Chan Ya-Fen, Godley Mark D, Godley Susan H, Dennis Michael L
Chestnut Health Systems, 720 West Chestnut, Bloomington, IL 61701, USA.
J Behav Health Serv Res. 2009 Jan;36(1):35-51. doi: 10.1007/s11414-007-9100-4. Epub 2007 Dec 21.
This study examined the rates and correlates of self-reported receipt for mental health services among 1,190 adolescents, aged 12-19, who were admitted to community-based substance abuse outpatient clinics and had a co-occurring mental health problem. Utilization of mental health service was ascertained 3 months post-intake. About one third (35%) of adolescents with a co-occurring mental health problem identified at intake received mental health service in the 3 months after treatment entry. After holding other correlates constant, history of mental health treatment, suicidal behavior, family history of mental disorder and insurance coverage at intake were associated with mental health service utilization at the 3-month follow up. Predictors of service utilization varied by gender and racial/ethnic status. Implications for integrated substance use and mental health services are discussed.
本研究调查了1190名年龄在12至19岁之间、因社区药物滥用门诊而入院且同时存在心理健康问题的青少年自我报告接受心理健康服务的比例及其相关因素。在入院3个月后确定心理健康服务的利用情况。在入院时被确定存在心理健康问题的青少年中，约三分之一（35%）在开始治疗后的3个月内接受了心理健康服务。在控制其他相关因素不变的情况下，心理健康治疗史、自杀行为、精神障碍家族史以及入院时的保险覆盖情况与3个月随访时的心理健康服务利用情况相关。服务利用的预测因素因性别和种族/族裔状况而异。文中还讨论了对综合药物使用和心理健康服务的启示。
