Division of General Academic Pediatrics and
Division of General Pediatrics, Department of Pediatrics, School of Medicine, Boston University, Boston, Massachusetts.
Pediatrics. 2021 Jan;147(Suppl 2):S195-S203. doi: 10.1542/peds.2020-023523B.
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.
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。