PUBLIC POLICY, SUBSTANCE ABUSE AND PSYCHIATRIC DISORDERS

描述(申请者摘要)：在此概述的经验性工作 提案将审查与药物滥用相关的公众之间的互动 政策、药物滥用后果和精神健康问题，包括 精神障碍。研究药物滥用的意义在于 突出的是死亡率、疾病、雇佣成本和其他成本 与他们的消费有关。研究的意义涉及到 精神健康问题和精神障碍是由他们的 流行率和成本。最近的研究表明，精神障碍 在任何一年都会影响28%的非住院美国人口。那里 人们对使用政策来控制疾病也越来越感兴趣 实质问题。比如，地方越来越多， 他们正在寻求禁止户外烟酒广告，并 更多的人认识到税收可以用来控制酒精和香烟 消费。尽管药物滥用和精神疾病之间的联系 精神障碍是公认的，没有关于公共政策对 物质滥用明确地解释了精神障碍的作用。 我们将研究的主要问题是，那些 被诊断出患有各种精神障碍或报告有症状的人 与心理健康问题相关的人同样对当前 和建议的政策选项菜单，如那些没有这些障碍的和 有问题。这些物质将被检查，包括酒精、非法 毒品和烟草。 这项研究将使用国家共病研究(NCS)，这是唯一的 对一名代表进行结构化精神病学访谈的调查 在美国全国范围内抽样调查了8000多人。NCS将是 增加了一系列广泛的药物滥用政策变量。这些 政策变量将被追加到县一级的个人记录中 或者州一级。

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.