Adolescent Use of Substance Use Treatment Services

描述（由申请人提供）：与青少年药物使用相关的严重问题是父母和政策制定者非常关注的问题。更好地了解青少年对药物使用相关问题以及共病精神障碍的治疗需求，以及他们对这些问题的服务使用模式，是准确定位预防干预和为这一人群开发改进服务的重要第一步。迄今为止，对以下方面所知甚少：1)青少年如何以及在何处获得药物使用相关问题和共病精神疾病的帮助；2)现有服务是否能真正满足这一人群对药物使用和精神健康治疗的需求；3)社会人口和其他家庭和个人因素如何影响青少年对药物治疗服务的利用。本研究旨在为填补这些知识空白作出重要贡献。该研究是基于2000年全国药物滥用家庭调查（NHSDA）的二次分析。近年来，NHSDA获得了关于药物滥用/依赖、使用药物使用治疗服务、心理健康状况和使用心理健康治疗服务的详细信息。它还显著增加了样本量。因此，它现在提供了一个独特的机会来检查青少年利用物质使用治疗服务在社区。从参加2000年全国药物滥用家庭调查的19430名青少年（12-17岁）获得的信息将用于本研究。该研究将：1)评估青少年对社区药物使用治疗服务的需求、使用和未满足的需求；审查青少年药物滥用模式与他们使用药物使用治疗服务之间的关系；2)检查年龄、性别和种族（易感特征）的影响；家庭收入和健康保险状况（有利因素）；社区物质使用治疗服务的可得性；父母对儿童药物使用的态度，以及青少年使用药物治疗服务的态度；3)研究青少年药物滥用/依赖和共病性精神障碍与药物使用治疗和精神卫生服务使用的关系；4)基于健康服务使用行为模型的理论框架，开发和测试青少年物质使用治疗服务的模型。这项研究的结果将为临床医生和政策制定者提供有用的信息，他们可以利用它来改善为有物质使用问题的青少年提供的服务。

DESCRIPTION (provided by applicant): The serious problems associated with adolescent substance use are of great concern to both parents and policy makers. Improved understanding of adolescent needs for treatment for their substance use related problems as well as comorbid psychiatric disorders, and their patterns of service use for these problems is an important first step in accurately targeting preventive intervention and developing improved services for this population. To date, very little is known about: 1) how and where adolescents receive help for substance use related problems and comorbid psychiatric disorders; 2) whether or not the available services actually meet needs for substance use and mental health treatment in this population; and 3) How socio-demographic and other family and individual factors contribute to adolescent utilization of substance treatment services. The proposed study is intended to make an important contribution toward filling these knowledge gaps. The proposed study is based on secondary analysis of the 2000 National Household Survey on Drug Abuse (NHSDA). In recent years, the NHSDA has obtained detailed information about substance abuse/dependence, utilization of substance use treatment services, mental health status, and use of mental health treatment services. It has also increased its sample size significantly. Therefore, it now provides a unique opportunity to examine adolescent utilization of substance use treatment services in the community. Information obtained from 19,430 adolescents (ages 12-17), who participated in the 2000 National Household Survey on Drug Abuse will be used in this study. The study will: 1) assess adolescent need, use and unmet need for substance use treatment services in the community; examine the association between adolescent substance abuse patterns and their use of substance use treatment services; 2) examine the effects of age, gender, and ethnicity (predisposing characteristics); family income and health insurance status (enabling factors); availability of substance use treatment services in the community; and parental attitudes towards child substance use, on adolescent use of substance treatment services; 3) examine the relationship of adolescent substance abuse/dependence and comorbid mental disorders with substance use treatment and mental health service use; and 4) develop and test a model of adolescent utilization of substance use treatment services based on the theoretical framework of the Behavioral Model of Health Services Use. The findings of the study will provide useful information for clinicians and policy makers, who can use it to improve service delivery for adolescents with substance use problems.