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Cited by 35Substance Abuse Treatment and OutcomesChild and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and Access

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Detection and Outcomes of Substance Use Disorders in Adolescents Seeking Mental Health Treatment

Kramer, Teresa L., Robbins, James M., Phillips, Susan D., Miller, Terri L., Burns, Barbara J.·2003·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/01.chi.0000084833.67701.44
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Abstract

Objective To compare detection rates, service use, and outcomes of substance use disorder (SUD) in adolescents seeking mental health treatment. Method Adolescents (n = 237) and their parents or caregivers completed parallel, self-administered versions of the Adolescent Treatment Outcomes Module (ATOM) at intake and 6-month follow-up. SUD was assessed using the Diagnostic Interview Schedule for Children (DISC). Results Although 42 (16.6%) adolescents seeking mental health treatment met DISC criteria for any SUD at baseline, clinicians detected only 19 of these (kappa = 0.51). Sensitivity and specificity were high for a screening tool for adolescent SUD (95.2 and 82.0, respectively). Adolescents with undetected SUD were less likely to receive SUD services and to have more legal problems at 6-month follow-up compared to adolescents with detected SUD. Conclusions SUD rates may be high in adolescents seeking mental health treatment, confirming the need for routine screening in this population. Results confirm that a large gap exists between the need for and access to SUD treatments, which may contribute to poorer outcomes for all adolescents with SUD.

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Metadata

Authors
Kramer, T. L., Robbins, J. M., Phillips, S. D., Miller, T. L., & Burns, B. J.
Affiliations
Duke Medical Center (US)
Corresponding author
Kramer, Teresa L.
ORCID
Robbins, James M.
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2003-11
Volume
42
Issue
11
Pages
1318-1326
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/01.chi.0000084833.67701.44
OpenAlex
W2105554626
Cited by
35
References
1
Citations by year
2025: 1 · 2023: 1 · 2021: 1 · 2019: 2 · 2017: 2 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 3
FWCI
0.97
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • NIMH (grants (K23 MH01882-01A1)
  • Dr. Kramer (R01 MH567887)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
substance use disorders, adolescents, psychotherapy, screening, service utilization, treatment outcomes, Diagnostic Interview Schedule for Children, legal issues, access to treatment
MeSH terms
Adolescent, Female, Follow-Up Studies, Humans, Male, Patient Acceptance of Health Care, Substance Abuse Detection, Treatment Outcome, Substance-Related Disorders

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