Changes over time among homeless young people in drug dependency, mental illness and their co-morbidity.
Changes over time among homeless young people in drug dependency, mental illness and their co-morbidity.
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无家可归的年轻人在药物依赖、精神疾病及其合并症方面随时间的变化。
DOI：
10.1080/13548500600622758
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Rotheram-Borus,MaryJane
中科院分区：
文献类型：
--
作者：
Rosenthal,Doreen;Mallett,Shelley;Gurrin,Lyle;Milburn,Norweeta;Rotheram-Borus,MaryJane
一项跨国调查在墨尔本和洛杉矶的358名最近无家可归的年轻人中进行。在基线、6个月和12个月时评估药物依赖和精神疾病。在每个时间点，参与者被分类为没有条件，药物依赖，有精神疾病或双重条件。在每个数据点，报告的药物依赖或精神疾病或两者均较低。大多数年轻人在基线时被归类为既不依赖药物也不患有精神疾病，并且在12个月期间保持这种状态，很少有人仍然依赖药物，或患有持续的精神疾病，或两者兼而有之。被归类为有一种或两种情况的年轻人中，有一半到三分之二后来被重新归类为“没有情况”。没有证据表明从药物依赖或精神疾病到合并症存在一致的途径。大多数年轻人在每个时间点都报告没有精神疾病和/或药物依赖。在每次过渡期间，一种或两种情况的改善表明，在青年人无家可归的早期阶段提供干预措施，解决他们的药物依赖和心理健康问题，可能会更有效。
A cross-national survey was conducted among 358 recently homeless young people in Melbourne and Los Angeles. Drug dependence and mental illness were assessed at baseline, 6 and 12 months. At each time point, participants were classified as no condition, drug dependent, having a mental illness or dual condition. Low levels of drug dependence or mental illness or both were reported at each data point. Most young people were classified as neither drug dependent nor having mental illness at baseline and remained so for the 12-month period and few remained drug dependent, or had continuing mental illness or both. Half to two-thirds of young people classified as having one or both conditions were subsequently reclassified as “no condition”. There was no evidence of a consistent pathway from either drug dependence or mental illness to co-morbidity. Most young people reported an absence of mental illness and/or drug dependence at each time point. Improvement from one or both conditions at each transition suggests it may be more effective to provide interventions to address drug dependence and mental health problems to young people early in their experience of homelessness.