Diversity at the Margins: The Interconnections Between Homelessness, Sex Work, Mental Health, and Substance Use in the Lives of Sexual Minority Homeless Young People

Suicidality and Treatment Experience Among Young People Who Inject Drugs

10.31234/osf.io/yxwqd ◽

2020 ◽

Author(s):

Mary Ellen Mackesy-Amiti ◽

Lawrence J. Ouellet

Keyword(s):

Mental Health ◽

Substance Use ◽

Young People ◽

Mental Disorders ◽

Mental Health Treatment ◽

People Who Inject Drugs ◽

Multivariable Analysis ◽

Psychiatric Research ◽

Health Treatment ◽

The Past

Background. We examined correlates of past year suicidal thoughts and behavior (STB) and described past year treatment experiences among young people who inject drugs (PWID). Methods. Participants were 570 adults (18-25 years) who injected primarily heroin. Interviews were conducted at field stations operated by Community Outreach Intervention Projects in Chicago, Illinois (USA). Interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Substance use and mental disorders were based on DSM-IV diagnostic criteria. Past year STB was based on multiple questions. Results. Sixteen percent of men and 25% of women reported STB in the past year. In multivariable analysis, STB was associated with non-heterosexual orientation, foster care, and being raised by two parents. Primary major depression, post-traumatic stress disorder, other anxiety disorders, and borderline personality disorder had independent effects on suicidality. Among those reporting past year STB (n=111), 83% ever received mental health treatment, while 44% did so in the past year. While 24% of respondents indicated that at least one treatment matched their needs very well, 30% reported treatment that did not match their needs at all. The most common reason for ending treatment was program completion (about 50%) while getting better was endorsed by about 25%. Nearly half reported ending treatment due to a bad experience, logistical issues, or expense. Conclusions. Young PWID are at high risk for suicidal behavior and their mental health treatment experiences often do not meet their needs. There is a pressing need for more integrated substance use and mental health treatment.

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Sexual minority youth’s mental health and substance use: The roles of victimization, cybervictimization, and non-parental adult support

Current Psychology ◽

10.1007/s12144-021-01812-6 ◽

2021 ◽

Author(s):

Meg D. Bishop ◽

Salvatore Ioverno ◽

Stephen T. Russell

Keyword(s):

Mental Health ◽

Substance Use ◽

Sexual Minority ◽

Adult Support

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Improving lives not just saying no to substances: Evaluating outcomes for a young people’s substance use team trained in the AMBIT approach

Clinical Child Psychology and Psychiatry ◽

10.1177/1359104521994875 ◽

2021 ◽

Vol 26 (2) ◽

pp. 490-504

Author(s):

Peter Fuggle ◽

Laura Talbot ◽

James Wheeler ◽

Jessica Rees ◽

Emily Ventre ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Alcohol Use ◽

Young People ◽

Peer Relationships ◽

Functional Outcomes ◽

Daily Living ◽

Mental Health Problems ◽

Integrative Therapy ◽

The Impact

Adaptive Mentalization Based Integrative Therapy (AMBIT) is a systemic, mentalization based intervention designed for young people with multiple problems including mental health problems. The purpose of this paper is to examine the impact of this approach both on clinical and functional outcomes for young people seen by a specialist young people’s substance use service between 2015 and 2018. About 499 cases were seen by the service during this period. Substance use outcomes were obtained for 383 cases using the Treatment Outcome Profile (TOP). Cannabis and alcohol use were the key substance use problems for 81% and 63% respectively. Functional outcomes using the AMBIT Integrative Measure (AIM) were obtained for 100 cases covering domains of daily living, socio-economic context, peer relationships and mental health. At treatment end, cannabis use reduced significantly ( t = 10.78; df = 311; p = .00; Cohen’s d ES.61 as did alcohol use ( t = 6.938; df = 242; p = .000; ES 0.44). Functional improvements were shown in five out of seven domains with highly significant total functional improvements on key problems selected by the client ( t = 14.01; df = 99; p = .000; ES1.34). Measuring functional as well as clinical outcomes appears to reflect more accurately the overall benefit of the service to clients.

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Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations

LGBT Health ◽

10.1089/lgbt.2015.0135 ◽

2016 ◽

Vol 3 (4) ◽

pp. 258-265 ◽

Cited By ~ 61

Author(s):

Ji Hyun Lee ◽

Kristi E. Gamarel ◽

Kendall J. Bryant ◽

Nickolas D. Zaller ◽

Don Operario

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Disorders ◽

Sexual Minority ◽

Minority Populations

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Profile of Young People Attending Alcohol and Other Drug Treatment Services in Aotearoa, New Zealand: Clinical File Search

Australian & New Zealand Journal of Psychiatry ◽

10.1080/00048670802415368 ◽

2008 ◽

Vol 42 (11) ◽

pp. 963-968 ◽

Cited By ~ 6

Author(s):

Ria Schroder ◽

Doug Sellman ◽

Chris Frampton ◽

Daryle Deering

Keyword(s):

Mental Health ◽

Substance Use ◽

New Zealand ◽

Young People ◽

Mental Health Disorder ◽

Service Development ◽

Complex Needs ◽

Treatment Services ◽

Aotearoa New Zealand ◽

Clinical File

Objective: The aim of the present study was to provide a profile of young people attending alcohol and other drug (AOD) treatment services in Aotearoa, New Zealand. Method: Data were gathered from a clinical file search of 184 randomly selected young people aged 13–19 years who had attended one of eight youth AOD treatment services in New Zealand during 2003 or 2004. These services represented eight of the 11 youth-specific AOD services available to youth in New Zealand. Results: Young people who attend youth-specific AOD services in New Zealand present with a range of complex needs including substance use and mental health issues, criminality, family conflict and disengagement from school. A total of 62.0% were male, 56.4% had criminal convictions, 40.6% had spent some time in Child, Youth and Family Services care and 53.8% were reported to have a coexisting substance use and mental health disorder. Low rates of reporting of substance use and mental health diagnoses in treatment files suggest that substance use and mental health disorders among this population are likely to be higher than those reported. Conclusions: This paper provides a unique profile of young people attending youth-specific AOD treatments in New Zealand. Such information is useful in informing treatment planning and funding and ensuring that service development occurs to specifically meet the complex needs of this patient group.

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