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Barriers to adolescent chemical dependency treatment

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Medical Social Worker

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  1. Abstract.
  2. Introduction and literature review.
    1. A child in need of chemical dependency services.
    2. Families with private or public health insurance.
    3. Identification of a chemical dependency problem.
    4. Wu, P Hoven and Fuller's find on Medicaid recipients.
    5. Access to substance abuse treatment.
    6. The DSHS brochure 'A Guide for Parents' (2006).
  3. Method.
    1. Approval from the Eastern Washington University Institutional Review Board (IRB).
    2. The study design.
    3. The first question of the survey.
  4. Analysis.
  5. Results.
  6. Discussion.
  7. References.

Individuals who do not have private insurance are at a significant disadvantage when trying to access social services. It has been estimated that Washington State serves less than 30% of adolescent residents needing substance abuse services. To date no statewide surveys have been completed to help determine what prevents youth from accessing much needed services such as crisis services, detoxification, outpatient treatment, and inpatient/residential treatment. Over the last few years there has been a steady increase in the number of youth who are being referred from different systems into these services. While this state has many certified agencies that work with youth, many barriers still exist that prevent them from receiving the care they need. The data collected from this project, surveying parents seeking treatment for their adolescent and adolescents who are legal adults, begins to identify some of the most common barriers encountered along the adolescent continuum of care for substance abuse.

[...] Adolescents age 18 or 19 and parents of adolescents ages 13-17 who received referrals by calling or emailing the Teenline would have been asked if they would be interested in participating in an on-line survey inquiring about barriers to adolescent chemical dependency treatment, and their experience with referrals received from Teenline. The survey was constructed by the authors with knowledge and support of the Twenty-Four Hour Alcohol Drug Help Line/Teenline management. Those who would have been interested would have been directed to a Zoomerang survey located at [...]

[...] Retention in Publicly Funded Methadone Maintenance Treatment in Two Western States. The Journal of Behavioral Health Services & Research 43-60. Deck, D.D., McFarland, B.H., Titus, J.M., Laws, K.E., Gabriel, R.M. (2000). Access to substance abuse treatment services under the Oregon Health Plan. JAMA: The Journal of the American Medical Association [NLM - MEDLINE] 2093-9. Libby, A.M. & Riggs, P.D. (2005). Integrated Substance Use and Mental Health Treatment for Adolescents: Aligning Organizational and Financial Incentives. Journal of Child and Adolescent Psychopharmacology [...]

[...] The Chi-square statistic below indicates the same statistic of 3.683 and once again, we are unable to confidently establish a relationship between barriers and services. Outpatient Treatment b 0 cells have expected count less than 5. The minimum expected count is Discussion Our research is based on the hypothesis that barriers do exist when it comes to accessing social services and our major research questions focused on what are the barriers that keep youth and families from accessing services? In response to our research question, the above data does not exactly identify the barriers that we had anticipated finding. [...]

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