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"Substance abuse" disorders among runaway and homeless youth.

This study used systematic sampling methods to recruit a sample of 432 homeless youth from both service and natural "hang-out" sampling sites. According to DSM-III criteria, the majority of respondents were classified as having an alcohol and/or illicit "drug abuse" disorder (71%). The results from multivariate logistic regression analyses indicate that cumulative length of time homeless is positively associated with risk for an "abuse" disorder. The implications of these findings and recommendations for service interventions are discussed.

Adolescent↗

Dentistry's role in the resolution of missing and unidentified persons cases.

The dentist's role in the resolution of missing persons cases is an important one and involves cooperation and assistance. From the beginning of the investigation of a missing child or adult, the submission of complete and accurate records of the dental condition of the particular individual is vital. The dentist that reviews and codes the missing person's dental information before its entry into a missing persons database must be knowledgeable of the logic behind the comparison features of the software used to rank the records. The logic of the comparison may dictate how subjective features are coded. In reviewing the records of the treating dentist, one always must be aware of other sources that may be noted in the records that could provide additional information. The dentist that is responsible for the collection of the dental information from the unidentified remains must be trained in the procedures necessary to collect and document this information. The dentist must be familiar with the legal ramifications and requirements of handling evidence, which may require court testimony. The dentist must be aware of the information that is necessary to substantiate an identification. The examining dentist should be familiar with the American Board of Forensic Odontology's standards and guidelines for the collection, analysis, and terminology used in the identification process. If a particular state does not have a central repository for missing and unidentified persons information, interested and dedicated dentists can encourage agencies and legislators to create one. These repositories have been invaluable in the resolution of cases that have gone on for years. Dentistry can help resolve many of missing persons cases and bring closure to family and friends that wonder and worry.

Adult↗

Runaway children.

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Adolescent↗

Runaways: a growing social and family problem.

The problem of the juvenile runaway is one of increasing magnitude, and it is causing considerable alarm among lay and professional people. As the age of the runaway becomes younger and the harmful consequences of being away from home increase, public attention has focused on the problem. Family physicians are in a unique position to provide both preventive and remedial help to runaways and their families. Some of the ways in which physicians may play a significant role in this serious problem include individual and family counseling to anticipate and prevent such episodes and counseling to strengthen the adolescent-parent relationship following a running away episode.

Adolescent↗

Runaway success.

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Aggression↗

Runaway youths and correlating factors, study in Thailand.

OBJECTIVE: To study differences between runaways and non-runaways in a mental health clinic and to study differences between runaways in a mental health clinic and legal / shelter system. MATERIAL AND METHOD: Psychiatric records of runaways and non-runaways from Vajira Hospital were collected from June 1994 to October 2003. 21 cases in each group were studied in various factors. 21 runaway cases who were in child and adolescent shelters were interviewed by the researchers. RESULTS: Neglect, sexual abuse, rejection, poverty and truancy were more common in the runaway group. The runaway group had more conduct disorder and substance abuse. Physical abuse, authoritarian and being in custody were more common in runaways in shelters. CONCLUSION: Various factors correlate with running away. These factors lie beneath long before runaway has taken place and understanding and managing them help in preventing and prompt treatment.

Adolescent↗

AIDS risk among runaways.

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Acquired Immunodeficiency Syndrome↗

[Use of electroshock for vital indications].

Electroshock therapy still remains a very controversial problem in the treatment of mental disorders. It is very effective in a narrow range of indications and has not many absolute contraindications. Epilepsy is one of the relative contraindications of electroshock therapy. The authors submit the case-history of an epileptic patient in a severe catatonic state with incipient metabolic breakdown, where electroshock therapy was followed by a rapid effect without any neurological complications. The contraindications of electroshock are rather relative than absolute and it is up to the doctor to consider whether the assumed therapeutic effect will outweigh possible complications.

Adult↗