Historique
Périodique
Pathways to chemical dependency treatment for adolescents in an HMO
(L'accès aux soins pour adolescents dépendants)
Auteur(s) :
STERLING, S. ;
KOHN C. ;
LU, Y. ;
WEISNER, C.
Année
2004
Page(s) :
439-453
Langue(s) :
Anglais
Refs biblio. :
137
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
ADOLESCENT
;
DEPENDANCE
;
ACCES AUX SOINS
;
PSYCHOPATHOLOGIE
;
FACTEUR DE VULNERABILITE
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Psychoactive Drugs, 2004, 36, (4), 439-453
Note de contenu :
fig. ; tabl.
Résumé :
ENGLISH :
This study examines pathways to chemical dependency (CD) treatment for adolescents in a prepaid health plan, including factors influencing treatment referral and access. Data were collected from 419 adolescent CD treatment intakes ages 13 to 18 in a large, private health plan. The study examines predictors of referral from different sources and of mental health treatment prior to CD treatment. Referral patterns, problem severity, and psychiatric comorbidity differed by gender. Being male (p < .05) and higher scores on the Youth Self-Report (YSR) externalizing scale (p < .01) predicted a justice system referral. Using more types of substances predicted referral by medical and mental health providers (p < .05) and self-referral (p < .01). Higher YSR internalizing scores predicted referral from mental health (p < .01) and self-referral (p < .01). Being White versus African American (p < .05) or Latino (p < .O1), older (p < .05), and having higher YSR internalizing scores (p < .05), a conduct disorder (p < .01), or a family member with a substance use problem (p < .01) predicted a mental health visit prior to CD intake. The findings raise questions regarding the role of health plans, clinicians, families, schools, and community agencies in referring and treating adolescents with substance use problems. They suggest that improved coordination of care may promote more integrated treatment practices, which could decrease substance use, mental health, and medical problem severity. (Review's abstract.)
Affiliation :
Div. Res., Kaiser Perm. North. California, 2000 Broadway, 3rd Fl., Oakland, CA 94612-2403
Etats-Unis. United States.
Etats-Unis. United States.