Polysubstance use in young people accessing residential and day‐treatment services for substance use: substance use profiles, psychiatric comorbidity and treatment completion.
Background and Aims: People with substance use disorders (SUDs) frequently present to treatment with polysubstance use and mental health comorbidities. Different combinations of substance use and mental health problems require different treatment approaches. Our study aimed to: (i) identify the shar...
| Publicado en: | Addiction Vol. 117; no. 12; pp. 3110 - 3121 |
|---|---|
| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2022
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160000931&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160000931 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Dec2022 vid: 117 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160000931 158355808 160000931 160000931 10.1111/add.16008 160000931 ppf: 3110 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Polysubstance use in young people accessing residential and day‐treatment services for substance use: substance use profiles, psychiatric comorbidity and treatment completion. aug: au: Mefodeva, Valeriya Carlyle, Molly Walter, Zoe Chan, Gary Hides, Leanne affil: School of Psychology, University of Queensland, Brisbane Queensland,, Australia sug: subj: Substance Use Disorders Therapy Residential Care Day Care Comorbidity Mental Health Services Health Services Accessibility Quality of Life Patient Education Mental Disorders Therapy Human Male Female Adolescence Adult Cross Sectional Studies Prospective Studies Treatment Outcomes New South Wales Structural Equation Modeling Confidence Intervals Odds Ratio Descriptive Statistics Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Background and Aims: People with substance use disorders (SUDs) frequently present to treatment with polysubstance use and mental health comorbidities. Different combinations of substance use and mental health problems require different treatment approaches. Our study aimed to: (i) identify the shared substance use classes among young people at treatment admission, (ii) determine which mental health symptoms, quality of life (QoL) and service types were associated with the identified substance use classes, and (iii) prospectively determine which substance use classes and service types were more likely to complete treatment. Design: Cross‐sectional and prospective study using service and outcome data. Setting: Substance use treatment services in Queensland and New South Wales, Australia. Participants: De‐identified service and outcome measure data were extracted from the files of 744 clients aged 18–35 years (48% male) admitted into seven residential and four day‐treatment programmes. Measurements Substance use and severity among tobacco, alcohol, cannabis, cocaine, amphetamine‐type stimulants, opioids, sedatives and inhalants. Other variables included: depression, anxiety, post‐traumatic stress and psychotic symptoms, as well as QoL. Findings Latent class analysis identified three polysubstance use classes: wide‐ranging polysubstance users (WRPU; 22.45%), primary amphetamine users (56.45%) and alcohol and cannabis users (21.10%). The WRPU class had higher odds of psychotic symptoms than the alcohol and cannabis use class [odds ratio (OR) = 1.30; 95% confidence interval (CI) = 1.11–1.11]; and double the odds of residential programme enrolment than those in the amphetamine use class (OR = 2.35; 95% CI = 1.50–3.68). No other class differences on mental health or QoL variables were found. Clients enrolled in day‐programmes had higher odds of completing treatment. Conclusions: There appear to be high levels of polysubstance use among young people entering substance use treatment in Australia. Wide‐ranging polysubstance users were more likely to report psychotic symptoms and be enrolled into a residential programme than primary amphetamine users and alcohol and cannabis users. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|