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The aim of this study was to assess psychopathology and mental health service use among youth living in FC who require psychiatric hospitalisation. All individuals admitted to our Children and Adolescent Inpatient Psychiatry Unit between 2014 and 2017 who were in FC were systematically reviewed. The control group was defined as all youth living with their immediate family and hospitalised in our unit throughout 2016. We identified 89 patients placed in FC and 247 controls. Socio-demographic and clinical\u00a0data were retrospectively collected from computerised charts. A survival analysis of emergency department visits and readmission to the hospital was conducted. Compared to controls, the FC group presented significantly higher rates of conduct disorder (78.7% vs 14.6%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and substance use disorder (49.4% vs 27.5%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001), mainly cannabis use (34.8% vs 16.6%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001); higher rates of comorbidity (96.6% vs 55.9%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and mean number of comorbid diagnoses (3.3\u2009\u00b1\u20091.1 vs 2.3\u2009\u00b1\u20090.5;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). The FC group had a higher number of emergency room visits before and after admission than controls. FC youth were also 2.77 times more likely to visit the emergency department after discharge, and in a shorter time period, than controls (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.004). Disruptive behaviours, substance use disorder, and comorbid psychopathology were all more prevalent among FC youth than controls. Specific strategies are needed to optimize community mental health resources and address the increased use of emergency services by these youth before and after hospitalisation.\n                  <\/jats:p>","DOI":"10.1007\/s00787-022-02104-5","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T04:04:43Z","timestamp":1671595483000},"page":"39-50","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Psychopathology and mental health service use among youth in foster care admitted to a psychiatric inpatient unit: a 4-year retrospective controlled study"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2250-494X","authenticated-orcid":false,"given":"Mireia","family":"Solerdelcoll","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Ilzarbe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Fortea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Morer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa","family":"Lazaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisela","family":"Sugranyes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inmaculada","family":"Baeza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"key":"2104_CR1","doi-asserted-by":"publisher","unstructured":"IJzendoorn van MH, Bakermans-Kranenburg MJ, Scott S (2015) Residential and foster care. 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Dr. Ilzarbe has received funding from the Spanish Ministry of Science, Innovation and Universities, Instituto de Salud Carlos III, \u2018Rio Hortega\u2019 contract CM17\/00019, with the support of European Social Fund. Dr Sugranyes has received research support from the Spanish Ministry of Science (PI18\/00696) integrated into the National Plan of I\u2009+\u2009D\u2009+\u2009I and co-financed by Instituto de Salud Carlos III (ISCIII) and the European Regional Development Fund (ERDF) and the Fundaci\u00f3 Cl\u00ednic Recerca Biom\u00e8dica (Ajut a la Recerca Pons Bartran, FCRB_PB1_2018). Dr. Baeza is supported by a grant of ISCIII-INT19\/00021, Fondos Feder \u201cUna manera de hacer Europa\u201d and has received research support from ISCIII and honoraria or travel support to attend conferences from Angelini, Lundbeck and Janssesn. The other authors have no competing or potential conflicts of interest to disclose. None of the authors have any competing interests to declare that are relevant to the content of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study has been approved by the Ethics Committee of the Hospital Clinic de Barcelona (HCB\/2018\/0111).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"This retrospective chart review study involving human participants was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The practice of not involving informed consent was approved by the Ethics review board.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All authors consent to the publication of this manuscript in European Child & Adolescent Psychiatry.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publication"}},{"value":"The corresponding author (MS) affirms that the manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned have been explained. The authors of this article had access to all study data, are responsible for all contents of the article, and had authority over manuscript preparation and the decision to submit the manuscript for publication","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Transparency"}}]}}