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. 2004 Oct;43(10):1215-24.
doi: 10.1097/01.chi.0000134489.58054.9c.

Multiple substance use disorders in juvenile detainees

Gary M McClelland  1 , Katherine S Elkington, Linda A Teplin, Karen M Abram
Affiliations

Multiple substance use disorders in juvenile detainees

Gary M McClelland et al. J Am Acad Child Adolesc Psychiatry. 2004 Oct.

Abstract

Objective: To estimate the 6-month prevalence of multiple substance use disorders (SUDs) among juvenile detainees by demographic subgroups (sex, race/ethnicity, age).

Method: Participants were a randomly selected sample of 1,829 African American, non-Hispanic white, and Hispanic detainees (1,172 males, 657 females, aged 10 to 18). Patterns and prevalence of DSM-III-R multiple SUDs were assessed using the Diagnostic Interview Schedule for Children Version 2.3. The authors used two-tailed F and t tests with an alpha of .05 to examine combinations of SUDs by sex, race/ethnicity, and age.

Results: Nearly half of the detainees had one or more SUDs; more than 21% had two or more SUDs. The most prevalent combination of SUDs was alcohol and marijuana use disorders (17.25% females, 19.42% males). Among detainees with any SUD, almost half had multiple SUDs. Among detainees with alcohol use disorder, more than 80% also had one or more drug use disorders. Among detainees with a drug use disorder, approximately 50% also had an alcohol use disorder.

Conclusions: Among detained youths with any SUD, multiple SUDs are the rule, not the exception. Substance abuse treatments need to target detainees with multiple SUDs who, upon release, return to communities where services are often unavailable. Clinicians can help ensure continuity of care by working with juvenile courts and detention centers.

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Figures

Figure 1
Figure 1
Prevalence of Single and Multiple Substance Use Disorders Among Male Detainees
Figure 2
Figure 2
Prevalence of Single and Multiple Substance Use Disorders Among Female Detainees
See this image and copyright information in PMC

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References

    1. Aarons GA, Brown SA, Hough RL, Garland AF, Wood PA. Prevalence of Adolescent Substance Use Disorders Across Five Sectors of Care. J Am Acad Child Adolesc Psychiatry. 2001;40:419–426. - PubMed
    1. Abram KM, Teplin LA, McClelland GM, Dulcan MK. Comorbid Psychiatric Disorders in Youth in Juvenile Detention. Arch Gen Psychiatry. 2003;60:1097–1108. - PMC - PubMed
    1. Agresti A. Categorical Data Analysis. John Wiley & Sons; New York: 1990.
    1. Almog YJ, Anglin MD, Fisher DG. Alcohol and heroin use patterns of narcotics addicts: gender and ethnic differences. Am J Drug Alcohol Abuse. 1993;19:219–238. - PubMed
    1. American Academy Child and Adolescent Psychiatry Practice Parameters for the Assessment and Treatment of Children and Adolescents with Substance Use Disorders. J Am Acad Child Adolesc Psychiatry. 1997;10(Supplement):140S–156S. - PubMed

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