不同健康和社会服务人群中的酒精和药物问题。
Alcohol and drug problems among diverse health and social service populations.
作者信息
Weisner C, Schmidt L
机构信息
Alcohol Research Group, Medical Research Institute of San Francisco, Berkeley, CA 94709.
出版信息
Am J Public Health. 1993 Jun;83(6):824-9. doi: 10.2105/ajph.83.6.824.
OBJECTIVES
This study responds to clinical and research interest in identifying alcohol- and drug-related problems in health and social service agency populations. These problems are associated with a variety of illnesses and social problems, and community agencies serve important screening functions.
METHODS
Indicators of problematic alcohol and drug use are compared across representative samples of clients within a county's alcohol, mental health, and drug treatment systems; hospital emergency rooms; primary health clinics; criminal justice and welfare systems; and general population.
RESULTS
Agencies followed a consistent rank ordering in the prevalence of substance abuse indicators. Highest prevalences were found in the populations of behavioral health agencies, including alcohol, drug, and mental health treatment facilities and criminal justice, followed by welfare agencies. General medical agencies served populations with the lowest prevalence and problem severity.
CONCLUSION
Health and social service agencies provide significant opportunities for the screening and referral of individuals with problematic alcohol and drug use. Although behavioral agencies have higher potential for referral and intervention, general medical services may be more effective in conducting prevention and early case-finding activities.
目标
本研究回应了临床和研究领域对在健康与社会服务机构人群中识别与酒精和药物相关问题的兴趣。这些问题与多种疾病及社会问题相关联，而社区机构发挥着重要的筛查功能。
方法
对一个县的酒精、心理健康和药物治疗系统、医院急诊室、初级保健诊所、刑事司法和福利系统以及普通人群中具有代表性的服务对象样本，就酒精和药物使用问题的指标进行比较。
结果
各机构在药物滥用指标的患病率方面呈现出一致的排序。行为健康机构人群中的患病率最高，包括酒精、药物和心理健康治疗设施以及刑事司法系统，其次是福利机构。普通医疗机构服务的人群患病率和问题严重程度最低。
结论
健康与社会服务机构为筛查和转介有酒精和药物使用问题的个体提供了重要契机。尽管行为健康机构在转介和干预方面有更大潜力，但普通医疗服务在开展预防和早期病例发现活动方面可能更有效。
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