Trends in adolescent substance use and their implications for understanding trends in mental health

2018 ◽  
pp. 117-150
Author(s):  
Ann Hagell ◽  
Judith Aldridge ◽  
Petra Meier ◽  
Tim Millar ◽  
Jennifer Symonds ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Adolescent Substance Use ◽  
Adolescent Substance

scholarly journals 3191 Adolescent Substance Use: School and Community Perspectives on School-Based Interventions

2019 ◽  
Vol 3 (s1) ◽  
pp. 82-83
Author(s):  
Sycarah Fisher
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
School Counselors ◽  
School Psychologists ◽  
Early Identification ◽  
Health Personnel ◽  
Adolescent Substance Use ◽  
Adolescent Substance ◽  
School Based ◽  
School And Community

OBJECTIVES/SPECIFIC AIMS: Fifty percent of adolescents have tried an illicit drug and 70% have tried alcohol by the end of high school. Further, despite 7-9% of youth 12-17 meeting criteria for a substance use disorder only 1 in 10 actually receive it. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence based process that facilitates early identification and treatment for adults and adolescents in community (primary care) facilities. Despite the documented effectiveness of SBIRT, no research has examined the implementation of SBIRT in school settings by school-based mental health personnel. The purpose of the present study was to identify facilitators and barriers to SBIRT implementation by school-based personnel in secondary schools. METHODS/STUDY POPULATION: Participants included 30 school and community service providers including: teachers, school counselors, school psychologists, school administrators (principals and central office staff), city council members, school board members, community mental health services providers as well as state level individuals from the department of Adolescent Substance Use and the Office of Drug Control Policy. Interview guides were developed using the Consolidated Framework for Implementation Research (CFIR) to identify facilitators and barriers regarding the following: inner setting, outer setting, individuals involved, and intervention (SBIRT). The six-phase framework of Thematic Analysis (TA) was employed to analyze the data. We specifically used the deductive method to analyze the data with a pre-determined theory in mind (CFIR) to move to hypothesis building, and coding the data. RESULTS/ANTICIPATED RESULTS: Contrary to research conducted outside of the schools under the auspices that schools do not have the time or interest in providing school-based substance use interventions, several themes emerged identifying a receptivity, willingness, and eagerness to provide these services. Specifically, school-based mental health professionals (i.e., school counselors, school psychologists) being aware of adolescent substance use in their schools, but not knowing how to appropriately handle such disclosures. Further, school-based mental health personnel indicated that they would want additional training on how to identify and provide services to adolescents with substance use needs. School-based administrators also indicated a receptivity to addressing substance use with an acknowledgement that schools would need to move from a punitive model for substance use infractions to a treatment model. Some identified barriers to implementation included lack of awareness of community treatment settings for referrals and anonymity or lack thereof of substance use screening. DISCUSSION/SIGNIFICANCE OF IMPACT: While the data analyzed come from a limited sample in one school district, the present study found that schools could be potential settings for the early identification and intervention of adolescent substance use. Findings from this study contribute to our understanding of school and community receptivity to school-based interventions. Future research should identify training needs of school-based mental health personnel to assist in the early identification and prevention of substance use disorders.

scholarly journals Early Adolescent Substance Use and Mental Health Problems and Service Utilisation in a School-based Sample

2018 ◽  
Vol 64 (2) ◽  
pp. 116-125 ◽  
Author(s):  
Elizabeth Brownlie ◽  
Joseph H. Beitchman ◽  
Gloria Chaim ◽  
David A. Wolfe ◽  
Brian Rush ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Adolescent Substance Use ◽  
Early Adolescent ◽  
Service Utilisation ◽  
Adolescent Substance ◽  
School Based ◽  
Externalising Problems

Objective: This paper reports on substance use, mental health problems, and mental health service utilisation in an early adolescent school-based sample. Method: Participants were 1,360 grade 7 and 8 students from 4 regions of Ontario, Canada. Students completed an in-class survey on mental health and substance use. The sampling strategy and survey items on demographics, substance use, service utilisation, and distress were adapted from the Ontario Student Drug Use and Health Survey. Internalising and externalising mental health problems were assessed using the Global Assessment of Individual Needs – Short Screener. Distress was defined as fair or poor self-rated mental health. Results: Rates of internalising and/or externalising problems above the threshold exceeded 30%; yet, fewer than half had received mental health services in the past 12 mo. Substance use was associated with increased odds of internalising and externalising problems above the threshold and distress. Youth using cannabis had 10-times the odds of exceeding the threshold for internalising or externalising problems. The use of substances other than alcohol or cannabis was associated with increased odds of fair or poor self-rated mental health among grade 8 students. Of the youth who confirmed at least a substance use problem, most also reported mental health problems; this association was stronger among girls than boys. Conclusions: Early adolescent substance use was associated with concurrent self-reported mental health problems in a non-clinical sample. The low levels of service utilisation reported highlight the need for improved access to early identification and intervention to prevent the development of concurrent disorders.

Trends in adolescent substance use and their implications for understanding trends in mental health

2012 ◽  
pp. 117-149
Author(s):  
Ann Hagell ◽  
Judith Aldridge ◽  
Petra Meier ◽  
Tim Millar ◽  
Jennifer Symonds ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Adolescent Substance Use ◽  
Adolescent Substance

Longitudinal associations between childhood and adulthood externalizing and internalizing psychopathology and adolescent substance use

2013 ◽  
Vol 44 (8) ◽  
pp. 1727-1738 ◽  
Author(s):  
J. Miettunen ◽  
G. K. Murray ◽  
P. B. Jones ◽  
P. Mäki ◽  
H. Ebeling ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Mental Health Problems ◽  
Health Problems ◽  
Adolescent Substance Use ◽  
Adolescent Substance ◽  
Internalizing Psychopathology ◽  
Externalizing And Internalizing Problems

BackgroundEmotional and behavioral problems are commonly associated with substance use in adolescence but it is unclear whether substance use precedes or follows mental health problems. The aim was to investigate longitudinal associations between externalizing and internalizing psychopathology and substance use in a prospective population study design.MethodThe sample was the Northern Finland Birth Cohort 1986 Study (NFBC 1986; n = 6349; 3103 males). Externalizing and internalizing mental health problems were assessed at age 8 years (Rutter scales), substance use and externalizing and internalizing problems [Youth Self-Report (YSR)] at age 15–16 years, and hospital diagnoses for internalizing disorders (age 25) and criminal offences (age 20) from nationwide registers in adulthood.ResultsExternalizing problems at age 8 were associated with later substance use. After adjustment for sociodemographic factors, parental alcohol use and psychiatric disorders, and earlier externalizing and internalizing problems, substance use predicted criminality, especially among males, with the highest odds ratio (OR) for cannabis use [adjusted OR 6.2, 95% confidence interval (CI) 3.1–12.7]. Early internalizing problems were not a risk for later substance use. Female adolescent cannabis (OR 3.2, 95% CI 1.4–7.3) and alcohol (OR 2.1, 95% CI 1.1–4.2) use predicted internalizing disorders in adulthood.ConclusionsExternalizing problems precede adolescent substance use in both genders, whereas, among boys, substance use also precedes criminal offences. Internalizing problems may follow substance use in females. These associations were robust even when taking into account previous mental health problems.

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