在无家可归的年轻成年人中,服务使用和行为健康轨迹之间的关联
Graham DiGuiseppi1,2, Eric R Pedersen3,4, Anthony Rodriguez5
1University of Southern California, Suzanne Dworak-Peck School of Social Work, 669 W. 34th Street, Los Angeles, CA 90089, United States.
Children and youth services review
|April 22, 2024
概括
无家可归的年轻人使用心理健康服务与随着时间的推移减少抑郁症有关,但物质使用障碍 (SUD) 治疗仍然不足. 持续的心理健康支持对于持续的福祉至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 无家可归严重影响年轻人的心理健康和吸毒.
- 了解服务利用对于有效干预至关重要.
研究的目的:
- 调查服务使用 (住房,心理健康,物质使用,教育,就业) 与无家可归的年轻成年人中抑郁症和物质使用障碍 (SUD) 的轨迹之间的关系.
- 识别服务参与模式及其对心理健康和SUD结果的影响.
主要方法:
- 来自洛杉矶的一项干预研究 (2018-2020年) 的276名年轻成年人的二次数据分析.
- 使用潜增长曲线建模来分析多个时间点 (基线3,6,12,24个月) 收集的纵向数据.
- 过去三个月的服务使用被用作抑郁症和SUD轨迹的预测指标.
主要成果:
- 较高的基线心理健康服务利用与更大的初始抑郁症状相关,并预测了随着时间的推移抑郁症的线性下降和二次增加.
- 在基线服务使用和基线SUD的可能性或研究期间SUD变化之间没有发现显著的关联.
- 服务使用模式各不相同,心理健康服务对这一群体来说比SUD特定服务更容易获得.
结论:
- 无家可归的年轻人经常获得心理健康服务,但缺乏足够的物质使用障碍 (SUD) 治疗.
- 使用心理健康服务可能会缓解抑郁症症状,但需要持续支持以防止复发.
- 需要加强战略,以改善弱势年轻人获得SUD治疗的机会和有效性.
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