When the levee breaks: treating adolescents and families in the aftermath of hurricane katrina.
When the levee breaks: treating adolescents and families in the aftermath of hurricane katrina.
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当堤坝溃决时：治疗卡特里娜飓风后的青少年和家庭。
DOI：
10.1111/j.1752-0606.2008.00060.x
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发表时间：
2008
影响因子：
2.2
通讯作者：
Liddle,HowardA
中科院分区：
文献类型：
--
作者：
Rowe,CynthiaL;Liddle,HowardA
卡特里娜飓风使人们对公共卫生系统应对全社区灾难的能力产生了严重的疑问。风暴及其后果切断了对发展具有保护作用的家庭和社区联系；因此，预计其后果对易受伤害的青少年尤其严重。研究证实，在生活压力和家庭混乱的情况下，青少年面临一系列负面后果的风险。具体地说，当家庭和社区经历重大创伤时，青春期药物滥用的多种相互作用的风险因素可能会加剧。此外，与年轻灾民合作的现有服务结构和治疗方法可能无法解决他们同时发生的药物滥用和创伤应激反应的风险，因为他们往往以个人或同龄人为重点，没有考虑到灾难恢复的多系统方面。这篇文章提出了一种创新的基于家庭的青少年药物滥用干预模式--多维家庭治疗(MDFT；利德尔，2002)。在新奥尔良受卡特里娜飓风影响的社区中，正在对临床转介的滥用药物青少年进行随机临床试验，研究该模型效果的结果和机制。
Hurricane Katrina brought to the surface serious questions about the capacity of the public health system to respond to community‐wide disaster. The storm and its aftermath severed developmentally protective family and community ties; thus its consequences are expected to be particularly acute for vulnerable adolescents. Research confirms that teens are at risk for a range of negative outcomes under conditions of life stress and family disorganization. Specifically, the multiple interacting risk factors for substance abuse in adolescence may be compounded when families and communities have experienced a major trauma. Further, existing service structures and treatments for working with young disaster victims may not address their risk for co‐occurring substance abuse and traumatic stress reactions because they tend to be individually or peer group focused, and fail to consider the multi‐systemic aspects of disaster recovery. This article proposes an innovative family‐based intervention for young disaster victims, based on an empirically supported model for adolescent substance abuse, Multidimensional Family Therapy (MDFT; Liddle, 2002). Outcomes and mechanisms of the model’s effects are being investigated in a randomized clinical trial with clinically referred substance‐abusing teens in a New Orleans area community impacted by Hurricane Katrina.