Prevention of substance use in children/adolescents with mental disorders: a systematic review
- Forfatter(e)
- Salvo, N. K. Bennett, K. A. Cheung, A. Y. Chen, Y. M. Rice, M. B. Rush, B. H. Bullock, H. A. Bowlby, A. Evidence on Tap Concurrent Disorders Collaborative Team
- År
- 2012
- Tidsskrift
- Journal of the Canadian Academy of Child and Adolescent Psychiatry
- Sider
- 245-52
- Kategori(er)
- Rus (alkohol, illegale rusmidler)
- Tiltakstype(r)
- Foreldreveiledning/-terapiKognitiv atferdsterapi, atferdsterapi og kognitiv terapi
- Abstract
OBJECTIVE: WE CONDUCTED A SYSTEMATIC REVIEW TO ANSWER THE QUESTION: Among youth <18 years of age with a mental disorder, does substance use prevention compared to no prevention result in reduced rates of substance use/abuse/disorder (SUD)?
The review was requested by the Ontario Ministry of Health and Long-term Care through the Canadian Institutes for Health Research Evidence on Tap program.
METHODS: A four-step search process was used: Search 1 and 2: Randomized controlled trials (RCTs) that evaluated a SUD prevention intervention in individuals with a mental disorder who were: 1) <18 years; or, 2) any age. Search 3: Observational studies of an intervention to prevent SUD in those with mental disorder. Search 4: RCTs that evaluated a SUD primary prevention skills-based intervention in high-risk youth <18 years.
RESULTS: Searches 1 and 2: one RCT conducted in youth was found; Search 3: two observational studies were found. All three studies reported statistically significant reductions in substance use. Search 4: five RCTs were found with mixed results. Methodological weaknesses including inadequate study power may explain the results.
CONCLUSIONS: Little is known about effective interventions to prevent SUD in youth with a mental disorder. Effective SUD primary prevention programs exist and should be evaluated in this high-risk group.