Ware Orrin D, Zerden Lisa D, Duron Jacquelynn F, Xu Yanfeng, McCarthy Lauren P, Verbiest Sarah, Afkinich Jenny, Brown Qiana, Williams Denise Yookong, Goings Trenette
School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
School of Social Work, Rutgers University, New Brunswick, NJ, United States.
Front Child Adolesc Psychiatry. 2024 Apr 16;3:1340480. doi: 10.3389/frcha.2024.1340480. eCollection 2024.
Anxiety disorders, depressive disorders, and attention-deficit/hyperactivity disorder (ADHD) are some of the most common conditions that youths (<18 years old) receive mental health treatment for. These conditions are associated with high-risk substance use or substance use disorders (SUDs). This study sought to identify the proportion of youths (<18 years old) with anxiety disorders, depressive disorders, or ADHD as a primary diagnosis in community mental health centers (CMHCs) having co-occurring high-risk substance use or a SUD.
Analysis included binary logistic regression models using the Mental Health Client-Level Data 2017-2019 datasets which contains annual cross-sectional administrative data from mental health treatment facilities. The final sample included = 458,888 youths with an anxiety disorder as a primary diagnosis, = 570,388 youths with a depressive disorder as a primary diagnosis, and = 945,277 youths with ADHD as a primary diagnosis.
In the subsample with anxiety as a primary diagnosis, approximately 5% of youth had high-risk substance use or a SUD. Approximately 10% of youth with depression as a primary diagnosis had high-risk substance use or a SUD. Among youth with ADHD as a primary diagnosis, 5% had high-risk substance use or a SUD. Odds of having a co-occurring high-risk substance use or SUD differed based on the youth's age, race and ethnicity, gender, and other mental health diagnoses.
Effective care for this high-need youth population at CMHCs will require mental health clinicians to possess knowledge and skills related to substance use treatment.
焦虑症、抑郁症和注意力缺陷多动障碍（ADHD）是青少年（<18岁）接受心理健康治疗的一些最常见病症。这些病症与高风险物质使用或物质使用障碍（SUDs）相关。本研究旨在确定在社区心理健康中心（CMHCs）中，以焦虑症、抑郁症或ADHD作为主要诊断的青少年（<18岁）同时存在高风险物质使用或SUD的比例。
分析采用二元逻辑回归模型，使用2017 - 2019年心理健康客户层面数据集，该数据集包含来自心理健康治疗机构的年度横断面管理数据。最终样本包括458,888名以焦虑症作为主要诊断的青少年、570,388名以抑郁症作为主要诊断的青少年以及945,277名以ADHD作为主要诊断的青少年。
在以焦虑症作为主要诊断的子样本中，约5%的青少年存在高风险物质使用或SUD。以抑郁症作为主要诊断的青少年中，约10%存在高风险物质使用或SUD。在以ADHD作为主要诊断的青少年中，5%存在高风险物质使用或SUD。同时存在高风险物质使用或SUD的几率因青少年的年龄、种族和民族、性别以及其他心理健康诊断情况而异。
要在CMHCs为这一有高需求的青少年群体提供有效的护理，心理健康临床医生需要具备与物质使用治疗相关的知识和技能。
