[Problems and behaviors. The problem of geriatric wandering].
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Aged↗
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Results for “Runaway Behavior”
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Interpersonal loss and self-mutilation.
Self-mutilation was hypothesized to increase in frequency during periods of interpersonal loss in a treatment program for seriously disturbed adolescents. The study examined changes in the frequency of acts of self-mutilation, aggression, and running away for 32 teenagers who experienced interpersonal loss when staff members left employment. Data were collected for a 4-year period. Statistical findings indicated that the frequency of self-mutilation increased significantly during the time period of anticipated loss, 2 weeks prior to staff terminations. There was no significant increase in the frequency of self-mutilation immediately following the staff terminations. Also, there was no significant change in the rates of aggression or running away either before or after the loss events. It was concluded that the time of anticipated loss was the period of highest risk for these adolescents in terms of self-mutilative behavior.
Adolescent↗
Exploring the relationship between a continuum of care and intrusiveness of children's mental health services.
Intake data for 61 children in three types of mental health programs in Philadelphia--partial hospitalization, home-based services, and outpatient treatment--were compared to examine an assumption of the continuum-of-care concept: the level of a program's intrusiveness is positively related to a child's severity of dysfunction. Results supported the relationship between intrusiveness and dysfunction only when children in outpatient treatment were compared with those in the other two programs. Children treated in the less intrusive home-based program were more dysfunctional than those treated in the more intrusive partial hospitalization program. Factors other than degree of dysfunction, such as a history of outpatient treatment, were more predictive of treatment type. Results suggest that it may be more accurate to speak of an array of services rather than a continuum.
Adolescent↗
Some crises in adolescence.
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Adolescent↗
[Paradoxes in adolescence: break and continuity].
The psychopathological studies on adolescence underline the paradoxical behaviours during this period of life. After the analysis of its concept we show in which way the paradox helps to maintain the continuity of psychological life during the crisis. Thus impossible choices which are part of the contradiction in adolescents be avoided. It will be necessary to provoke the emergence of the paradox from the contradictions linked with hospitalization through on hospitalization to make the most of the letter in the therapeutic process.
Adolescent↗
Assessment and treatment of elopement: a replication and extension.
The current investigation replicated and extended the assessment and treatment methodology of elopement. The environmental variables that maintained elopement were identified in each case, and successful treatments were implemented for the 3 participants in settings that were similar to those in which elopement occurred.
Adult↗
Sex, contraception and childbearing among high-risk youth: do different factors influence males and females?
CONTEXT: The likelihood that adolescents will engage in sexual activity, use contraceptives or become parents is influenced by a range of attitudes and behaviors. These factors may differ for males and females. METHODS: Data on female respondents to the 1979-1992 waves of the National Longitudinal Survey of Youth and the linked 1994 young adult data file on their children provided background information on 959 adolescents who had been born to young mothers. Partial correlation analysis was used to examine the factors related to sexual behavior, contraceptive use and childbirth, controlling for maternal and familial characteristics, in this relatively disadvantaged sample. RESULTS: Youth who are inclined toward risk-taking and those who have run away from home are more likely than others to be sexually active. For young women, having intercourse at an early age, not using contraceptives and having a child are linked with depression, low self-esteem and little sense of control over their lives. The results for young men are less consistent and often in the opposite direction. Young people who have become parents evidence greater maturity than their childless peers; women are less likely to consume alcohol or to spend time with friends who drink, and men are more likely to participate in socially productive work. CONCLUSIONS: Although sexual behavior is tied to risk-taking in both adolescent males and females, some noticeable psychological differences are evidenced early. Behaviorally, there is room for optimism, in that young parents appear to adopt more mature traits.
Adolescent↗
Iron deficiency in two adolescents with conduct, dysthymic and movement disorders.
Enquiry into a marginally subnormal hemogram in two adolescents with complex conduct, dysthymic and movement disorders uncovered a striking iron deficiency and prompted a trial of replacing psychotropic medication with iron therapy. The rationale of iron therapy for behavioural disturbance was examined from the clinical, neurochemical and psychopharmacological points of view. Although further study is required to confirm the therapeutic efficacy and to define the precise nature of iron deficiency in conduct disorder, the weight of the evidence suggests that correcting the nutrient deficit may be an essential step toward a refinement of therapeutic strategies. The presence of a borderline hemogram, hypermenorrhea and malnutrition should alert clinicians to the possibility of iron deficiency, and laboratory screening for hypoferremia should be considered when assessing conduct disorder.
Acting Out↗
Homeless youth in London: I. Childhood antecedents and psychiatric disorder.
BACKGROUND: There has been an increase in the numbers of homeless young people in Britain. Little is known of the health and social welfare needs of this population. METHOD: This case-control study compares a random sample of homeless people aged under 22 years recruited from consecutive attenders at two of London's largest facilities for homeless young people with a contemporaneous sample of domiciled young people recruited through general practice registration lists. The homeless and domiciled groups were compared on measures of childhood care, education and psychiatric disorder. RESULTS: One hundred and sixty-one homeless people (88% of those approached) and 107 domiciled subjects (60% of those approached) were interviewed. Sixty-nine per cent of homeless and a third of the domiciled subjects reported a childhood lacking in affection, with indifferent and often violent carers. Psychiatric disorder was identified in 62% of homeless respondents and a quarter of the domiciled population. A fifth of homeless and 5 domiciled respondents had attempted suicide in the previous year. Multivariate analysis suggest that childhood adversity, low educational attainment and the prior presence of psychiatric disorder all independently increase the likelihood of homelessness in a youthful population. CONCLUSIONS: The evidence presented in this paper supports the hypotheses that characterize the young homeless population as experiencing higher rates of childhood adversity and psychiatric disorder than their domiciled contemporaries. A tentative model is suggested whereby childhood experiences, educational attainment and the prior presence of psychiatric disorder all independently increase the likelihood of homelessness in a youthful population.
Adolescent↗
Disturbing behavior: a study of incident reports.
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Adjustment Disorders↗
Factors associated with future offending: comparing youth in grandparent-headed homes with those in parent-headed homes.
This study examined risk factors for reoffending by youth in grandparent-headed homes and those in parent-headed homes. Using data abstracted from the juvenile justice records of youth in a variety of living arrangements, we compared the records of 29 youth living in grandparent-headed homes with those of 37 youth living in parent-headed homes. Youth in grandparent-headed homes were significantly more likely to have risk factors and needs associated with reoffending. The findings suggest that youth in grandparent-headed homes are at greater risk for reoffending and that factors predisposing youth in grandparent-headed homes to reoffend may differ from those that predispose youth in non-grandparent-headed homes.
Adolescent↗
"Out of control" behavior in adolescents.
The physician should approach a problem of "out of control" behavior in an adolescent as a family issue rather than an individual issue, for not only the behavior itself bu the parental response to the behavior are key factors in understanding and coping with it. Areas of commonly encountered misbehavior are explored.
Adolescent↗
A risk profile comparison of homeless youth involved in prostitution and homeless youth not involved.
All initial visits (n = 620) of runaway/homeless youths to an outpatient medical clinic over a 12-month period (July 1988-June 1989) were analyzed. Of these visits, 467 made by youth not involved in prostitution were compared with 153 visits by youth who were involved. According to the data from an adolescent risk profile interview, homeless youth involved in prostitution are at greater risk for a wide variety of medical problems and health-compromising behaviors, including drug abuse, suicide, and depression. The implications for public health and social policy are discussed.
Adolescent↗
The neophyte female delinquent: a review of the literature.
During the 1950s, most of the attention on juvenile delinquency concentrated on males. Recently, however, the incidence of female delinquency has escalated. Female delinquency that did exist a generation ago centered primarily on sexual misconduct; today, much greater numbers of females are involved in armed robbery, gang activity, drug trafficking, burglary, weapons possession, aggravated assault, and prostitution. Research on the etiology of this behavior is inconclusive, with some of the theories centering around dysfunctional families, victimization, aggression, neglect, rejection, physical and sexual abuse, self-perception, gender role, and intellectual ability. This paper attempts to ascertain the status of female delinquency, with special focus on definition, etiology, and treatment.
Adolescent↗
Adolescent homosexuality.
Homosexuality has existed in all civilizations, but societal disapproval and cultural taboos have negatively influenced its recognition. A significant percentage of youths identify themselves as homosexual, and even more experience sex with the same sex or are confused about sexual feelings. A unifying etiological theory attributes the expression of sexual orientation to genes that shape the central nervous system's development, organization, and structure via prenatal sex steroids. Environmental factors may influence the expression of genetic potential. Several models of psychosocial development describe initial stages of awareness and confusion about same-sex attractions, followed by acknowledgement of homosexuality, disclosure to others, and eventual integration of sexual identity into a comprehensive sense of self. Stressors related to isolation, stigma, and violence may predispose homosexual adolescents to impaired social, emotional, and physical health, resulting in depression and suicide, school problems, substance abuse, running away eating disorders, risky sexual behavior, and illegal conduct. As with all adolescents, the overall goals in the care of homosexual youth are to promote normal adolescent development, social and emotional well-being, and physical health. A comprehensive, multidisciplinary approach is required to address medical, mental health, and psychosocial issues within the context of the adolescents' community and culture.
Adolescent↗
Social goals: relationship to adolescent adjustment and to social problem solving.
Examined the relations between adolescent boys' social goals of dominance, revenge, avoidance, and affiliation and (1) self-reported negative adolescent outcomes; (2) subjective sense of self-esteem; and (3) externalizing, internalizing, and prosocial behaviors, as rated by peers and teachers. Results indicated that social goal values were related to diverse aspects of self-, teacher-, and peer-reported social and behavioral functioning, with a consistent association found between a range of delinquent, substance-using, and behavioral difficulties, and endorsement of high goal values for dominance and revenge and low goal values for affiliation. Results also indicated that teacher-identified aggressive boys differed from nonaggressive boys in the value they placed on social goals, with aggressive boys placing a higher value on goals of dominance and revenge, and lower value on goals for affiliation. Finally social goal choice had a clear relation to the social problem-solving differences of aggressive and nonaggressive boys.
Adolescent↗
Children in group homes: family dynamics, adolescent suicide attempts and drug use.
Three hundred children age 10-20 living in group homes for children were assessed for behaviors related to alcohol and other drug consumption, suicide attempts, frequency of punishment, attention from parents, conflicts with parents, and other family dynamics. Children who used substances were significantly more likely to have attempted suicide more frequently. Children who had attempted suicide were more likely to perceive that they had not received enough parental attention, to have had more conflicts with parents, and to have run away from home. This seminal article indicates inter-related prevalences of family factors, suicide and substance abuse issues and suggests the need for strong institutional and agency policy development for this understudied "at risk" population.
Adolescent↗