Department of Psychology, University of Illinois at Chicago, USA.
Am J Community Psychol. 2012 Jun;49(3-4):430-40. doi: 10.1007/s10464-011-9464-8.
Adolescents are at high risk for violence exposure and initiation of drug use. Co-occurring substance use and trauma exposure are associated with increased risk of mental health disorders, school underachievement, and involvement with multiple systems of care. Coordination and integration of systems of care are of utmost importance for these vulnerable youth. This study delineates the negative sequelae and increased service utilization patterns of adolescents with a history of trauma, substance abuse, and co-occurring trauma and substance abuse to support the need for integrated mental health and substance abuse services for youth. Data from two national sources, the National Child Traumatic Stress Network and Center for Substance Abuse Treatment demonstrate the increased clinical severity (measured by reports of emotional and behavioral problems), dysfunction, and service utilization patterns for youth with co-occurring trauma exposure and substance abuse. We conclude with recommendations for an integrated system of care that includes trauma-informed mental health treatment and substance abuse services aimed at reducing the morbidity and relapse probability of this high-risk group.
青少年面临着遭受暴力和开始使用毒品的高风险。同时存在物质使用和创伤暴露与心理健康障碍、学业成绩不佳以及涉及多个护理系统的风险增加有关。对于这些脆弱的年轻人来说，协调和整合护理系统至关重要。本研究描述了有创伤、物质滥用和同时存在创伤和物质滥用史的青少年的负面后果和增加的服务利用模式，以支持为青年提供综合心理健康和物质滥用服务的必要性。来自两个国家来源的数据，即国家儿童创伤应激网络和药物滥用治疗中心，表明同时存在创伤暴露和物质滥用的青少年的临床严重程度（通过情绪和行为问题报告衡量）、功能障碍和服务利用模式增加。我们最后提出了综合护理系统的建议，包括以减少高风险群体的发病率和复发率为目标的创伤知情心理健康治疗和物质滥用服务。
