@article{ref1,
title="Vulnerable populations: comparison of characteristics of adolescent inpatients with substance use disorder and a history of child maltreatment to inpatients without a history of child maltreatment: a retrospective chart review",
journal="Adolescents (Basel)",
year="2022",
author="Preyde, Michèle and Parekh, Shrenik and Heintzman, John",
volume="2",
number="1",
pages="22-29",
abstract="BACKGROUND: Adolescent inpatients with substance use disorder (SUD) and a history of child maltreatment (CM) present a vulnerable population at considerable risk of poor health and social outcomes. The aims of this study were to explore the proportion of adolescent inpatients with SUD and a history of CM and to compare these patients to inpatients with SUD and no history of CM. <br><br>METHODS: In this retrospective chart review, we explored adolescent patients who were consecutively admitted to a regional child and adolescent inpatient unit for psychiatric care and met DSM (5th ed) criteria for SUD. A standardized form was created and used to extract clinical information and psychosocial histories. <br><br>RESULTS: From 1 September 2019 to 28 February 2020, 126 adolescents were admitted with SUD, and for 80 (63.3%) patients, a history of CM was recorded in the medical charts. Patients with a history of CM were significantly more likely to be female (p = 0.02), have longer lengths of stay (p = 0.04), to be readmitted (p = 0.03), be diagnosed with trauma/stress-related (p = 0.04) and eating disorders (p = 0.05), to have a parent with a mental illness (p = 0.01), experienced physical (p < 0.01) and sexual (p < 0.01) assaults and homelessness (p < 0.01), and to engage in self-harming behaviors (p < 0.01) than inpatients with SUD but no history of CM. <br><br>CONCLUSIONS: Almost two-thirds of adolescent inpatients with an SUD reported a history of CM. Addressing their specific clinical and psychosocial vulnerabilities through comprehensive treatment and discharge plans may reduce readmission and improve quality of life.<p /> <p>Language: en</p>",
language="en",
issn="2673-7051",
doi="10.3390/adolescents2010003",
url="http://dx.doi.org/10.3390/adolescents2010003"
}