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Evaluation of the physical health of adolescent in-patients in generic and secure services: retrospective case-note review

  • Rebekah Carney (a1) (a2), Shermin Imran (a3), Heather Law (a1), Siri Folstad (a2) and Sophie Parker (a1) (a2)...

Abstract

Aims and method

To assess physical health needs of adolescent in-patients by routine monitoring. A retrospective analysis of case notes was conducted on a 6-month intake to generic and secure adolescent mental health units in Greater Manchester, UK.

Results

Fifty individuals were admitted (52% female, average age 15.84 years). Diagnoses varied and 66% were prescribed medications before admission. All had a physical health assessment, which identified various physical health risk factors. Average body mass index was 25.99 (range 15.8–44), and increased during in-patient treatment for 84% of individuals who had their body mass recorded more than once. A total of 28% of individuals smoked. Lipids and prolactin levels were elevated across the sample.

Clinical implications

This evaluation strengthens the argument to optimise physical healthcare for adolescent in-patients and develop physical health interventions, particularly given that we observed elevated lipids and prolactin. Physical health and well-being may not be prioritised when assessing and managing young peoples' mental health, despite their increased vulnerability for comorbid conditions.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Correspondence to Rebekah Carney (rebekah.carney@gmmh.nhs.uk)

Footnotes

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Declaration of interest: None.

Footnotes

References

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Evaluation of the physical health of adolescent in-patients in generic and secure services: retrospective case-note review

  • Rebekah Carney (a1) (a2), Shermin Imran (a3), Heather Law (a1), Siri Folstad (a2) and Sophie Parker (a1) (a2)...

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Evaluation of the physical health of adolescent in-patients in generic and secure services: retrospective case-note review

  • Rebekah Carney (a1) (a2), Shermin Imran (a3), Heather Law (a1), Siri Folstad (a2) and Sophie Parker (a1) (a2)...
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