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The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample
BACKGROUND: To determine: (a) the feasibility and acceptability of administering a standardized electronic assessment of substance use and other mental health concerns to youth admitted to an inpatient psychiatric unit, and (b) the prevalence and clinical correlates of substance use in this sample....
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439003/ https://www.ncbi.nlm.nih.gov/pubmed/34517903 http://dx.doi.org/10.1186/s13034-021-00403-4 |
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author | Halladay, Jillian Horricks, Laurie Amlung, Michael MacKillop, James Munn, Catharine Nasir, Zil Woock, Rachel Georgiades, Katholiki |
author_facet | Halladay, Jillian Horricks, Laurie Amlung, Michael MacKillop, James Munn, Catharine Nasir, Zil Woock, Rachel Georgiades, Katholiki |
author_sort | Halladay, Jillian |
collection | PubMed |
description | BACKGROUND: To determine: (a) the feasibility and acceptability of administering a standardized electronic assessment of substance use and other mental health concerns to youth admitted to an inpatient psychiatric unit, and (b) the prevalence and clinical correlates of substance use in this sample. METHODS: The sample included 100 youth between the ages of 13 to 17 years admitted to an inpatient psychiatric unit in Ontario, Canada between September and November 2019 (78% response rate). Youth data were comprised of electronic self-reported assessments (during hospitalization and 6-months following) and chart reviews (99% consented; historical and prospective). Frontline staff completed a self-report survey assessing their perceptions of the need for standardized substance use assessments, training, and interventions on the unit (n = 38 Registered Nurses and Child and Youth Workers; 86% response rate). Analyses included descriptive statistics, correlations, regression, and qualitative content analysis. RESULTS: Feasibility of standardized youth self-reported mental health and substance use assessments was evident by high response rates, little missing data, and variability in responses. 79% of youth had used at least one substance in their lifetime; 69% reported use in the last 3 months. Substance use was positively correlated with severity of psychiatric symptoms (τb 0.17 to 0.45) and number of psychiatric diagnoses (τb 0.17 to 0.54) at index. Based on prospective and retrospective data, substance use was also positively related to mental health symptom severity at follow-up and repeat mental health related hospital visits. Frontline staff reported a need for standardized assessment, training, and interventions on the unit, indicative of acceptability. CONCLUSIONS: This study demonstrated the feasibility, acceptability and clinical importance of administering a standardized mental health and substance use assessment among youth experiencing psychiatric hospitalization. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13034-021-00403-4. |
format | Online Article Text |
id | pubmed-8439003 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-84390032021-09-14 The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample Halladay, Jillian Horricks, Laurie Amlung, Michael MacKillop, James Munn, Catharine Nasir, Zil Woock, Rachel Georgiades, Katholiki Child Adolesc Psychiatry Ment Health Research Article BACKGROUND: To determine: (a) the feasibility and acceptability of administering a standardized electronic assessment of substance use and other mental health concerns to youth admitted to an inpatient psychiatric unit, and (b) the prevalence and clinical correlates of substance use in this sample. METHODS: The sample included 100 youth between the ages of 13 to 17 years admitted to an inpatient psychiatric unit in Ontario, Canada between September and November 2019 (78% response rate). Youth data were comprised of electronic self-reported assessments (during hospitalization and 6-months following) and chart reviews (99% consented; historical and prospective). Frontline staff completed a self-report survey assessing their perceptions of the need for standardized substance use assessments, training, and interventions on the unit (n = 38 Registered Nurses and Child and Youth Workers; 86% response rate). Analyses included descriptive statistics, correlations, regression, and qualitative content analysis. RESULTS: Feasibility of standardized youth self-reported mental health and substance use assessments was evident by high response rates, little missing data, and variability in responses. 79% of youth had used at least one substance in their lifetime; 69% reported use in the last 3 months. Substance use was positively correlated with severity of psychiatric symptoms (τb 0.17 to 0.45) and number of psychiatric diagnoses (τb 0.17 to 0.54) at index. Based on prospective and retrospective data, substance use was also positively related to mental health symptom severity at follow-up and repeat mental health related hospital visits. Frontline staff reported a need for standardized assessment, training, and interventions on the unit, indicative of acceptability. CONCLUSIONS: This study demonstrated the feasibility, acceptability and clinical importance of administering a standardized mental health and substance use assessment among youth experiencing psychiatric hospitalization. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13034-021-00403-4. BioMed Central 2021-09-13 /pmc/articles/PMC8439003/ /pubmed/34517903 http://dx.doi.org/10.1186/s13034-021-00403-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Halladay, Jillian Horricks, Laurie Amlung, Michael MacKillop, James Munn, Catharine Nasir, Zil Woock, Rachel Georgiades, Katholiki The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample |
title | The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample |
title_full | The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample |
title_fullStr | The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample |
title_full_unstemmed | The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample |
title_short | The CAMP study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample |
title_sort | camp study: feasibility and clinical correlates of standardized assessments of substance use in a youth psychiatric inpatient sample |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439003/ https://www.ncbi.nlm.nih.gov/pubmed/34517903 http://dx.doi.org/10.1186/s13034-021-00403-4 |
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