SERVICE USE BY YOUTH WITH ALCOHOL AND MENTAL DISORDERS

为响应PA-97-066和PA-99-131，拟议的项目将开发描述性信息，并测试有关人口特征、服务使用和服务结果的假设。先前从三个关于儿童和青少年行为健康服务的大型研究项目中收集的数据将被重新分析，作为获得对这一人群的需求和经验的额外见解的一种经济有效的方式。这些现有的数据集提供了全面的青少年、家庭和服务使用信息。每个数据集包括行政数据（包括遭遇或索赔数据，包括诊断、服务和提供者信息）和访谈数据（包括大约1000名记录在案的有酒精使用和精神健康问题的青少年的综合青年、家庭和服务数据）。作为假设检验的一部分，将制定和检验同时患有酒精相关疾病和精神疾病的青年的服务利用和结果模型。个人，家庭，社区和服务系统的因素，影响服务的获取和使用将进行检查，基于理论框架。此外，将对多个群组，包括不同性别和不同种族群体的青年，审查在获取和使用服务方面的差异来源。该项目以首席调查员的卫生服务研究方案为基础，重点关注儿童、青少年和家庭行为健康问题。

In response to PA-97-066 and PA-99-131, the proposed project will develop descriptive information and test hypotheses regarding population characteristics, service use, and service outcomes of youth with co-occurring disorders. Previously collected data from three large- scale research projects about child and adolescent behavioral health services will be reanalyzed as a cost-effective way of obtaining additional insights into the needs and experiences of this population. These existing data sets provide comprehensive youth, family, and service use information. Each data set includes administrative data (with encounter or claims data with diagnostic, services, and provider information) and interview data (with comprehensive youth, family, and service data for approximately 1000 adolescents with documented alcohol use and mental health problems). As part of the hypothesis testing, models of service utilization and outcomes for youth with co- occurring alcohol-related and mental disorders will be developed and tested. Individual, familial, community, and service system factors that affect service access and use will be examined, based on a theoretical framework. In additional, sources of variation in access and service use will be examined for multiple cohorts, including youth of different genders and different racial groups. The project builds on program of health services research by the Principal Investigator that has focused on child, adolescent, and family behavioral health issues.