基于学校的服务可能消除物质治疗差异:非随机程序评估结果
Christian Thurstone1, Ryan Loh2, Sonja O'Leary2
1Denver Health and Hospital Authority, Denver, CO; University of Colorado Anschutz Medical Campus, Aurora, CO.
基于学校的药物治疗改善了各种青少年的获取和参与,特别是女性和西班牙裔/拉丁裔个人. 结果与基于诊所的护理相当,没有显示有效性下降.
科学领域:
- 青少年健康 青少年健康
- 药物使用障碍 药物使用障碍
- 健康差异 在健康上的差异
背景情况:
- 在青少年物质使用障碍治疗的获取和参与方面存在显著的健康差异.
- 现有的治疗模式可能无法充分覆盖或吸引所有青少年群体.
研究的目的:
- 为了比较基于学校和基于诊所的青少年物质使用障碍服务之间的治疗结果.
- 确定是否以学校为基础的药物使用障碍治疗可以减少在获取和参与方面的差异.
主要方法:
- 一项回顾性图表审查比较了在学校 (n=531) 和诊所 (n=523) 治疗物质使用障碍的青少年.
- 数据包括基线人口统计数据,临床诊断,完成的疗程,自我报告的禁欲和尿液药物查.
主要成果:
- 基于学校的样本中,女性和西班牙裔/拉丁裔青少年的比例更高.
- 在不同设置之间观察到类似的阴性尿液药物查率和自我报告的戒断率.
- 总会议完成的显著差异被注意到,种族/种族的显著相互作用效应根据位置.
结论:
- 基于学校的药物使用障碍治疗改善了女性,非裔美国人和西班牙裔/拉丁裔青少年的护理准入和参与.
- 通过在学校环境中提供治疗,结果不会减少.
- 基于学校的模型在缓解青少年物质使用障碍治疗中的差异方面表现有希望.
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