Mental health and medical problems and service use among adolescent substance users
Mental health and medical problems and service use among adolescent substance users
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DOI：
10.1097/01.chi.0000046846.56865.f9
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发表时间：
2003-06-01
影响因子：
13.3
通讯作者：
Juvonen, J
中科院分区：
文献类型：
--
作者：
Jaycox, LH;Morral, AR;Juvonen, J
进入药物滥用治疗系统的青少年经常表现出心理健康和医学问题。由于人们对这些青少年是否接受了解决这些问题的服务知之甚少，因此本研究调查了接受药物滥用治疗的青少年所接受的服务。方法：在1998年至2001年期间，对美国7个住院和门诊药物滥用治疗项目收治的12-19岁儿童（N = 1088）进行了入院和3个月的心理健康、医疗问题和服务使用的随访报告。结果：在两个时间点均发现了高水平的心理健康问题，但很少有人接受心理健康治疗。相比之下，医疗问题的发生率较低，一半以上的人接受了服务。预测心理健康治疗接受情况的逻辑回归发现，居住环境中当前和基线困扰程度更高的女性更有可能接受服务。种族、基线行为问题以及目前是否在药物滥用治疗中并不能预测服役情况。预测医疗服务的逻辑回归分析显示，接受住院治疗的女性接受医疗治疗的可能性也更高。结论：尽管这些结果需要重复和验证，但它们表明，在利用机会将进入药物使用治疗的青少年与精神卫生服务联系起来方面，可以做更多的工作。
Adolescents entering the substance abuse treatment system frequently exhibit mental health and medical problems. Because little is known about whether these youths receive services to address these problems, this study examined the services received by youths admitted to substance abuse treatment. Method: Admission and 3-month follow-up reports of mental health, medical problems, and service use were examined within a large cohort (N = 1,088) of 12-19-year-olds admitted to seven inpatient and outpatient substance abuse treatment programs across the United States between 1998 and 2001. Results: High levels of mental health problems were found at both time points, but few received mental health treatment. In contrast, there were lower rates of medical problems, and more than half received services. Logistic regression predicting mental health treatment receipt found females in residential settings with more current and baseline distress to be more likely to receive services. Ethnicity, baseline behavioral problems, and whether or not currently in substance abuse treatment did not predict service use. A logistic regression predicting medical services showed that females in residential treatment were also more likely to receive medical treatment. Conclusion: Although these results require replication and validation, they suggest that more could be done to take advantage of the opportunity to link youths entering substance use treatment with mental health services.