Narrative review: Revised Principles and Practice Recommendations for Adolescent Substance Use Treatment and Policy.
Narrative review: Revised Principles and Practice Recommendations for Adolescent Substance Use Treatment and Policy.
复制标题
叙述评论：青少年药物使用治疗和政策的修订原则和实践建议。
DOI：
10.1016/j.jaac.2024.03.010
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发表时间：
2024
影响因子：
13.3
通讯作者：
Winters,KenC
中科院分区：
文献类型：
--
作者：
Welsh,JustineW;Dopp,AlexR;Durham,RebeccaM;Sitar,SiaraI;Passetti,LoraL;Hunter,SarahB;Godley,MarkD;Winters,KenC
2014年，美国国家药物滥用研究所发布了“青少年物质使用障碍治疗原则”，总结了先前建立的证据，并概述了物质使用障碍（SUD）的有效评估，治疗和善后的原则。温特塞特（2018）1更新了这些原则，使其适合青少年的发展。这一审查的基础上，形成的工作，并建议更新青少年的评估，治疗和善后的原则和practices.MethodThe科克伦，MEDLINE-PubMed和PsychInfo数据库进行了搜索相关的研究与青少年物质使用服务的新数据。本文更新了原有的13条原则，将原有的8种模式浓缩为5种实践;并强调了对公共政策方法，未来资金和research.ResultsKey建议的原则，包括整合护理共发生的精神卫生障碍和SUD，提高服务的可及性，包括通过教育系统，保持参与，并在与其他青年服务系统合作时解决机构之间的紧张关系。治疗实践的更新包括采用筛查，简短干预和转诊治疗（SBIRT），投资于社会计划和家庭参与治疗，扩大行为疗法和药物的可及性，增加减少伤害服务的资金，支持持续护理服务的报销，以及增加研究投资。和善后的方法和做法，旨在建立指导和循证的做法，为治疗提供者，同时鼓励必要的支持，从决策者和资助机构，以提高标准的照顾青少年SUD服务。作者描述了青少年物质使用治疗的原则和做法，并确定了需要进一步研究的治疗领域。作者还概述了政策变化的建议和支持资金，以实施这些原则和做法，以进一步提高青少年物质使用障碍服务的护理标准。
ObjectiveIn 2014, the US National Institute on Drug Abuse released the “Principles of Adolescent Substance Use Disorder Treatment,” summarizing previously established evidence and outlining principles of effective assessment, treatment, and aftercare for substance use disorders (SUD). Winterset al.(2018)1updated these principles to be developmentally appropriate for adolescents. This review builds on that formative work and recommends updated adolescent assessment, treatment, and aftercare principles and practices.MethodThe Cochrane, MEDLINE-PubMed, and PsychInfo databases were searched for relevant studies with new data about adolescent substance use services. This article updates the 13 original principles; condenses the 8 original modalities into 5 practices; and highlights implications for public policy approaches, future funding, and research.ResultsKey recommendations from the principles include integrating care for co-occurring mental health disorders and SUDs, improving service accessibility including through the educational system, maintaining engagement, and addressing tension between agencies when collaborating with other youth service systems. Updates to the treatment practices include adoption of Screening, Brief Intervention and Referral to Treatment (SBIRT), investment in social programs and family involvement in treatment, expanding access to behavioral therapies and medications, increasing funding to harm reduction services, supporting reimbursement for continuing care services, and increasing investment in research.ConclusionThese revised principles of adolescent assessment, treatment, and aftercare approaches and practices aim to establish guidance and evidence-based practices for treatment providers, while encouraging necessary support from policymakers and funding agencies to improve the standard of care for adolescent SUD services.Plain language summaryIn this review article and building upon previous work in this area, the authors describe principles and practices for adolescent substance use treatment and identified areas of treatment in need of further research. The authors also outline recommendations for policy changes and support for funding to implement these principles and practices to further improve the standard of care for adolescent substance use disorders services.