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Diagnosticeren van comorbiditeit bij verslaafde jongeren. Een vergelijking van diagnostische indicaties met de uiteindelijke diagnose

Leerkes, Joyce (2015) Diagnosticeren van comorbiditeit bij verslaafde jongeren. Een vergelijking van diagnostische indicaties met de uiteindelijke diagnose.

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Abstract:Background Comorbidity between addiction and other psychiatric disorders is a frequently occurring problem among youth. An addiction can be a cause or a consequence of psychopathology. Inside the care of drugs addicts youth are screened on among other things psychiatric disorders. A screening instrument is meant to distinguish the persons who are likely to have a disorder from the persons who aren’t likely to have a disorder. In this study there will be investigated if the final diagnoses correspond to the indications obtained with the screening instrument. Method For this study an electronic care dossier has been used, just as a screening instrument for, among other things, psychiatric disorders. To answer the question, the client data of 20 persons (n=20) with an age varying between 14 and 22 years old are investigated. The correspondence between indications and diagnoses was investigated and there had been sought to additional information (such as amount of caregivers and additional diagnostics) to find an explanation. Results Despite there has been tested on disorders, there were 6 clients (30%) with a diagnose, (partly) corresponding with the indications obtained with the screening instrument. Beside that 5 clients (25%) had been tested on disorders, but they didn’t get a diagnose. 9 clients (45%) remain by which they didn’t diagnose for disorders on As I and at which the diagnose on As II has been postponed. Despite 20 clients had psychiatric indications, only 10 clients (50%) had additional diagnostics in the form of psychiatric consult or psychological test diagnostics. Eventually 3 of those clients (15%) had a diagnose. From the clients who had been in contact with a psychiatrist or psychologist (n=14) just 5 clients (25%) had a diagnose. Discussion The eventual diagnoses barely correspond to the received indications. There were no clients with a complete correspondence between the diagnoses and the indications. The reason could be that a screening instrument will give more indications for disorders than there will be actual diagnoses. Besides that, it seems to be that there is no univocal course of treatment (only half of the clients had follow-up diagnostics) and there is a large difference in amount and involvement of specific social workers. In this study no clear relation has been found between the received indications and the final diagnoses. This is not very promising.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/68397
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