Prevalence, Treatment, And Unmet Treatment Needs Of US Adults With Mental Health And Substance Use Disorders
Prevalence, Treatment, And Unmet Treatment Needs Of US Adults With Mental Health And Substance Use Disorders
复制标题
DOI：
10.1377/hlthaff.2017.0584
复制
发表时间：
2017-10-01
期刊：
影响因子：
9.7
通讯作者：
Colpe, Lisa J.
中科院分区：
文献类型：
--
作者：
Han, Beth;Compton, Wilson M.;Colpe, Lisa J.
我们调查了精神健康和药物使用治疗的患病率、治疗模式、趋势和相关因素。我们的数据来自2008-14年间参加全国药物使用与健康调查的325,800名成年人。约3.3%的美国成年人口，即770万成年人，在调查采访前的12个月内患有共生疾病。其中，52.5%的人在前一年既没有接受精神卫生保健，也没有接受药物使用治疗。接受这两种护理的9.1%的人往往有更严重的精神问题和身体共病，并参与刑事司法系统。在研究期间，仅接受精神健康护理、仅接受药物使用治疗以及接受两种类型护理的成人共病患者的比率保持不变。这两种疾病的低感知需求和获得护理的障碍可能导致共生疾病的低治疗率。需要未来的研究来提高这一人群的治疗率。
We examined prevalence, treatment patterns, trends, and correlates of mental health and substance use treatments among adults with co-occurring disorders. Our data were from the 325,800 adults who participated in the National Survey on Drug Use and Health in the period 2008-14. Approximately 3.3 percent of the US adult population, or 7.7 million adults, had co-occurring disorders during the twelve months before the survey interview. Among them, 52.5 percent received neither mental health care nor substance use treatment in the prior year. The 9.1 percent who received both types of care tended to have more serious psychiatric problems and physical comorbidities and to be involved with the criminal justice system. Rates of receiving care only for mental health, receiving treatment only for substance use, and receiving both types of care among adults with co-occurring disorders remained unchanged during the study period. Low perceived need and barriers to care access for both disorders likely contribute to low treatment rates of co-occurring disorders. Future studies are needed to improve treatment rates among this population.