Belur Vinetha, Dennis Michael L, Ives Melissa L, Vincent Robert, Muck Randolph
Chestnut Health Systems, Normal, IL, USA.
Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Prevention (CSAP), Rockville, MD, USA.
Adv Sch Ment Health Promot. 2014;7(2):88-104. doi: 10.1080/1754730x.2014.888223. Epub 2014 Mar 5.
The expansion of behavioral health services to school-based health centers under the Affordable Care Act (Public Law 111-148) presents an opportunity to improve access to substance use disorders treatment for youth and reduce their substance use, and emotional, health, and school problems. We explore the feasibility of implementing five to seven sessions of motivational enhancement therapy-cognitive behavioral therapy (MET/CBT) in school settings relative to a matched cohort in community settings. Results indicate that MET/CBT in school settings is feasible, effective, and cost-effective. Moreover, it reaches youth earlier after the onset of substance use and has the possibility to reduce existing health disparities for girls and ethnic minorities.
根据《平价医疗法案》(公法111 - 148),将行为健康服务扩展到校内健康中心,为改善青少年药物使用障碍治疗的可及性、减少他们的药物使用以及情绪、健康和学校问题提供了契机。我们探讨了在学校环境中实施五至七节动机增强疗法 - 认知行为疗法(MET/CBT)相对于社区环境中匹配队列的可行性。结果表明,学校环境中的MET/CBT是可行、有效且具有成本效益的。此外,它在药物使用开始后能更早地惠及青少年,并有减少女孩和少数族裔现有健康差距的可能性。