentes:
- Las necesidades de salud mental de los niños en cuidados seguros son insuficientemente investigadas.
- Las poblaciones de cuidado seguro presentan desafíos complejos.
Objetivo del estudio:
- Evaluar las necesidades mentales, sociales y educativas de los adolescentes en un cuidado seguro.
- Para llevar a cabo una evaluación prospectiva y longitudinal.
Principales métodos:
- Estudio longitudinal prospectivo de 97 niños (de 12 a 17 años) en cuidado seguro.
- Entrevistas estandarizadas y pruebas psicométricas en el ingreso y 3 meses.
Principales resultados:
- Altas tasas de morbilidad psiquiátrica (depresión, ansiedad), agresión, abuso de sustancias y autolesiones.
- Las necesidades promedio disminuyeron de 8,5 a 2,9 en 3 meses, pero persistieron los problemas sociales/familiares y la agresión.
- Los problemas psicológicos de nueva aparición como la depresión y los síntomas de trastorno de estrés postraumático ocurrieron después de la admisión.
Conclusiones:
- Los niños en cuidado seguro exhiben necesidades sustanciales y problemas psiquiátricos.
- Las unidades seguras abordan parcialmente las necesidades, pero la atención psicológica y psiquiátrica requiere mejoras.
- La mejora de la provisión psicológica y psiquiátrica es crucial para esta población.
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