The Value of Outdoor Behavioral Healthcare for Adolescent Substance Users with Comorbid Conditions.

IF 2 Q3 SUBSTANCE ABUSE Substance Abuse: Research and Treatment Pub Date : 2019-08-20 eCollection Date: 2019-01-01 DOI:10.1177/1178221819870768

Michael Gass, Thomas Wilson, Brett Talbot, Anita Tucker, Melissa Ugianskis, Nicholas Brennan

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引用次数: 8

Abstract

The damage inflicted on our society by mental health and substance use issues is reaching epidemic proportions with few signs of abating. One new and innovative strategy for addressing these comorbid issues has been the development of outdoor behavioral healthcare (OBH). This study compared the effectiveness of three post-acute adolescent substance use situations: OBH, treatment as usual (TAU), and no structured treatment (NST). The simulated target population was 13-17 years old with comorbid substance use and mental health issues. When costs were adjusted for actual completion rates of 94% in OBH, 37% in TAU, and $0 for NST, the actual treatment costs per person were $27 426 for OBH and $31 113 for TAU. OBH also had a cost-benefit ratio of 60.4% higher than TAU, an increased Quality in Life Years (QALY) life span, societal benefits of an additional $36 100, and 424% better treatment outcomes as measured by the Youth Outcome Questionnaire (YOQ) research instrument.

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户外行为保健对患有合并症的青少年药物使用者的价值。

心理健康和药物使用问题对我们社会造成的损害正在达到流行病的程度，几乎没有减轻的迹象。解决这些共病问题的一个新的创新策略是发展户外行为健康（OBH）。本研究比较了三种青少年急性后药物使用情况的有效性：OBH、照常治疗（TAU）和无结构性治疗（NST）。模拟的目标人群为13-17岁，有合并药物使用和心理健康问题。当根据OBH的94%、TAU的37%和NST的0美元的实际完成率对费用进行调整时，每人的实际治疗费用为27美元 426 OBH和31美元 113用于TAU。OBH的成本效益比TAU高60.4%，寿命延长，社会效益增加36美元通过青年结果问卷（YOQ）研究工具测量的治疗结果改善了100%和424%。

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