ABSTRACT

This study examined medical files for former residents of a juvenile residential facility. A review of medical files for 135 adolescents adjudicated for sexual offenses revealed 57 (42.2%) received one or more psychotropic medications during their stay. The most frequently prescribed psychotropic medications for residents were stimulants (53.6%), antidepressants (50.9%), and antipsychotics (19.3%). Some residents simultaneously received two (n = 15; 26.3%), three (n= 6; 10.5%), four (n= 6; 10.53%), five (n = 4; 7.02%), and six (n = 1; 1.75%) psychotropic medications. Nevertheless, 22 (38.6%) of the 57 residents who received psychotropic medication experienced discontinuation of all psychotropic medication prior to discharge. Individuals who received antipsychotic medication were (a) most likely to receive multiple psychotropic medications and (b) least likely to experience discontinuation of any medication. Similarly, residents who entered the facility with psychotropic medication were less likely to experience discontinuation than those who received psychotropic medication after intake.

摘要

这项研究检查了少年收容所前居民的医疗档案。对 135 名被裁定犯有性犯罪的青少年的医疗档案进行的审查显示，57 名（42.2%）在逗留期间接受了一种或多种精神药物。居民最常开的精神药物是兴奋剂（53.6%）、抗抑郁药（50.9%）和抗精神病药（19.3%）。一些居民同时收到两个（n = 15；26.3%）、三个（n = 6；10.5%）、四个（n = 6；10.53%）、五个（n = 4；7.02%）和六个（n= 1; 1.75%) 精神药物。然而，在接受精神药物治疗的 57 名居民中，有 22 人（38.6%）在出院前停用了所有精神药物。接受抗精神病药物治疗的个体 (a) 最有可能接受多种精神药物治疗和 (b) 最不可能停止任何药物治疗。同样，使用精神药物进入设施的居民比服用精神药物后接受精神药物的居民更不可能停药。