To describe the relationship between psychiatric status and the use of alcohol, drug, and mental health (ADM) services among a sample of American Indian (At) juvenile detainees.
A structured diagnostic and service use interview was administered to 150 At youths detained in a juvenile detention center located on a Northern Plains reservation.
Forty percent of At youths with a diagnosed substance use disorder and 34.1% with a diagnosed anxiety, mood, or disruptive behavior disorder reported lifetime use of services for substance use and emotional problems, respectively.
While services for substance use problems were most commonly provided in residential settings, services for emotional problems were most commonly provided in outpatient settings.
Traditional healers and pastoral counselors provided services to 23.7% and 29.6% of youths who received services for substance use and emotional problems, respectively.
Detained youths were more likely to receive ADM services than At adolescents living at-large in another, comparable Northern Plains reservation community.
Still, the vast majority of youths in detention who suffered from psychiatric disorders did not report use of ADM services.
Detention facilities serving At adolescents need to screen carefully for the presence of psychiatric disorders and facilitate the use of ADM services.
Mots-clés Pascal : Ethnie, Amérindien, Consommation, Boisson alcoolisée, Drogue illicite, Délinquance juvénile, Trouble psychiatrique, Trouble émotion, Utilisation, Service santé, Etats Unis, Amérique du Nord, Amérique, Adolescent, Homme, Trouble comportement social
Mots-clés Pascal anglais : Ethnic group, Amerindian, Consumption, Alcoholic beverage, Illicit drug, Juvenile delinquency, Mental disorder, Emotional disorder, Use, Health service, United States, North America, America, Adolescent, Human, Social behavior disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0429226
Code Inist : 002B18C05D. Création : 22/03/2000.