Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review
Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review
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DOI：
10.1016/j.jsat.2015.09.006
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发表时间：
2016-02-01
影响因子：
3.9
通讯作者：
Seay, Kristen D.
中科院分区：
文献类型：
--
作者：
Priester, Mary Ann;Browne, Teri;Seay, Kristen D.
本综合综述的目的是检查和综合现有文献，这些文献与药物滥用和精神健康障碍（COD）患者的药物滥用障碍和精神健康治疗有关。电子检索使用了10个学术数据库。36篇文章符合纳入标准，纳入本综述。对这些文章进行叙述性审查，确定了COD患者获得治疗的两个主要障碍：个人特征障碍和结构障碍。讨论了临床意义和今后的研究方向。特别是需要对边缘化亚群体进行更多的研究，特别是那些审查老年人、非白人、非异性恋人群获得治疗的障碍的研究。(C) 2015爱思唯尔公司版权所有。
The purpose of this integrative review is to examine and synthesize extant literature pertaining to barriers to substance abuse and mental health treatment for persons with co-occurring substance use and mental health disorders (COD). Electronic searches were conducted using ten scholarly databases. Thirty-six articles met inclusion criteria and were examined for this review. Narrative review of these articles resulted in the identification of two primary barriers to treatment access for individuals with COD: personal characteristics barriers and structural barriers. Clinical implications and directions for future research are discussed. In particular, additional studies on marginalized sub-populations are needed, specifically those that examine barriers to treatment access among older, non-White, non-heterosexual populations. (C) 2015 Elsevier Inc. All rights reserved.