Psychopharmacological treatment of young people with substance dependence: a survey of prescribing practices in England
Psychopharmacological treatment of young people with substance dependence: a survey of prescribing practices in England
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DOI：
10.1111/camh.12013
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发表时间：
2014-05-01
影响因子：
6.1
通讯作者：
McArdle, Paul
中科院分区：
文献类型：
--
作者：
Bateman, Johanna;Gilvarry, Eilish;McArdle, Paul
背景对物质依赖的年轻人的描述需要对发展和背景问题的专业知识，以及基本上未经许可的药物的使用。这项首次全国性的调查旨在确定英国提供的药物治疗的性质，包括维持治疗的范围、监督消费和专科处方。方法收集有关阿片类药物替代品和其他阿片类药物、酒精和苯二氮卓类依赖药物、预防药物和酒精复发以及共病的数据。有证据表明，与年龄较大的青少年相比，对待年轻青少年的方法不同。结果总体应答率为73%。大多数接受治疗的患者年龄在16岁以上。85%的治疗是阿片类替代疗法；许多人接受了长期的维持治疗。青少年酒精依赖和合并症的处方比例较低，最大的处方群体是全科医生。结论青少年依赖的规模、维持治疗中替代药物的使用以及治疗干部中青少年成瘾专家的数量仍存在问题。
BackroundPrescribing for substance-dependent youth requires expert knowledge of developmental and contextual issues and use of largely unlicensed medicines. This first national survey aimed to determine the nature of pharmacological treatments delivered in England including the extent of maintenance therapy, supervised consumption and specialties prescribing.MethodData were gathered regarding opiate substitutes & other medications prescribed for opiate, alcohol & benzodiazepine dependence, drug & alcohol relapse prevention and comorbidities. Evidence of distinct approaches to younger compared with older adolescents was sought.ResultsThe overall response rate was 73%. The majority treated were over 16years. 85% treatments were opiate substitute therapies; many received longer term maintenance therapy. Prescribing for alcohol dependence & comorbidity was low; the largest prescribing group were General Practitioners.ConclusionsQuestions remain about the scale of youth dependence, the use of substitute agents in maintenance treatment and the number of adolescent addiction specialists in the treatment cadre.