Hospitalisation soin-études à l’adolescence : analyse des facteurs prédictifs de bonne évolution

Interest

The Dupré clinic of Sceaux is a “care and study” center, which has developed a multidimensional program including medical care, institutional psychotherapy and school studies for adolescents and young adults aged 16 to 25 suffering from severe psychiatric disorder, social impairment and/or school drop-out. To our knowledge, there are very few studies that have been conducted on the patient's clinical characteristics and the specific cares that can influence outcomes.

Method

We studied a sample of 55 patients treated at the Dupré clinic between 2007 and 2012 (mean duration of hospitalization = 570 days; mean admission Global Assessment of Functioning Scale (GAF) score = 43.6). GAF scores at time of admission and at time of discharge, other relevant clinical and socio-demographic characteristics of the patients and the specific cares received during hospitalization were collected. Most of the patients had a diagnosis of psychotic disorder (28%), personality disorder (25%) or eating disorder (23%).

Results

Sixty percent of these patients were considered as “good responders” (i.e., an increase in GAF scores ≥ 25%) and the others (40%) were considered as “poor responders”. Adolescents who participated in a specific care focusing on the professional integration were more likely to be good responder (75% versus 44% among adolescents who did not participate in this specific care, P = 0.023).

Conclusion

Given the limitations of our study (small sample, observational study), the potential interests of specific cares focusing on the professional integration of adolescents in “care and study” center should be further studied.