Historique
Périodique
Detection and outcomes of substance use disorders in adolescents seeking mental health treatment
(Dépistage et devenir des troubles liés à l'usage de substances chez des adolescents en attente d'un traitement en santé mentale)
Auteur(s) :
KRAMER, T. L. ;
ROBBINS, J. M. ;
PHILLIPS, S. D. ;
MILLER, T. L. ;
BURNS, B. J.
Année
2003
Page(s) :
1318-1326
Langue(s) :
Français
Domaine :
Plusieurs produits / Several products
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
ADOLESCENT
;
DEPISTAGE
;
TRAITEMENT
;
PSYCHOPATHOLOGIE
;
ACCES AUX SOINS
Note générale :
Journal of the American Academy of Child and Adolescent Psychiatry, 2003, 42, (11), 1318-1326
Résumé :
ENGLISH :
OBJECTIVE: To compare detection rates, service use, and outcomes of substance use disorder (SUD) in adolescents seeking mental health treatment. METHOD: Adolescents (n = 237) and their parents or caregivers completed parallel, self-administered versions of the Adolescent Treatment Outcomes Module (ATOM) at intake and 6-month follow-up. SUD was assessed using the Diagnostic Interview Schedule for Children (DISC). RESULTS: Although 42 (16.6%) adolescents seeking mental health treatment met DISC criteria for any SUD at baseline, clinicians detected only 19 of these (kappa = 0.51). Sensitivity and specificity were high for a screening tool for adolescent SUD (95.2 and 82.0, respectively). Adolescents with undetected SUD were less likely to receive SUD services and to have more legal problems at 6-month follow-up compared to adolescents with detected SUD. CONCLUSIONS: SUD rates may be high in adolescents seeking mental health treatment, confirming the need for routine screening in this population. Results confirm that a large gap exists between the need for and access to SUD treatments, which may contribute to poorer outcomes for all adolescents with SUD.
Affiliation :
Centers for Mental Healthcare Research, Dept. of Psychiatry, University of Arkansas for Medical Sciences, 5800 W. 10th Street Suite 605, Little Rock, AR 72205. Email : kramerteresal@uams.edu
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
A02742