Novins D K, Beals J, Shore J H, Manson S M
National Center for American Indian and Alaska Native Mental Health Research, Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80220, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Dec;35(12):1593-601. doi: 10.1097/00004583-199612000-00010.
To describe the patient population and use of mental health treatment at a residential substance abuse treatment program for American Indian and Alaska Native adolescents. Specifically, this article (1) reports the level of psychiatric symptomatology among the patient population; (2) compares male and female patients in terms of demographics, symptomatology, and receipt of mental health treatment; and (3) examines the degree of association between patient psychiatric symptomatology and the receipt of mental health treatment.
Medical records were reviewed for all 64 patients admitted over a 1-year period. Data included patient characteristics such as substance use and psychiatric symptomatology as well as the receipt of mental health treatment.
Sixty-eight percent of patients screened positive for at least one psychiatric symptom type. Females reported greater substance use and were more likely to report that they were victims of abuse. Females also were more likely than males to receive mental health treatment even though males had at least equal need. Finally, there was no significant relationship between measures of psychopathology and subsequent receipt of mental health treatment.
Reassessment of the methods for identifying and treating patients with comorbid psychopathology within programs of this nature is indicated.
描述一个针对美国印第安和阿拉斯加原住民青少年的住院药物滥用治疗项目中的患者群体及心理健康治疗的使用情况。具体而言，本文（1）报告患者群体中的精神症状水平；（2）在人口统计学、症状学及心理健康治疗接受情况方面比较男性和女性患者；（3）考察患者精神症状与心理健康治疗接受情况之间的关联程度。
回顾了在1年期间收治的所有64例患者的病历。数据包括患者特征，如物质使用情况、精神症状以及心理健康治疗的接受情况。
68%的患者至少有一种精神症状类型筛查呈阳性。女性报告有更多的物质使用情况，且更有可能报告自己是虐待受害者。尽管男性至少有同等需求，但女性比男性更有可能接受心理健康治疗。最后，精神病理学指标与随后接受心理健康治疗之间没有显著关系。
表明需要重新评估在此类项目中识别和治疗合并精神病理学患者的方法。
