scholarly journals Substance Use and Mental Health Treatment Retention among Young Adults

2017 ◽  
Vol 1 (3) ◽  
Author(s):  
Siobhan Morse
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young Adults ◽  
Mental Health Treatment ◽  
Treatment Retention ◽  
Health Treatment

Perceived Mental Health Treatment Need and Substance Use Correlates Among Young Adults

2013 ◽  
Vol 64 (9) ◽  
pp. 871-877 ◽  
Author(s):  
Michael J. Mason ◽  
Lori Keyser-Marcus ◽  
Daniel Snipes ◽  
Eric Benotsch ◽  
Bela Sood
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young Adults ◽  
Mental Health Treatment ◽  
Health Treatment ◽  
Treatment Need

Suicidality and Treatment Experience Among Young People Who Inject Drugs

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.

scholarly journals Veterans Affairs Health System and Mental Health Treatment Retention among Patients with Serious Mental Illness: Evaluating Accessibility and Availability Barriers

2007 ◽  
Vol 42 (3p1) ◽  
pp. 1042-1060 ◽  
Author(s):  
John F. McCarthy ◽  
Frederic C. Blow ◽  
Marcia Valenstein ◽  
Ellen P. Fischer ◽  
Richard R. Owen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Mental Health Treatment ◽  
Veterans Affairs ◽  
Treatment Retention ◽  
Health Treatment

scholarly journals Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder

BJPsych Open ◽  
2020 ◽  
Vol 6 (3) ◽  
Author(s):  
Jessica McClelland ◽  
Mima Simic ◽  
Ulrike Schmidt ◽  
Antonia Koskina ◽  
Catherine Stewart
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Eating Disorder ◽  
Health Services ◽  
Young Adulthood ◽  
Mental Health Treatment ◽  
Service Utilisation ◽  
Health Treatment ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

Background Eating disorder services are often separated into child and adolescent eating disorder services (CAEDSs) and adult eating disorder services (AEDSs). Most patients in CAEDSs present with first-episode illness of short duration, which with appropriate treatment, have a good prognosis. However, some individuals receive further treatment as adults. Little is known about service utilisation in adulthood following childhood/adolescent treatment of an eating disorder. Aims This study aims (a) to estimate the proportion of patients in a CAEDS who use mental health services as young adults, (b) to delineate service utilisation following treatment in CAEDSs and (c) to identify factors in CAEDSs that predict service utilisation in young adulthood. Method A consecutive cohort of 322 patients (aged 13–17 years) seen in a CAEDS in the UK over a 5-year period were included in this audit. Data regarding their use of UK-wide adult mental health services as young adults (i.e. when aged 18–25) were extracted from local and national hospital records. Results A total of 68.3% of CAEDS patients received no mental health treatment as young adults. Although 13% of people seen in a CAEDS had brief eating disorder treatment as young adults, 10% received longer/or more intensive eating disorder treatment. Overall, 10.8% transitioned directly to an AEDS and 7.6% were re-referred following discharge from CAEDS. In our sample, older age and increased use of CAEDSs predicted increased eating disorder treatment in young adulthood. Conclusions Our results indicate that most people seen in CAEDSs do not receive further mental health treatment as young adults. Several features in CAEDSs distinguish mental health service utilisation in young adulthood, which were identified clinically and could be targeted during treatment.

scholarly journals Web-Based Graphic Representation of the Life Course of Mental Health: Cross-Sectional Study Across the Spectrum of Mood, Anxiety, Eating, and Substance Use Disorders

10.2196/16919 ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. e16919 ◽  
Author(s):  
Robin Leora Aupperle ◽  
Martin P Paulus ◽  
Rayus Kuplicki ◽  
James Touthang ◽  
Teresa Victor ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Substance Use ◽  
Psychiatric Disorders ◽  
Mental Health Treatment ◽  
Mental Illnesses ◽  
Graphical Representations ◽  
Positive Events ◽  
Health Treatment ◽  
Web Based

Background Although patient history is essential for informing mental health assessment, diagnosis, and prognosis, there is a dearth of standardized instruments measuring time-dependent factors relevant to psychiatric disorders. Previous research has demonstrated the potential utility of graphical representations, termed life charts, for depicting the complexity of the course of mental illness. However, the implementation of these assessments is limited by the exclusive focus on specific mental illnesses (ie, bipolar disorder) and the lack of intuitive graphical interfaces for data collection and visualization. Objective This study aimed to develop and test the utility of the Tulsa Life Chart (TLC) as a Web-based, structured approach for obtaining and graphically representing historical information on psychosocial and mental health events relevant across a spectrum of psychiatric disorders. Methods The TLC interview was completed at baseline by 499 participants of the Tulsa 1000, a longitudinal study of individuals with depressive, anxiety, substance use, or eating disorders and healthy comparisons (HCs). All data were entered electronically, and a 1-page electronic and interactive graphical representation was developed using the Google Visualization Application Programming Interface. For 8 distinct life epochs (periods of approximately 5-10 years), the TLC assessed the following factors: school attendance, hobbies, jobs, social support, substance use, mental health treatment, family structure changes, negative and positive events, and epoch and event-related mood ratings. We used generalized linear mixed models (GLMMs) to evaluate trajectories of each domain over time and by sex, age, and diagnosis, using case examples and Web-based interactive graphs to visualize data. Results GLMM analyses revealed main or interaction effects of epoch and diagnosis for all domains. Epoch by diagnosis interactions were identified for mood ratings and the number of negative-versus-positive events (all P values <.001), with all psychiatric groups reporting worse mood and greater negative-versus-positive events than HCs. These differences were most robust at different epochs, depending on diagnosis. There were also diagnosis and epoch main effects for substance use, mental health treatment received, social support, and hobbies (P<.001). User experience ratings (each on a 1-5 scale) revealed that participants found the TLC pleasant to complete (mean 3.07, SD 1.26) and useful for understanding their mental health (mean 3.07, SD 1.26), and that they were likely to recommend it to others (mean 3.42, SD 0.85). Conclusions The TLC provides a structured, Web-based transdiagnostic assessment of psychosocial history relevant for the diagnosis and treatment of psychiatric disorders. Interactive, 1-page graphical representations of the TLC allow for the efficient communication of historical life information that would be useful for clinicians, patients, and family members.

Sign in / Sign up

Export Citation Format

Share Document