Callaghan Russell C, Tavares Joey, Taylor Lawren, Veldhuizen Scott
Centre for Addiction and Mental Health, Toronto, Ontario.
Can J Psychiatry. 2007 Oct;52(10):684-8. doi: 10.1177/070674370705201009.
Adolescent methamphetamine use has become a key issue for Canadian media and governments. Empirical studies, however, have not yet established the national scope of adolescent methamphetamine use or its impact on treatment services in Canada. The objective of the current study was to provide results from a national survey of primary methamphetamine-related admissions to Canadian residential substance abuse treatment facilities for youth.
We developed a comprehensive list of all Canadian residential substance abuse treatment facilities for youth, and then, we asked the executive director (or equivalent) of each facility about the site's annual caseload and the proportion of primary methamphetamine-related admissions during the previous 12 months.
Responses were received from 46 of the 50 centres on our final master list. About 20% (1109/5169) of all national admissions to youth residential substance abuse treatment facilities were reported to be primarily due to methamphetamine use. A large majority of primary methamphetamine-related admissions occurred in British Columbia and Alberta.
Adolescent methamphetamine use has had a major impact on entries into residential substance abuse treatment facilities in British Columbia and Alberta, while only a few centres outside these 2 western provinces have experienced elevated rates of primary methamphetamine-related admissions. Given the paucity of studies on adolescent methamphetamine treatment, future research needs to focus on developing effective clinical strategies in this area.
青少年使用甲基苯丙胺已成为加拿大媒体和政府关注的关键问题。然而，实证研究尚未确定加拿大青少年使用甲基苯丙胺的全国范围及其对治疗服务的影响。本研究的目的是提供一项针对加拿大青少年住院药物滥用治疗机构中与甲基苯丙胺相关的主要入院情况的全国性调查结果。
我们编制了一份加拿大所有青少年住院药物滥用治疗机构的综合清单，然后询问每个机构的执行董事（或同等职位人员）该机构的年度病例量以及前12个月内与甲基苯丙胺相关的主要入院病例所占比例。
我们最终主清单上的50个中心中有46个做出了回应。据报告，青少年住院药物滥用治疗机构的所有全国入院病例中，约20%（1109/5169）主要是由于使用甲基苯丙胺。与甲基苯丙胺相关的主要入院病例绝大多数发生在不列颠哥伦比亚省和艾伯塔省。
青少年使用甲基苯丙胺对不列颠哥伦比亚省和艾伯塔省的住院药物滥用治疗机构的入院情况产生了重大影响，而这两个西部省份以外只有少数中心的与甲基苯丙胺相关的主要入院率有所上升。鉴于关于青少年甲基苯丙胺治疗的研究匮乏，未来的研究需要专注于制定该领域有效的临床策略。
