Adolescents who consulted for substance misuse problems: Outcomes 1 year later

Autor:	Bonamy R. Oliver, Agne M Larsson, Agne Larsson, Sheilagh Hodgins
Rok vydání:	2010
Předmět:	Male medicine.medical_specialty Adolescent Substance-Related Disorders Poison control Comorbidity Violence Suicide prevention Peer Group Occupational safety and health Cohort Studies Young Adult Intervention (counseling) Injury prevention Humans Medicine Child Abuse Child Social Behavior Psychiatry Referral and Consultation Crime Victims Internal-External Control business.industry Mental Disorders Sex Offenses Human factors and ergonomics Mental health Alcoholism Psychiatry and Mental health Outcome and Process Assessment Health Care Female Crime Substance Abuse Treatment Centers business Psychosocial Follow-Up Studies Clinical psychology
Zdroj:	Nordic Journal of Psychiatry. 64:189-195
ISSN:	1502-4725 0803-9488
DOI:	10.3109/08039480903389002
Popis:	BACKGROUND Adolescents who consult for substance misuse problems are at increased risk for multiple adverse outcomes from ages 21 to 50. METHOD The sample included 180 adolescents who consulted a clinic for substance misuse and 251 of their parents. Adolescents and parents completed diagnostic interviews and independently completed questionnaires reporting on maltreatment of the adolescents. The adolescents completed questionnaires on substance misuse, illegal activities and relationships with others. Information was extracted from the criminal register. Twelve months later, 86% of the adolescents again completed a diagnostic interview, responded to questions about treatments they had received and completed questionnaires as before. In addition, information was extracted from health and social service files. RESULTS Six problem domains were defined to include externalizing and internalizing disorders, substance misuse, and violent and non-violent self-reported offending. These were generally stable during the 12-month follow-up, but some adolescents did improve, while others developed new problems. Change in the number of problem domains over the 12-month period was predicted by the number of problem domains present at first contact with the clinic and negatively by treatment during the follow-up period. CONCLUSION Adolescents who consulted for substance misuse presented multiple mental health and psychosocial problems, which had been present for many years. The multiplicity of problems largely determined outcome 12 months later. Effective interventions are needed to target each problem domain. Identification and intervention with young children presenting mental health problems are needed to avoid the accumulation of problems observed in this sample of adolescents.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2e2c0625ee49c61e087b5c1a599efa3e https://doi.org/10.3109/08039480903389002 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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