(Mather et al. 1999)
Presenting further difficulty is the establishment of problems with alcohol and illicit drug use for adolescents entering service programs outside of the AOD system. (National Survey on Drug Use and Health, 2005) In an analysis of data taken form a sample group of youth in five San Diego county sectors of AOD treatment, mental health, juvenile justice, child welfare and public school-based services for severely emotionally disturbed [SED] youth gives indication that "there are relatively high rates of substance use disorders among adolescents in these systems, as determined in diagnostic interview with DSM-IV criteria." (National Survey on Drug Use and Health, 2005) The following chart illustrates the 'special population substance use disorders'
Special Population Substance Use Disorders
Alcohol
Juvenile Mental
SED
Child and Justice
Health
Welfare Drug
Substance Use Disorders - Lifetime
Substance Use Disorders - Past Year
Source: National Survey on Drug Use and Health (2005)
Stated as 'core youth-specific training areas' for caseworkers and counselors are the area of:
Assessment
Family Dynamics, including cross cultural ones
Adolescent psychological development, including gender and sexuality, personal and group identity and life skills
Adolescent substance use patterns and AOD-related concerns
Physiological and developmental effects of alcohol and other psychoactive drugs on adolescents
Common mental health diagnoses and interventions with youth
Common adolescent health issues, emergency procedures, suicide risks, victimization, reproductive rights, infectious diseases and medication
Staff-client relationship and boundary setting with youth
Treatment client confidentiality, minors informed consent issues, child welfare regulations and safety and abuse issues; and Cross systems service referral and follow up procedures for youth (National Survey on Drug Use & Health, 2005)
The article entitled; "Adolescent Substance Abuse Needs and Services Planning Report" (2005) states the following 'Principles' for Development of a Model System: "The model should broaden access with implementation of the "no wrong door principle" (2005) Public information strategies and community awareness should be developed to:
Reduce barriers to access and reduce stigma which is inclusive of making treatment accessible, appropriate and acceptable;
needs-driven treatment design should be developed;
model system should place AOD treatment for youth squarely within the framework of health and public health;
model system should include a framework for the delivery of AOD services over a more extended period of time and should work with youth to manage the common occurrence of relapse;
The model system should include referral networks and on-site services linked to schools and other settings that routinely see youth and their families, such as after-school programs, neighborhood centers and locations near transportation hub;
The system should be structured to deliver treatment to youth in the least restrictive setting that ensures their physical and emotional safety.
The system Should create intensive levels of care that would allow youth in treatment to remain safely with their families and in their communities;
The model AOD treatment system should have a central position in the larger world of comprehensive health, education and social services for youth." (Adolescent Substance Abuse Needs and Services Planning, 2005)
In the same report and in the section entitled: "Model Development: Treatment Design Issues' stated is that the creation of a model system holds the requisites of AOD treatment being redesigned in a manner that will bring about improvement in treatment effectiveness in the treatment of youth. Required will be a treatment approach that "will respond to and enhance client's age appropriate development. These approaches will foster increased client engagement, retention and attainment of treatment goals. Improving treatment in these ways will require instituting standards of program excellence that draw on evidence-based practices, and initiating performance monitoring based on those standards. Workforce development also will be a crucial element of this initiative.
The stated 'Nine Key Principles for Improving Treatment Effectiveness' are:
Principle 1 - Treatment of each client should match his/her assessed needs, and treatment should match the complexity and severity of the assessed problems
Principle 2 -Services should be planned and delivered to address all domains of the youth's life.
Principle 3 - The treatment model must be developmentally specific to adolescence
Principle 4 - The involvement of the youth's parents, family members and adult caregivers must be central to the AOD treatment model.18
Principle 5 - A "therapeutic alliance" must be built between the youth and the program staff based on mutual trust and partnership.
Principle 6 - Follow-up services should be part of treatment planning and discharge planning in order to maintain treatment gains in the months and...
Prostrate Cancer Health Disparities Among Blacks Prostate Cancer Health Disparities among Blacks and Latino Males Prostrate Cancer Health Disparities among Blacks and Latino Males Roughly 218,000 males in the United States some time or another are probably going to be diagnosed with prostate cancer this year, and each and every one of someone will have to male extremely personal and individualized assessments regarding treatment decisions and diet and lifestyle modifications. But most significantly,
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now