缩小青少年药物滥用治疗差距的积极外展策略：对研究、实践和政策的启示
Assertive outreach strategies for narrowing the adolescent substance abuse treatment gap: implications for research, practice, and policy.
作者信息
Ozechowski Timothy J, Waldron Holly Barrett
机构信息
Oregon Research Institute, Eugene, OR 97403, USA.
出版信息
J Behav Health Serv Res. 2010 Jan;37(1):40-63. doi: 10.1007/s11414-008-9136-0. Epub 2008 Aug 9.
Abstract
In any given year, only about 10% of the nearly two million adolescents exhibiting substance abuse or dependence in the United States receive substance abuse treatment. Given this state of affairs, it is unlikely that the massive effort and expenditure of resources over the past decade on developing, testing, and disseminating effective treatments for adolescent substance abuse will have an appreciable impact on the prevalence of substance use disorders among the adolescent population. In order to substantially diminish the pervasive gap between levels of need for and utilization of adolescent substance abuse treatment, specialized assertive outreach strategies may be needed. This paper outlines a framework for assertive outreach for adolescents with substance use disorders and proposes specific types of strategies for identifying and enrolling such adolescents into treatment. Implications for practice and policy pertaining to adolescent substance abuse treatment service delivery are considered.
摘要
在任何一年，在美国近两百万存在药物滥用或成瘾问题的青少年中，只有约10%接受药物滥用治疗。鉴于这种情况，过去十年在开发、测试和推广青少年药物滥用有效治疗方法方面所付出的巨大努力和资源投入，不太可能对青少年人群中药物使用障碍的患病率产生显著影响。为了大幅缩小青少年药物滥用治疗需求水平与利用率之间普遍存在的差距，可能需要专门的积极外展策略。本文概述了针对患有药物使用障碍青少年的积极外展框架，并提出了识别此类青少年并使其接受治疗的具体策略类型。文中还考虑了对青少年药物滥用治疗服务提供的实践和政策的影响。
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