Unmet Need For Community-Based Mental Health and Substance Use Treatment Among Rural Adolescents
Unmet Need For Community-Based Mental Health and Substance Use Treatment Among Rural Adolescents
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农村青少年对社区心理健康和药物滥用治疗的需求未得到满足
DOI：
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发表时间：
2005
影响因子：
2.7
通讯作者：
J. Gittler
中科院分区：
文献类型：
--
作者：
Rachel L. Anderson;J. Gittler
摘要本研究评估了农村青少年心理健康（MH）和/或物质使用（SU）问题的未满足服务需求程度。所有居住在爱荷华州三个县地区并从门诊MH或SU治疗出院的青少年（12-18岁）被纳入研究（n=177）。采用图表回顾法对入院和出院时的服务利用和临床特征进行回顾性评估。三分之二（64%）患有合并障碍的青少年没有接受与广泛支持的指南一致的治疗，该指南建议合并障碍的个体同时接受MH和SU问题的治疗。较高的抑郁严重程度、更多的支持、先前的医院服务使用率和较低的先前虐待发生率预示着双重服务的接受。最后，仅接受MH治疗的同时出现问题的青少年在出院时MH需求有所改善，但SU需求没有改善。同样地，有共同问题的青少年，只接受辅助治疗，在辅助治疗需求上有改善，但在辅助治疗需求上没有改善。农村青少年共患疾病的治疗需求仍未得到满足。改善护理的努力必须侧重于青少年、家庭、规划、资金和政策因素，因为这些因素阻碍了统一促进适当护理所需的理念和实践。
Abstract This research assessed the extent of unmet service need for rural youth with mental health (MH) and/or substance use (SU) problems. All adolescents (12–18 years old) living in a three-county region of Iowa and discharged from outpatient MH or SU treatment were included (n=177). Chart review was used to retrospectively assess service utilization and clinical characteristics at time of admission and discharge. Two-thirds (64%) of adolescents with co-occurring disorders did not receive treatment consistent with widely supported guidelines recommending that individuals with co-occurring disorders receive treatment for both their MH and SU problems. Higher severity of depression, more supports, prior MH service utilization and lower prevalence of prior abuse predicted the receipt of dual services. Finally, adolescents with co-occurring problems who received only MH treatment showed improvement on MH needs at discharge but no improvement on SU needs. Similarly, adolescents with co-occurring problems who received only SU treatment showed improvement on SU needs but not on MH needs. There is considerable unmet treatment need among rural adolescents with co-occurring disorders. Efforts to improve care must focus on adolescent, familial, program, funding and policy factors that act as barriers to unifying philosophies and practices needed to advance appropriate care.
影响因子：
3.3
作者：
Drake, RE;McHugo, GJ;Ackerson, TH
通讯作者：
Ackerson, TH
实现对慢性精神病和共病物质依赖患者的有效治疗。
DOI：
10.1176/ajp.156.11.1765
发表时间：
1999
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Ho,AP;Tsuang,JW;Liberman,RP;Wang,R;Wilkins,JN;Eckman,TA;Shaner,AL
通讯作者：
Shaner,AL