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• W3201680498 abstract "<h3>Background</h3> Adolescence (10–19 years) and young adulthood (20–24 years) are often seen as the healthiest times of life, yet 22% of 16–24 year olds report living with a chronic condition, 45% of these conditions involve their mental health. Adolescents in hospital are an under-researched cohort, they may be located on different wards across the hospital under paediatric and adult teams and are often invisible as a group. To address this, in 2018 we created KAOS, an Adolescent Outreach Service where a youth worker team visits adolescent inpatients prospectively, supported by a clinical team, providing risk assessment, support, information and advocacy. <h3>Objectives</h3> To review the two-year experience of KAOS in a large inner-city teaching hospital and regional referral centre. <h3>Methods</h3> We collected cross-sectional data at the time of contact with KAOS (n=540 patients, 47% female). Stata was used to test correlation, with a Pearson rank coefficient, between borough Index of Multiple Deprivation (IMD) and number who had mental health or safeguarding need. <h3>Results</h3> 540 inpatients (11–26 years) were seen by KAOS from April 2018-April 2020. 43% had a chronic physical or mental health condition, 63% had medical complexity, denoted by being under two or more clinical teams. Areas of adolescents’ need identified included: 29% mental health, 12% safeguarding, 12% education or employment, 10% sexual health, 4% substance use. 43% came from two boroughs neighbouring the hospital. The borough IMD had a moderate positive association with the number who were inpatients (<i>r</i> = 0.31), the number who had safeguarding (<i>r</i> = 0.38) or mental health need (<i>r</i> = 0.36). <h3>Conclusions</h3> In-hospital adolescents are medically complex and more socially vulnerable than their out-of-hospital peers. Clinicians may underestimate this and we advocate for an adolescent outreach team to proactively identify and address these needs." @default.
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• W3201680498 date "2021-09-30" @default.
• W3201680498 modified "2023-09-25" @default.
• W3201680498 title "894 Managed KAOS: medical and social complexity of adolescent inpatients at an inner-city teaching hospital, a two-year experience" @default.
• W3201680498 doi "https://doi.org/10.1136/archdischild-2021-rcpch.266" @default.
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