Langdurig klinisch behandeld in de kinder- en jeugdpsychiatrie; een follow-up onderzoek na 5 tot 25 jaar

The objective of the present study was to investigate a range of psychiatric and psychosocial outcomes in young adults who were long-term child psychiatric inpatients of the Erasmus MC-Sophia Childrenâ?Ts Hospital. All children were treated long-term between 1979 and 1999 in residential or day treatment for a minimum of one year and were at follow-up older than 18 years. The main question was how a vulnerable population would function in society as adults, especially as they were severely disturbed when they were young of age. Of the initial 130 inpatients, 96 respondents (51 men, 45 women) participated in this study, a response rate of 77%. At follow-up half of the long-term treated inpatients were adequately functioning on adult age. However, the other half continued to suffer from psychopathology (DSM-IV diagnoses or problem scores in the clinical range on the Adult Behavior Checklist or Adult Self-Report) or was socially less well functioning compared to respondents in the general population or compared to outpatients of the department Child Psychiatry of the Erasmus MC-Sophia Childrenâ?Ts Hospital. Respondents with a low intelligence and who were of a young age at the start of the child psychiatric treatment had more often an unfavourable outcome. These findings are in concordance with the few earlier follow-up studies.

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