Provision of mental health services as a quality indicator for adolescent substance abuse treatment facilities.

Provision of mental health services as a quality indicator for adolescent substance abuse treatment facilities.
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DOI:
10.1176/appi.ps.201300517
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发表时间:
2015-01-01
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
McCaffrey DF
McCaffrey DF
中科院分区:
其他
文献类型:
--
作者:
Ramchand R;Griffin BA;Hunter SB;Booth MS;McCaffrey DF

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我们试图测试在提供全面(可以治疗所有精神疾病)或部分(不治疗严重/持续性精神疾病)心理健康服务的设施中接受物质使用治疗的青少年是否具有更好的12个月物质使用和心理健康结果。数据来自50个青少年治疗机构之一的3,235名青少年,他们在基线和12个月时进行了评估。倾向分数被用来比较三种类型的设施(全部,部分,或没有心理健康服务)的客户端的结果,加权线性模型估计检查结果。参加提供全部或部分心理健康服务的设施的青年比参加不提供此类服务的设施的青年有更好的物质使用结果。没有证据表明提供全面与部分服务的设施之间在物质使用结果方面存在差异,也没有证据表明心理健康结果存在差异。这些初步研究结果表明,精神卫生服务的可用性可能是一个有用的青少年物质使用治疗设施的质量指标。需要更多的研究来检查不同设施提供的特定类型的心理健康服务。
We sought to test whether adolescents receiving substance use treatment at facilities offering full (can treat all psychiatric conditions) or partial (do not treat severe/persistent mental illness) mental health services have better 12-month substance use and mental health outcomes. Data was collected from 3,235 adolescents served at one of 50 adolescent treatment facilities who were assessed at baseline and at 12-months. Propensity scores were applied to compare client outcomes from three types of facilities (full, partial, or no mental health services); weighted linear models were estimated to examine outcomes. Youths attending facilities offering full or partial mental health services had better substance use outcomes than youths attending facilities offering no such services. There was no evidence of a difference in substance use outcomes between facilities offering full versus partial services, nor evidence of differences on mental health outcomes. These preliminary findings suggest that the availability of mental health services may be a useful quality indicator for adolescent substance use treatment facilities. More research is needed to examine specific types of mental health services offered at different facilities.
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