Prevalence of psychiatric disorders among older youths in the foster care system

被引:368
作者
McMillen, JC
Zima, BT
Scott, LD
Auslander, WF
Munson, MR
Ollie, MT
Spitznagel, EL
机构
[1] Washington Univ, George Warren Brown Sch Social Work, St Louis, MO 63130 USA
[2] Washington Univ, Dept Math, St Louis, MO 63130 USA
[3] Washington Univ, Dept Biostat, St Louis, MO 63130 USA
[4] Univ Calif Los Angeles, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90024 USA
关键词
foster care; psychiatric disorder; child maltreatment;
D O I
10.1097/01.chi.0000145806.24274.d2
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To estimate the lifetime and past year prevalence rates of major psychiatric disorders in a sample of older youths in the foster care system, to examine the timing of disorder onset and system entry, and to explore variations in past year prevalence rates. Method: Using the Diagnostic Interview Schedule for DSM-IV, interviews were conducted with 373 17-year-old youths (90% of those eligible) in one state's foster care system between December 2001 and June 2003. Results: Sixty-one percent of the youths qualified as having at least one psychiatric disorder during their lifetime; of these youths, 62% reported onset of their earliest disorder before entering the foster care system. In addition, 37% of youths met criteria for a psychiatric disorder in the past year. The number of types of maltreatment experienced was the most robust predictor of psychiatric disorder among several maltreatment variables. There were no differences in prevalence rates for youths in kinship care and those in nonkin foster families. Conclusions: Older youths in the foster care system have disproportionately high rates of lifetime and past year psychiatric disorders. Results support recommendations for initial and periodic mental health assessments for these youths and mechanisms to continue mental health services for young adults transitioning out of the foster care system.
引用
收藏
页码:88 / 95
页数:8
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