Beth Han is a researcher at the Substance Abuse and Mental Health Services Administration, in Rockville, Maryland.
Wilson M. Compton (
Health Aff (Millwood). 2017 Oct 1;36(10):1739-1747. doi: 10.1377/hlthaff.2017.0584.
We examined prevalence, treatment patterns, trends, and correlates of mental health and substance use treatments among adults with co-occurring disorders. Our data were from the 325,800 adults who participated in the National Survey on Drug Use and Health in the period 2008-14. Approximately 3.3 percent of the US adult population, or 7.7 million adults, had co-occurring disorders during the twelve months before the survey interview. Among them, 52.5 percent received neither mental health care nor substance use treatment in the prior year. The 9.1 percent who received both types of care tended to have more serious psychiatric problems and physical comorbidities and to be involved with the criminal justice system. Rates of receiving care only for mental health, receiving treatment only for substance use, and receiving both types of care among adults with co-occurring disorders remained unchanged during the study period. Low perceived need and barriers to care access for both disorders likely contribute to low treatment rates of co-occurring disorders. Future studies are needed to improve treatment rates among this population.
我们研究了共病成年人的心理健康和物质使用治疗的流行率、治疗模式、趋势和相关因素。我们的数据来自于 2008-2014 年期间参与国家药物使用和健康调查的 32.5 万名成年人。在调查访谈前的 12 个月内，约有 3.3%的美国成年人口，即 770 万成年人，患有共病障碍。其中，52.5%的人在前一年既没有接受心理健康护理，也没有接受物质使用治疗。9.1%同时接受这两种治疗的人往往有更严重的精神问题和身体合并症，并且与刑事司法系统有关。在研究期间，患有共病障碍的成年人中只接受心理健康治疗、只接受物质使用治疗以及同时接受这两种治疗的比例保持不变。这两种障碍的治疗需求认知度低和治疗机会的障碍可能导致共病障碍的治疗率低。未来需要开展研究来提高这一人群的治疗率。
