Novins D K, Beals J, Sack W H, Manson S M
Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80220, USA.
Psychiatr Serv. 2000 Aug;51(8):1045-7. doi: 10.1176/appi.ps.51.8.1045.
Use of mental health and substance abuse services was examined among 109 American Indian adolescents in a Northern Plains reservation community. Each was interviewed to assess psychiatric diagnosis and service use and to determine whether an adult had recognized a problem in the adolescent-a critical determinant of receipt of services. Of the 23 youths who had a disorder, nine (39 percent) reported lifetime service use. Of the 25 who received services, 17 were treated by a school counselor; only one received services from a mental health specialist. Eight of the 25 youths with a psychiatric or substance use diagnosis who did not receive services reported that an adult had recognized a problem.
在北部平原保留地社区的109名美国印第安青少年中，对其心理健康和药物滥用服务的使用情况进行了调查。对每个人进行访谈，以评估精神疾病诊断和服务使用情况，并确定是否有成年人认识到该青少年存在问题——这是获得服务的关键决定因素。在23名患有精神障碍的青少年中，9人（39%）报告曾接受过终生服务。在25名接受服务的青少年中，17人由学校辅导员进行治疗；只有1人接受心理健康专家的服务。在25名被诊断患有精神疾病或药物滥用但未接受服务的青少年中，有8人报告称有成年人认识到他们存在问题。
