Clinical follow-up findings of inpatient treatment in abuse cases

Introduction: Although there are many residential centers for abused and neglected children, the first residential institution of Turkey ?Oguz Kagan Koksal Social Cere and Rehabitation Center? has been established in Adana city. Psychiatric care has been provided by Cukurova University Medical Faculty Child and Adolescent Psychiatry Department in this center. In this study, the clinical and demographic characteristics, and follow-up findings of patients who treated in the center since six years will be presented.Material and Methods: Total 152 girls aged 8-18 were included in this study. Abuse-specific variables, demographic data were obtained from file records.Results: The history of sexual abuse was reported by 78.9% of cases. 75 of girls have been diagnosed as Posttraumatic Stress Disorder, 36 as Borderline Personality Disorder 32 as Destructive Behavior Disorders, and 14 as Mood Disorder. Posttraumatic Stress Disorder and Borderline Personality Disorder were more common among the girls who reported sexual abuse history than who had no. Psychotropic drugs were used in treatment of 94.5% of cases. Antipsychotics were given in treatment of 81.4% of girls, and it was most frequently chosen drugs. The rate of cases who used mood stabilizers was determined as %51.7%, antidepressants as 25.5%. The mean treatment duration was 7.7 months; and it was longer in the girls who used drugs than who had no.Conclusion: Residential treatments are different from the other treatments with to keep a combination of several applications. The experiences of the center which presented in here are important because it is first institution of our country that worked on child and adolescents victims of abuse. Treatment and rehabilitation centers should promote across the country. The findings of this study are supported the possible usefulness of the presented treatment system.Key Words: Residential treatment, sexual abuse, PTSD