Family costs associated with severe mental illness and substance use.
Family costs associated with severe mental illness and substance use.
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与严重精神疾病和药物滥用相关的家庭费用。
DOI：
10.1176/ps.45.8.808
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Clark,RE
中科院分区：
文献类型：
--
作者：
Clark,RE
该研究的目的是记录的经济援助的形式，金钱，实物捐助，并花费时间的成年人与严重的精神疾病和物质使用disorders.Methods的家庭在advertising：共119个家庭的成年人与双重疾病进行了比较，一个类似的组127个家庭的成年子女没有慢性疾病。在电话采访中，父母报告了家庭成员给予指定成年子女的金钱、物品和直接照顾的数额。两种方法被用来估计家庭时间的价值：机会成本，在研究领域的生产工人的平均工资的基础上，和支付替代品的成本正在performing.Results：父母的双重障碍的成年人报告说，家庭成员给了显着更多的金钱和时间的成年子女比没有慢性疾病的成年人的父母。在双重障碍组的家庭援助的估计值为9,703美元使用的机会成本法和13,891美元使用的替代方法，相比之下，成本为2,421美元和3,547美元的组没有慢性疾病。在治疗计划和政策决定中，应仔细考虑家庭为患有双重疾病的成年儿童提供的直接支持。
The study's aim was to document the economic assistance in the form of money, in-kind contributions, and time spent in caregiving by families of adults with both severe mental illness and substance use disorders.Methods: A total of 1l9 families of adults with dual disorders were compared with a similar group of 127 families whose adult children had no chronic illnesses. in telephone interviews, parents reported the amount of money, goods, and direct care family members gave to a designated adult child. Two methods were used to estimate the value of family time: opportunity costs, based on the average wage for production workers in the study area, and the cost of paid substitutes for the task being performed.Results: Parents of adults with dual disorders reported that family members gave significantly more money and time to the adult child than did parents of adults with no chronic illnesses. The estimated value of family assistance in the dual disorder group was $9,703 using the opportunity-cost method and $13,891 using the substitution method, compared with costs of $2,421 and $3,547 for the group with no chronic illnesses.Conclusions: Dual disorders impose a significant economic burden on families. Direct support that families provide to adult children with dual disorders should be considered carefully in treatment planning and policy decisions.