PUBLIC POLICY, SUBSTANCE ABUSE AND PSYCHIATRIC DISORDERS

描述（申请人的摘要）：本申请中概述的经验工作 该提案将审查与药物滥用有关的公众之间的相互作用， 政策、药物滥用结果和心理健康问题， 精神疾病药物滥用研究的重要性在于 死亡率、疾病、就业成本和其他成本 与他们的消费有关。研究的重要性， 心理健康问题和精神疾病是强调他们的 流行和成本。最近的研究表明精神疾病 在任何一年里，都有28%的美国非住院人口受到影响。那里 在使用策略控制 实质问题。例如，有越来越多的地方， 他们正在寻求禁止户外酒精和香烟广告， 人们越来越认识到税收可以用来控制酒精和香烟 消费虽然药物滥用和精神疾病之间的联系 混乱是公认的，没有研究公共政策对 药物滥用明确说明了精神疾病的作用。 将要研究的主要问题是， 被诊断患有各种精神疾病或报告有症状 与心理健康问题相关的人同样对当前的 和建议的政策选择菜单，如那些没有这些疾病， 问题将被检查的物质包括酒精， 毒品和烟草。 这项研究将采用全国科摩罗研究（NCS），这是唯一的 对代表进行结构化精神病学访谈的调查 在美国超过8000人的国家样本。NCS将是 增加了一系列广泛的药物滥用政策变量。这些 政策变量将被附加到县级的个人记录中 或州一级。

DESCRIPTION (Applicant's abstract): The empirical work outlined in this proposal will examine the interaction between substance abuse related public policies, substance abuse outcomes and mental health problems including psychiatric disorders. The significance of research on substance abuse is highlighted by the mortality, illness, employment costs, and other costs associated with their consumption. The significance of research involving mental health problems and psychiatric disorders is emphasized by their prevalence and costs. Recent research has shown that psychiatric disorders affect 28% of the noninstitutionalized US population in any given year. There has also been an increasing interest in the use of policy for the control of substance problems. For example, there are an increasing number of localities, which are seeking to ban outdoor alcohol and cigarette advertising and an increased recognition that taxes can be used to control alcohol and cigarette consumption. Although the link between substance abuse and psychiatric disorders is well established, no study of the effects of public policy on substance abuse explicitly accounts for the role of psychiatric disorders. The primary issue, which will be studied, is whether individuals who are diagnosed with various psychiatric disorders or who have reported symptoms associated with mental health problems are equally responsive to the current and proposed menu of policy options as those without these disorders and problems. The substances, which will be examined, include alcohol, illicit drugs, and tobacco. The research will employ the National Comorbidity Study (NCS) which is the only survey to administer a structured psychiatric interview to a representative national sample of over 8000 people in the United States. The NCS will be augmented with an extensive series of substance abuse policy variables. These policy variables will be appended to the individual records at the county level or the state level.