ADOLESCENT USE OF ALCOHOL AND DRUG TREATMENT SERVICES

描述：(申请人摘要) 全国家庭药物滥用调查的最新结果和 监测未来的研究表明，青少年中使用药物有 继续攀升。为了更有效地应对这一现象， 有必要提高我们对青少年需求水平的理解 酒精和药物治疗服务与青少年服务模式 用于与物质使用相关的问题。然而，到目前为止，几乎没有 已知情况：1)青少年如何以及在哪里获得药物使用方面的帮助 问题；2)现有的服务是否真正满足青少年的需求 与酒精和毒品有关的问题的治疗需要；以及3)如何 社会人口和其他家庭和个人因素影响青少年 使用酒精和药物治疗服务。这项拟议的研究旨在 为填补这些知识空白作出重要贡献。 这一领域的大多数服务研究都是基于成人或临床 样本。因为最近的全国药物滥用家庭调查 年增加了关于酒精和酒精治疗服务使用的问题 毒品相关问题、心理健康状况和心理健康的使用 治疗服务，现在有一个独特的机会来检查青少年 在社区中使用酒精和毒品治疗服务。 拟议的研究是对从以下方面获得的信息进行的次要数据分析 青少年(12-17岁)，参加1994年(N=4698)和1995年 (n=4595)全国药物滥用家庭调查和以下分样本 父子对。这项研究将：1)评估青少年的需求，未得到满足的需求 和在社区中使用酒精/药物治疗服务；2)评估 青少年药物滥用与滥用及与其他药物共生的关系 与酒精/药物治疗和精神疾病有关的情绪和行为问题 保健服务利用情况；3)评估社会人口影响 青少年酒精/毒品使用的影响因素及父母特征 治疗服务；以及4)开发和测试青少年使用 酒精和药物治疗服务。人们希望这种模式发展起来 在这个项目中将用未来的纵向数据进行确认和扩展 并将导致在这一重要领域进行更多研究，以及提供 为临床医生和政策制定者提供有用信息，以改善服务 为有酒精和药物相关问题的青少年提供的分娩服务。

DESCRIPTION: (Applicant's Abstract) Recent findings from the National Household Survey on Drug Abuse and the Monitoring the Future Study have shown that drug use among adolescents has continued to climb. To more effectively counter this phenomenon it is necessary to improve our understanding of the level of need for adolescent alcohol and drug treatment services and the patterns of adolescent service use for substance use related problems. To date, however, very little is known about: 1) how and where adolescents get help for their substance use problems; 2) whether or not the available services actually meet adolescent needs for treatment of alcohol and drug related problems; and 3) how sociodemographic and other family and individual factors affect adolescent use of alcohol and drug treatment services. The proposed study is intended to make an important contribution toward filling these knowledge gaps. Most service research in this field is based on adults or on clinical samples. Because the National Household Survey on Drug Abuse in recent years has added questions about use of treatment services for alcohol and drug related problems, mental health status and use of mental health treatment services, there is now an unique opportunity to examine adolescent use of alcohol and drug treatment services in the community. The proposed study is a secondary data analysis of information obtained from adolescents (ages 12-17), participating in the 1994 (N=4698) and 1995 (N=4595) National Household Survey on Drug Abuse and a subsample of parent-child pairs. This study will: 1) assess adolescent need, unmet need and use of alcohol/drug treatment services in the community; 2) assess the relationship of adolescent substance use, abuse and co-occurrence of other emotional and behavioral problems to alcohol/drug treatment and mental health service utilization; 3) assess the effects of socio-demographic factors and parental characteristics on adolescent use of alcohol/drug treatment services; and 4) develop and test a model of adolescent use of alcohol and drug treatment services. It is hoped that the model developed in this project will be confirmed and expanded with future longitudinal data and will lead to more studies in this important area, as well as providing useful information for clinicians and policy makers, to improve service delivery for adolescents who have alcohol and drug related problems.