Principles of Care for Young Adults With Co-Occurring Psychiatric and Substance Use Disorders
Open accessAbstract
Over 50% of young adults (defined as individuals aged 18–25 years) with substance use disorders (SUDs) have at least 1 co-occurring psychiatric disorder, and the presence of co-occurring disorders worsens SUD outcomes. Treatment of both co-occurring psychiatric disorders and SUDs in young adults is imperative for optimal treatment, yet many barriers exist to achieving this goal. We present a series of evidence-informed principles of care for young adults with co-occurring psychiatric disorders derived by a workgroup of experts convened by Boston Medical Center’s Grayken Center for Addiction. The 3 principles are as follows: (1) young adults should receive integrated mental health and addiction care across treatment settings; (2) care should be responsive to the needs of young adults exposed to trauma and other adverse childhood experiences; and (3) treatment programs should regularly assess and respond to the evolving mental health needs, motivations, and treatment goals of young adults with co-occurring disorders. Our guidance for each principle is followed by a review of the evidence supporting that principle, as well as practice considerations for implementation. More research among young adults is critical to identify effective treatments and service systems for those with co-occurring disorders.
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“In general, youth SUD treatment literature has not found “spillover benefits” from treating only one co-occurring MH or SUD condition [22], recommending integrated, or at least coordinated simultaneous treatment in most cases [22, 23].”
Pathways to recovery model of youth substance misuse in Assam, India
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The Effectiveness of Psycho-Social Empowerment on Self-control in Students Susceptible to Addiction
Sheykholeslami, A., & Firouz, E. N. (2022) · فصلنامه علمی و پژوهشی اعتیادپژوهی · doi:10.52547/etiadpajohi.15.62.45 · Cited by 2 · see citing works
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Exploring Mental Health Symptoms Among Canadian Adolescents and Young Adults
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Self-citationConcurrent (Dual) Disorder Management Guidelines: Systematic Review Update
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Co-occurring Psychiatric Disorders
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- Authors
- Spencer, A. E., Valentine, S. E., Sikov, J., Yule, A. M., Hsu, H., Hallett, E., Xuan, Z., Silverstein, M., & Fortuna, L.
- Affiliations
- Boston Medical Center (US)
- Boston University (US)
- University of California, San Francisco (US)
- Corresponding author
- Spencer, Andrea E.
- ORCID
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2021-01-01
- Volume
- 147
- Issue
- Supplement 2
- Pages
- 229-239
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC8276159
- OpenAlex
- W3114758312
- Cited by
- 34
- References
- 98
- Citations by year
- 2026: 12 · 2025: 9 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 2
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (K23MH118478, K23MH117221)
- National Institute on Drug Abuse (K12DA000357)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- young adults, trauma-informed care, adverse childhood experiences, barriers to treatment, treatment goals, treatment motivation
- MeSH terms
- Adverse Childhood Experiences, Mental Disorders, Consensus Development Conferences as Topic, Consensus Statements as Topic, Humans, Program Evaluation, Diagnosis, Dual (Psychiatry), Delivery of Health Care, Integrated, Substance-Related Disorders, Young Adult
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