Titre : | Detection and outcomes of substance use disorders in adolescents seeking mental health treatment |
Titre traduit : | (Dépistage et devenir des troubles liés à l'usage de substances chez des adolescents en attente d'un traitement en santé mentale) |
Auteurs : | T. L. KRAMER ; J. M. ROBBINS ; S. D. PHILLIPS ; T. L. MILLER ; B. J. BURNS |
Type de document : | Périodique |
Année de publication : | 2003 |
Format : | 1318-1326 |
Note générale : |
Journal of the American Academy of Child and Adolescent Psychiatry, 2003, 42, (11), 1318-1326 |
Langues: | Français |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ADOLESCENT ; DEPISTAGE ; TRAITEMENT ; PSYCHOPATHOLOGIE ; ACCES AUX SOINSThésaurus géographique ETATS-UNIS |
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. |
Domaine : | Plusieurs produits / Several products |
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. |
Numéro Toxibase : | 1301578 |
Centre Emetteur : | 13 OFDT |
Cote : | A02742 |
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