Substance Use and Treatment Among Youth Experiencing Homelessness: 1992-2017
Substance Use and Treatment Among Youth Experiencing Homelessness: 1992-2017
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DOI：
10.1016/j.jadohealth.2020.04.019
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发表时间：
2020-12-01
影响因子：
7.6
通讯作者：
Dean, David, Jr.
中科院分区：
文献类型：
--
作者：
Green, Brandn;Kim, Frances Lee;Dean, David, Jr.
目的：本研究旨在描述青少年从入院到接受公共资助的治疗项目期间物质使用和治疗利用的模式（年龄12-24岁）在1992年至2017年期间经历过无家可归。方法：我们使用了串联的物质滥用和精神卫生服务管理局治疗事件数据集（青年收容总数，n = 5，153，775;据报在收容时无家可归的青年，n = 241，310）。患病率估计和二元逻辑回归模型被用来估计比值比，以确定青年谁报告无家可归或居住在治疗的时间的差异。结果：无家可归的青年有较高的赔率比居住的青年自我指治疗，登记治疗可卡因/裂纹，海洛因，或甲基苯丙胺;并在24小时戒毒设施或长期住宿设施接受治疗。其他差异被确定为青年年龄在12-17岁和青年年龄在18-24岁和性别内无家可归的青年population.Conclusions：这项分析提供了一个图片的治疗利用模式的青年谁是经历无家可归和物质使用障碍，通过探索住房状况之间的差异入院公共资助的治疗设施。(C)2020年青少年健康和医学协会。All rights reserved.
Purpose: This study aimed to describe the patterns in substance use and treatment utilization from admissions to publicly funded treatment programs among youth (aged 12-24 years) expe-riencing homelessness between the years of 1992 and 2017.Methods: We used the concatenated Substance Abuse and Mental Health Services Administration Treatment Episode Data Set Admissions (total youth admissions, n = 5,153,775; and youth reported being homeless at the time of admission, n = 241,310). Prevalence estimates and binary logistic regression models were used to estimate the odds ratios to identify the differences among youth who reported being homeless or housed at the time of the treatment.Results: Homeless youth had higher odds than housed youth to self-refer for treatment; to enroll in treatment for cocaine/crack, heroin, or methamphetamine; and to receive treatment in 24-hour detoxication facilities or long-term residential facilities. Additional differences were identified among youth aged 12-17 years and youth aged 18-24 years and by sex within the homeless youth population.Conclusions: This analysis provides a picture of treatment utilization patterns by youth who are experiencing homelessness and substance use disorder, by exploring differences by housing status among admissions to publicly funded treatment facilities. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.