临床医生对治疗青少年吸食大麻的障碍和促进因素的看法:定性研究。

0 PSYCHOLOGY, CLINICAL
Maha N. Mian , Jay Annam , Andrea Altschuler , Monique B. Does , Stacy A. Sterling , Derek D. Satre , Cynthia I. Campbell , Asma H. Asyyed , Lynn D. Silver , Sarah F. Cunningham , Kelly C. Young-Wolff
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引用次数: 0

摘要

简介:青少年吸食大麻的现象十分普遍,从事青少年工作的临床医生对如何治疗这一人群吸食大麻的问题有着独特的见解:这项定性研究采访了综合医疗系统中来自成瘾医学康复服务(AMRS)、急诊科(ED)、精神卫生(MH)和儿科的 32 名临床医生,以了解他们对治疗青少年吸食大麻的障碍和促进因素的看法和经验。分析采用访谈主题分析法:共招募了 32 名临床医生(平均年龄 = 45.9 岁,SD = 7.6;56.3% 为女性;56.3% 为白人),分别来自 AMRS(n = 13;41.9%)、ED(n = 7;22.5%)、MH(n = 7;22.5%)和儿科(n = 5;16.1%)。临床医生讨论了治疗青少年吸食大麻的几个主要障碍和促进因素。促进因素包括使用多种筛查工具(即自我报告和毒理学检测)来筛查青少年使用大麻的情况,从而提供更全面的信息;以患者为中心的治疗方法;以及在青少年心理健康的背景下讨论使用大麻的问题。所讨论的障碍包括青少年和家长对青少年吸食大麻风险的最小化。根据具体情况,有几个因素被讨论为潜在的促进因素或障碍,包括同伴的影响、虚拟治疗以及父母参与或不参与治疗:对在不同环境下为青少年提供服务的临床医生进行的访谈强调了治疗青少年吸食大麻的障碍和促进因素。这些发现对指导未来的研究和干预工作具有重要意义,包括纳入普遍筛查做法、解决污名化问题、减少青少年和家长对大麻使用相关危害的轻视以及提高青少年和家长对治疗的参与度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinician perspectives on barriers and facilitators to the treatment of adolescent cannabis use: A qualitative study

Introduction

Cannabis use among adolescents is prevalent, and clinicians who work with adolescents have unique insights about how to treat cannabis use in this population.

Methods

This qualitative study interviewed 32 clinicians from addiction medicine recovery services (AMRS), the emergency department (ED), mental health (MH), and pediatrics in an integrated healthcare system to understand their perspectives and experiences regarding barriers and facilitators to treating adolescent cannabis use. The analysis was developed using thematic analysis of interviews.

Results

Thirty-two clinicians (Mean age = 45.9, SD =7.6; 56.3 % Female; 56.3 % White) were recruited from AMRS (n = 13; 41.6 %), the ED (n = 7; 21.9 %), MH (n = 7; 21.9 %) and pediatrics (n = 5; 15.6 %). Clinicians discussed several key barriers and facilitators of treating adolescent cannabis use. Facilitators include the use of multiple screening tools for adolescent cannabis use (i.e., self-report and toxicology testing) which provide more comprehensive information; patient-centered treatment approaches; and discussing cannabis use in the context of adolescents' mental health. Barriers discussed included adolescents' and parents' minimization of adolescent cannabis use risks. Several factors were discussed as potential facilitators or barriers, depending on context, including the influence of peers, virtual treatment, and parental involvement or lack thereof in treatment.

Conclusions

Interviews with clinicians who work with adolescents across settings highlighted factors that serve as barriers and facilitators to treating adolescent cannabis use. These findings have important implications for guiding future research and intervention efforts, including the inclusion of universal screening practices, addressing stigma, reducing adolescents' and parents' minimization of cannabis use-related harms, and improving adolescent and parent engagement in treatment.
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来源期刊
Journal of substance use and addiction treatment
Journal of substance use and addiction treatment Biological Psychiatry, Neuroscience (General), Psychiatry and Mental Health, Psychology (General)
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