Mental health and medical problems and service use among adolescent substance users

FRANÇAIS :
Les adolescents qui arrivent dans le système de soins pour toxicomanes présentent fréquemment des problèmes somatiques et de santé mentale. Cette étude a examiné les services reçus par les jeunes admis en traitement pour leur toxicomanie. L'étude a porté sur 1088 jeunes âgés de 12 à 19 ans admis dans 7 programmes ambulatoires et résidentiels à travers les Etats-Unis entre 1998 et 2001. A leur admission et 3 mois après, un rapport a été établi sur leurs problèmes somatiques et de santé mentale et les services reçus. Des niveaux élévés de problèmes psychiatriques ont été trouvés aux deux moments de l'étude mais peu de jeunes avaient reçu des soins psychiatriques, alors que la moitié d'entre eux avaient reçu des soins pour leurs problèmes médicaux qui, eux, étaient peu nombreux. Il est souhaitable d'affiner ces résultats mais on peut déjà souhaiter que les jeunes qui entrent dans les services de soins de la toxicomanie puissent aussi bénéficier de soins psychiatriques.
ENGLISH :
Objective: Adolescents entering the substance abuse treatment system frequently exhibit mental health and medical problems. Because Iittle is known about whether these youths receive services to address these problems, this study examined the services received by youths admitted to substance abuse treatment. Method: Admission and 3-month follow-up reports of mental health, medics! problems, and service use were examined within a large cohort (N = 1,088) of 12-19-year-olds admitted to seven inpatient and outpatient substance abuse treatment programs across the United States between 1998 and 2001. Results: High levels of mental health problems were found at both time points, but few received mental health treatment. In contrast, there were lower rates of medical problems, and more than half received services. Logistic regression predicting mental health treatment receipt found females in residential settings with more current and baseline distress to be more likely to receive services. Ethnicity, baseline behavioral problems, and whether or not currently in substance abuse treatment did not predict service use. A logistic regression predicting medical services showed that females in residential treatment were also more likely to receive medical treatment. Conclusion: Although these results require replication and validation, they suggest that more could be done to take advantage of the opportunity to link youths entering substance use treatment with mental health services.