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青少年物质使用障碍护理原则。

Principles of Care for Young Adults With Substance Use Disorders.

机构信息

Division of General Academic Pediatrics and

Division of General Pediatrics, Department of Pediatrics, School of Medicine, Boston University, Boston, Massachusetts.

出版信息

Pediatrics. 2021 Jan;147(Suppl 2):S195-S203. doi: 10.1542/peds.2020-023523B.

DOI:10.1542/peds.2020-023523B
PMID:33386322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7942818/
Abstract

Despite the disproportionate impact of substance use on young adults, as well as their unique developmental circumstances, there has historically been little attention given to the substance use care needs of this population. As a result, there are currently few evidence-based recommendations to guide clinicians in caring for young adults with substance use disorders. The Grayken Center for Addiction Medicine at Boston Medical Center convened an interdisciplinary meeting of experts to establish principles of care to guide the management of young adults with substance use disorders, to help health care organizations establish effective care systems for these patients, and to help guide policy. In this article, we review the care principles and introduce a series of linked articles that go into further details of principles in the domains of evidence-based substance use treatment, family engagement in care, recovery support services, comorbid psychiatric illness, harm reduction, and criminal justice system reform.

摘要

尽管物质使用对年轻人的影响不成比例,以及他们独特的发展环境,但历史上对这一人群的物质使用护理需求关注甚少。因此,目前几乎没有循证建议来指导临床医生照顾有物质使用障碍的年轻人。波士顿医疗中心的格雷肯成瘾医学中心召集了一次跨学科专家会议,以确立护理原则,指导对有物质使用障碍的年轻人的管理,帮助医疗保健组织为这些患者建立有效的护理系统,并帮助指导政策。在本文中,我们回顾了护理原则,并介绍了一系列深入探讨循证物质使用治疗、家庭参与护理、康复支持服务、共病精神疾病、减少伤害和刑事司法系统改革等领域原则的相关文章。

相似文献

1
Principles of Care for Young Adults With Substance Use Disorders.青少年物质使用障碍护理原则。
Pediatrics. 2021 Jan;147(Suppl 2):S195-S203. doi: 10.1542/peds.2020-023523B.
2
The Justice System and Young Adults With Substance Use Disorders.司法系统与物质使用障碍的青年
Pediatrics. 2021 Jan;147(Suppl 2):S249-S258. doi: 10.1542/peds.2020-023523H.
3
Evidence-Based Treatment of Young Adults With Substance Use Disorders.基于证据的物质使用障碍青年治疗。
Pediatrics. 2021 Jan;147(Suppl 2):S204-S214. doi: 10.1542/peds.2020-023523D.
4
Principles of Care for Young Adults With Co-Occurring Psychiatric and Substance Use Disorders.青少年共病精神障碍和物质使用障碍的护理原则。
Pediatrics. 2021 Jan;147(Suppl 2):229-239. doi: 10.1542/peds.2020-023523F.
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Principles of Harm Reduction for Young People Who Use Drugs.减少青少年药物使用危害的原则。
Pediatrics. 2021 Jan;147(Suppl 2):S240-S248. doi: 10.1542/peds.2020-023523G.
6
Improving the care of individuals with schizophrenia and substance use disorders: consensus recommendations.改善精神分裂症和物质使用障碍患者的护理:共识性建议。
J Psychiatr Pract. 2005 Sep;11(5):315-39. doi: 10.1097/00131746-200509000-00005.
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Support Services for Young Adults With Substance Use Disorders.支持患有物质使用障碍的青年成年人的服务。
Pediatrics. 2021 Jan;147(Suppl 2):S220-S228. doi: 10.1542/peds.2020-023523E.
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Right care, first time: a highly personalised and measurement-based care model to manage youth mental health.精准医疗,首次就诊:高度个性化和基于评估的青少年心理健康管理医疗模式。
Med J Aust. 2019 Nov;211 Suppl 9:S3-S46. doi: 10.5694/mja2.50383.
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Intensive Case Management for Addiction to promote engagement with care of people with severe mental and substance use disorders: an observational study.强化成瘾病例管理以促进严重精神和物质使用障碍患者接受治疗:一项观察性研究。
Subst Abuse Treat Prev Policy. 2017 May 25;12(1):26. doi: 10.1186/s13011-017-0111-8.
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Challenges in implementing evidence-based treatment practices for co-occurring disorders in the criminal justice system.在刑事司法系统中实施针对共病障碍的循证治疗实践所面临的挑战。
Behav Sci Law. 2004;22(4):431-48. doi: 10.1002/bsl.598.

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Lessons learned from concerned significant others: a qualitative analysis on involvement in services for young adult opioid use disorder.从相关重要他人身上吸取的经验教训:对参与青年阿片类物质使用障碍服务的定性分析
Front Public Health. 2025 Jul 17;13:1512529. doi: 10.3389/fpubh.2025.1512529. eCollection 2025.
2
Perspectives of treatment providers overseeing substance use disorder treatment among transition-age adults, aged 18-25 years.18至25岁过渡年龄成年人中监督物质使用障碍治疗的治疗提供者的观点。
J Subst Use Addict Treat. 2025 Jul;174:209704. doi: 10.1016/j.josat.2025.209704. Epub 2025 Apr 28.
3
"I need as much support as I can get": A qualitative study of young adult perspectives on family involvement in treatment for opioid use disorder.“我需要尽可能多的支持”:一项关于年轻人对家庭参与阿片类药物使用障碍治疗的看法的定性研究。
J Subst Use Addict Treat. 2024 Dec;167:209512. doi: 10.1016/j.josat.2024.209512. Epub 2024 Sep 10.
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Lost in transition: A protocol for a retrospective, longitudinal cohort study for addressing challenges in opioid treatment for transition-age adults.迷失在过渡期:一项针对过渡年龄成年人阿片类药物治疗中面临挑战的回顾性、纵向队列研究的方案。
PLoS One. 2024 Aug 14;19(8):e0297567. doi: 10.1371/journal.pone.0297567. eCollection 2024.
5
Multidimensional Family Therapy for Justice-Involved Young Adults with Substance Use Disorders.涉毒物质使用障碍的有犯罪经历的青年多维家庭治疗
J Behav Health Serv Res. 2024 Apr;51(2):250-263. doi: 10.1007/s11414-023-09852-5. Epub 2023 Aug 2.
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Towards an International Consensus on the Prevention, Treatment, and Management of High-Risk Substance Use and Overdose among Youth.关于预防、治疗和管理青少年高危物质使用和药物过量的国际共识。
Medicina (Kaunas). 2022 Apr 13;58(4):539. doi: 10.3390/medicina58040539.

本文引用的文献

1
Buprenorphine Treatment By Primary Care Providers, Psychiatrists, Addiction Specialists, And Others.初级保健提供者、精神科医生、成瘾专家等提供的丁丙诺啡治疗。
Health Aff (Millwood). 2020 Jun;39(6):984-992. doi: 10.1377/hlthaff.2019.01622.
2
Mortality risk during and after opioid substitution treatment: systematic review and meta-analysis of cohort studies.阿片类药物替代治疗期间及之后的死亡风险:队列研究的系统评价和荟萃分析
BMJ. 2017 Apr 26;357:j1550. doi: 10.1136/bmj.j1550.
3
Prevention, early intervention, harm reduction, and treatment of substance use in young people.青少年物质使用的预防、早期干预、危害降低及治疗。
Lancet Psychiatry. 2016 Mar;3(3):280-96. doi: 10.1016/S2215-0366(16)00002-X. Epub 2016 Feb 18.
4
Neurobiology of the adolescent brain and behavior: implications for substance use disorders.青少年大脑与行为的神经生物学:对物质使用障碍的影响。
J Am Acad Child Adolesc Psychiatry. 2010 Dec;49(12):1189-201; quiz 1285. doi: 10.1016/j.jaac.2010.08.017. Epub 2010 Oct 8.
5
Release from prison--a high risk of death for former inmates.出狱—— former inmates 面临高死亡风险。 (注:“former inmates”直译为“前囚犯”,结合语境可灵活处理为“出狱人员”等更符合中文表达习惯的表述,但按照要求不能添加解释,所以保留英文)
N Engl J Med. 2007 Jan 11;356(2):157-65. doi: 10.1056/NEJMsa064115.
6
Women, Co-occurring Disorders, and Violence Study: a case for trauma-informed care.女性、并发疾病与暴力研究:基于创伤知情护理的案例
J Subst Abuse Treat. 2005 Mar;28(2):145-6. doi: 10.1016/j.jsat.2005.01.002.
7
Shared decision making in psychiatry.精神病学中的共同决策。
Acta Psychiatr Scand. 2003 Jun;107(6):403-9. doi: 10.1034/j.1600-0447.2003.00130.x.