Prevalence of physical health problems among youth entering residential treatment

Timothy D Nelson, Tori R. Smith, Ronald W. Thompson, Michael H. Epstein, Annette K. Griffith, Kristin L Duppong Hurley, Thomas F. Tonniges

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

OBJECTIVE: To examine the prevalence of physical health problems among youth entering residential treatment. PATIENTS AND METHODS: The sample included 1744 youth (mean age: 14.6 ± 1.8 years) entering a large residential treatment program between 2000 and 2010. Youth received an intake medical evaluation, including a review of available records, detailed medical history, and physical examination. Medical conditions present at the time of the evaluation were recorded by the examining physician and later coded by the research team. Only diagnoses recognized by the International Classification of Diseases, 10th Revision, were included in the analyses. To maintain the focus on physical health problems, behavioral and emotional disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision were excluded. Obesity, acne, and allergies were also excluded. RESULTS: Approximately one-third (33.7%) of youth had a physical health diagnosis at the time of intake. Asthma was the most prevalent condition diagnosed (15.3% of the sample). Girls were significantly more likely to have a diagnosis than were boys (37.1% vs 31.5%). Age was not associated with diagnostic status. Rates of physical health conditions differed significantly by ethnicity: black (36.4%) and white (35.4%) youth had the highest rates, and Hispanic youth (23.2%) had the lowest. CONCLUSIONS: Youth who enter residential treatment have high rates of physical health conditions. These problems could complicate mental health treatment and should be considered in multidisciplinary treatment planning.

Original languageEnglish (US)
Pages (from-to)e1226-e1232
JournalPediatrics
Volume128
Issue number5
DOIs
StatePublished - Nov 1 2011

Fingerprint

Residential Treatment
Health
Acne Vulgaris
International Classification of Diseases
Physical Health
Hispanic Americans
Diagnostic and Statistical Manual of Mental Disorders
Physical Examination
Medical Records
Mental Health
Hypersensitivity
Asthma
Obesity
Physicians
Therapeutics
Research

Keywords

  • Physical health problems
  • Prevalence rates
  • Residential treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Nelson, T. D., Smith, T. R., Thompson, R. W., Epstein, M. H., Griffith, A. K., Duppong Hurley, K. L., & Tonniges, T. F. (2011). Prevalence of physical health problems among youth entering residential treatment. Pediatrics, 128(5), e1226-e1232. https://doi.org/10.1542/peds.2010-3609

Prevalence of physical health problems among youth entering residential treatment. / Nelson, Timothy D; Smith, Tori R.; Thompson, Ronald W.; Epstein, Michael H.; Griffith, Annette K.; Duppong Hurley, Kristin L; Tonniges, Thomas F.

In: Pediatrics, Vol. 128, No. 5, 01.11.2011, p. e1226-e1232.

Research output: Contribution to journalArticle

Nelson, TD, Smith, TR, Thompson, RW, Epstein, MH, Griffith, AK, Duppong Hurley, KL & Tonniges, TF 2011, 'Prevalence of physical health problems among youth entering residential treatment', Pediatrics, vol. 128, no. 5, pp. e1226-e1232. https://doi.org/10.1542/peds.2010-3609
Nelson, Timothy D ; Smith, Tori R. ; Thompson, Ronald W. ; Epstein, Michael H. ; Griffith, Annette K. ; Duppong Hurley, Kristin L ; Tonniges, Thomas F. / Prevalence of physical health problems among youth entering residential treatment. In: Pediatrics. 2011 ; Vol. 128, No. 5. pp. e1226-e1232.
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