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dc.contributor.authorToivonen, Katri
dc.contributor.authorSalokekkilä, Pirkko
dc.contributor.authorPuustelli, Anne
dc.contributor.authorHäggman-Laitila, Arja
dc.date.accessioned2020-07-01T12:55:16Z
dc.date.available2020-07-01T12:55:16Z
dc.date.issued2020
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/8218
dc.description.abstractBackground Children and young people placed in out-of-home care suffer from multiple problems more often than their peers, and the likelihood of their marginalization is significantly higher. Although aftercare services try to provide comprehensive support to care leavers, less attention has been paid to care leavers’ health symptoms in aftercare. Objective To use documents to retrospectively describe the somatic and mental symptoms, medical treatments and health service use of care leavers. Participants and Setting The data comprised three electronic records of 600 Finnish care leavers. Methods Data were collected from original free-text documents with a structured electronic worksheet and were analyzed using descriptive statistical methods. Results According to the documents one third of care leavers had somatic disease and more than third experienced mental symptoms. More than every tenth had several concurrent somatic diseases and more than every fifth several concurrent mental symptoms. Under half were taking regular medication. Women were significantly more likely than men to have diseases or symptoms. They also used significantly more medicines and health services. The morbidity rates of young people not placed in out-of-home care were similar to those who had experienced a number of placements. Conclusions Care leavers with mental disorders, substance abuse issues and sexually transmitted diseases were clearly not reached by the services. Aftercare services should pay more attention to the assessment of service needs and encouraging service use in issues related to health as well as improve the effectiveness of multi-professional collaboration.
dc.language.isoenglanti
dc.publisherElsevier BV
dc.relation.ispartofseriesChildren and youth services review
dc.relation.urihttp://dx.doi.org/10.1016/j.childyouth.2020.105079
dc.subjectchild abuse
dc.subjectaftercare
dc.subjectphysical health
dc.subjectmental health
dc.subjectmedical treatment
dc.subjecthealth services
dc.titleSomatic and mental symptoms, medical treatments and service use in aftercare - Document analysis of Finnish care leavers
dc.description.versionfinal draft
dc.contributor.departmentDepartment of Nursing Science, activities
uef.solecris.id71110016en
dc.type.publicationTieteelliset aikakauslehtiartikkelit
dc.rights.accessrights© 2020 Elsevier Ltd.
dc.relation.doi10.1016/j.childyouth.2020.105079
dc.description.reviewstatuspeerReviewed
dc.relation.articlenumber105079
dc.relation.issn0190-7409
dc.relation.volume114
dc.rights.accesslevelopenAccess
dc.type.okmA1
uef.solecris.openaccessEi


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