Adolescent mental health: Challenges with maternal noncompliance

Vicki A Nejtek, Sarah Hardy, Scott WinterUniversity of North Texas Health Science Center, Fort Worth, TX, USAAbstract: The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of child...

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Autores principales:	Vicki A Nejtek, Sarah Hardy, Scott Winter
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/6b91733f88434e90b813311d42251ea4
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spelling	oai:doaj.org-article:6b91733f88434e90b813311d42251ea42021-12-02T04:31:14ZAdolescent mental health: Challenges with maternal noncompliance1176-63281178-2021https://doaj.org/article/6b91733f88434e90b813311d42251ea42010-03-01T00:00:00Zhttp://www.dovepress.com/adolescent-mental-health-challenges-with-maternal-noncompliance-a4175https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Vicki A Nejtek, Sarah Hardy, Scott WinterUniversity of North Texas Health Science Center, Fort Worth, TX, USAAbstract: The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of childhood neglect and abuse are perpetrated most often by single mothers. Psychiatric disorders arising from maternal&ndash;child dysfunction are well-documented. However, resources to prevent offspring victimization are lacking. Here, we report maternal neglect of a 15-year-old male brought to the psychiatric emergency room for suicidal ideation. An inpatient treatment plan including pharmacotherapy, family therapy and psychological testing was initiated. The patient&rsquo;s mother failed to attend clinic appointments or family therapy sessions. Clinician attempts to engage the mother in the treatment plan was met with verbal assaults, aggression, and threatening behavior. The patient decompensated in relation to the mother&rsquo;s actions. Child Protective Services were contacted and a follow-up assessment with the patient and mother is pending. Psychiatric treatment of the mother may be a necessary intervention and prevention regimen for both the adolescent and the mother. Without consistent Child Protective Services oversight, medical and psychosocial follow-up, the prognosis and quality of life for this adolescent is considered very poor. Stringent mental health law and institutional policies are needed to adequately intercede and protect adolescents with mental illness.Keywords: adolescent, suicide, maternal treatment noncompliance, maternal neglect Vicki A NejtekSarah HardyScott WinterDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2010, Iss Issue 1, Pp 67-69 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Vicki A Nejtek Sarah Hardy Scott Winter Adolescent mental health: Challenges with maternal noncompliance
description	Vicki A Nejtek, Sarah Hardy, Scott WinterUniversity of North Texas Health Science Center, Fort Worth, TX, USAAbstract: The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of childhood neglect and abuse are perpetrated most often by single mothers. Psychiatric disorders arising from maternal&ndash;child dysfunction are well-documented. However, resources to prevent offspring victimization are lacking. Here, we report maternal neglect of a 15-year-old male brought to the psychiatric emergency room for suicidal ideation. An inpatient treatment plan including pharmacotherapy, family therapy and psychological testing was initiated. The patient&rsquo;s mother failed to attend clinic appointments or family therapy sessions. Clinician attempts to engage the mother in the treatment plan was met with verbal assaults, aggression, and threatening behavior. The patient decompensated in relation to the mother&rsquo;s actions. Child Protective Services were contacted and a follow-up assessment with the patient and mother is pending. Psychiatric treatment of the mother may be a necessary intervention and prevention regimen for both the adolescent and the mother. Without consistent Child Protective Services oversight, medical and psychosocial follow-up, the prognosis and quality of life for this adolescent is considered very poor. Stringent mental health law and institutional policies are needed to adequately intercede and protect adolescents with mental illness.Keywords: adolescent, suicide, maternal treatment noncompliance, maternal neglect
format	article
author	Vicki A Nejtek Sarah Hardy Scott Winter
author_facet	Vicki A Nejtek Sarah Hardy Scott Winter
author_sort	Vicki A Nejtek
title	Adolescent mental health: Challenges with maternal noncompliance
title_short	Adolescent mental health: Challenges with maternal noncompliance
title_full	Adolescent mental health: Challenges with maternal noncompliance
title_fullStr	Adolescent mental health: Challenges with maternal noncompliance
title_full_unstemmed	Adolescent mental health: Challenges with maternal noncompliance
title_sort	adolescent mental health: challenges with maternal noncompliance
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/6b91733f88434e90b813311d42251ea4
work_keys_str_mv	AT vickianejtek adolescentmentalhealthchallengeswithmaternalnoncompliance AT sarahhardy adolescentmentalhealthchallengeswithmaternalnoncompliance AT scottwinter adolescentmentalhealthchallengeswithmaternalnoncompliance
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Adolescent mental health: Challenges with maternal noncompliance

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