Contemporary addiction treatment: A review of systems problems for adults and adolescents
Contemporary addiction treatment: A review of systems problems for adults and adolescents
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DOI：
10.1016/j.biopsych.2004.06.018
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发表时间：
2004-11-15
影响因子：
10.6
通讯作者：
Meyers, K
中科院分区：
文献类型：
--
作者：
McLellan, AT;Meyers, K
酗酒和吸毒问题以及国家戒毒治疗系统的适当性和质量，特别是对青少年的问题，引起了全国的关注。本文回顾了已发表的文献，评估健康，教育和专业治疗系统的能力，以确定和治疗受影响的青少年和成人。一个单独的部分通过对175个专业治疗项目进行的全国代表性调查的结果，审查了成人国民治疗系统的现状。调查结果是明确的和令人不安的，虽然药物滥用是普遍存在于大多数学校，初级保健的做法，心理健康诊所，和刑事司法机构，有足够的培训，组织，或报销筛选，评估，并将那些依赖或滥用障碍适当的服务。有太少的程序可用于治疗那些物质依赖患者谁艺术，筛选和重大障碍的患者试图进入这些程序。最后，许多治疗方案的组织、行政和人员基础设施脆弱且不稳定，使其无法实施循证护理。这些问题在成人系统中很严重，在青少年系统中更严重。文章最后提出了改善系统集成以提高可用护理的数量和质量的建议。
There is national concern regarding the problems of alcohol and drug abuse and the adequacy and quality of the national addiction treatment system, particularly for adolescents. This article reviews the published literature evaluating the ability of health, education, and specialty treatment systems to identify and treat affected adolescents and adults. A separate section reviews the status of the national treatment system for adults through findings from a nationally representative survey of 175 specialty treatment programs. The findings are unambiguous and disturbing, Although substance abuse is prevalent in most schools, primary care practices, mental health clinics, and criminal justice agencies, there is insufficient training, organization, or reimbursement to screen, assess, and refer those with dependence or abuse disorders to appropriate services. There are too few programs available to treat those substance-dependent patients who art, screened and significant barriers for patients attempting to enter those programs. Finally, the organizational, administrative, and personnel infrastructures of many treatment programs are fragile and unstable, making them unable to implement evidence-based care. These problems are serious in the adult system and even worse in the adolescent system. The article concludes with suggestions for improving systems integration to improve the quantity and quality of available care.