Utilization of alcohol, drug, and mental health treatment services among American Indian adolescent detainees.
Utilization of alcohol, drug, and mental health treatment services among American Indian adolescent detainees.
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美洲印第安人青少年被拘留者使用酒精、毒品和心理健康治疗服务的情况。
DOI：
10.1097/00004583-199909000-00013
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Manson,SM
中科院分区：
文献类型：
--
作者：
Novins,DK;Duclos,CW;Martin,C;Jewett,CS;Manson,SM
目的 描述美洲印第安人 (AI) 青少年被拘留者样本中精神状况与酒精、毒品和心理健康 (ADM) 服务使用之间的关系。方法 对被关押在北部平原保留地少年拘留中心的 150 名阿尔及利亚青少年进行了结构化诊断和服务使用访谈。 结果 40% 的被诊断为药物使用障碍的阿尔及利亚青少年和 34.1% 的被诊断为焦虑、情绪或破坏性行为障碍的青少年表示，他们终生因药物使用和情绪问题而使用服务。虽然物质使用问题的服务最常在住宅环境中提供，但情绪问题的服务最常在门诊环境中提供。传统治疗师和教牧辅导员分别为 23.7% 和 29.6% 因药物滥用和情绪问题接受服务的青少年提供服务。与生活在另一个类似的北部平原保留社区的在逃青少年相比，被拘留的青少年更有可能获得 ADM 服务。尽管如此，绝大多数患有精神疾病的被拘留青少年并未报告使用 ADM 服务。 结论 为青少年提供服务的拘留设施需要全面筛查是否存在精神疾病，并为使用 ADM 服务提供便利。 J. Am.阿卡德。儿童青少年。精神病学，1999，38(9)：1102–1108。
OBJECTIVETo describe the relationship between psychiatric status and the use of alcohol, drug, and mental health (ADM) services among a sample of American Indian (AI) juvenile detainees. Method A structured diagnostic and service use interview was administered to 150 Al youths detained in a juvenile detention center located on a Northern Plains reservation.RESULTSForty percent of Al youths with a diagnosed substance use disorder and 34.1% with a diagnosed anxiety, mood, or disruptive behavior disorder reported lifetime use of services for substance use and emotional problems, respectively. While services for substance use problems were most commonly provided in residential settings, services for emotional problems were most commonly provided in outpatient settings. Traditional healers and pastoral counselors provided services to 23.7% and 29.6% of youths who received services for substance use and emotional problems, respectively. Detained youths were more likely to receive ADM services than Al adolescents living at-large in another, comparable Northern Plains reservation community. Still, the vast majority of youths in detention who suffered from psychiatric disorders did not report use of ADM services.CONCLUSIONSDetention facilities serving Al adolescents need to screen care fully for the presence of psychiatric disorders and facilitate the use of ADM services. J. Am. Acad. Child Adolesc. Psychiatry, 1999, 38(9):1102–1108.