Treatment use and barriers among adolescents with prescription opioid use disorders.

Wu, Li-Tzy

Blazer, Dan G

Li, Ting-Kai

Woody, George E

2020-02-03T05:41:29Z

2020-02-03T05:41:29Z

2011-12

2020-02-03T05:41:29Z

This study examined national trends, patterns, correlates, and barriers to substance abuse treatment use by adolescents aged 12-17 years who met at least one of the past-year criteria for prescription opioid abuse or dependence (N=1788).Data were from the 2005-2008 National Surveys of Drug Use and Health (NSDUH). Past-year substance use disorders, major depression, and treatment use were assessed by audio computer-assisted self-interviewing.About 17% of adolescents with opioid dependence (n=434) and 16% of those with opioid abuse (n=355) used any substance abuse treatment in the past year compared with 9% of subthreshold users, i.e., adolescents who reported 1-2 prescription opioid dependence criteria but no abuse criteria (n=999). Only 4.2% of adolescents with opioid dependence, 0.5% of those with abuse, and 0.6% of subthreshold users reported a perceived need for treatment of nonmedical opioid use. Self-help groups and outpatient rehabilitation were the most commonly used sources of treatment. Few black adolescents used treatment (medical settings, 3.3%; self-help groups, 1.7%) or reported a need for treatment (1.8%). Talking to parents/guardians about dangers of substance use increased the odds of treatment use. Barriers to treatment use included "wasn't ready to stop substance use," "didn't want others to find out," and "could handle the problem without treatment."Adolescents with prescription opioid use disorders markedly underutilize treatment. Non-financial barriers are pervasive, including stigma and a lack of perceived treatment need.

S0306-4603(11)00243-7

0306-4603

1873-6327

https://hdl.handle.net/10161/19989

eng

Elsevier BV

Addictive behaviors

10.1016/j.addbeh.2011.07.033

Humans

Opioid-Related Disorders

Ambulatory Care

Health Surveys

Cross-Sectional Studies

Adolescent Behavior

Depressive Disorder

Diagnostic and Statistical Manual of Mental Disorders

Adolescent

Child

Self-Help Groups

Health Services Accessibility

United States

Female

Male

Prescription Drugs

Treatment use and barriers among adolescents with prescription opioid use disorders.

Journal article

Wu, Li-Tzy|0000-0002-5909-2259

1233

1239

12

School of Medicine

Duke

Center for Child and Family Policy

Sanford School of Public Policy

Duke Clinical Research Institute

Institutes and Centers

Duke Institute for Brain Sciences

University Institutes and Centers

Institutes and Provost's Academic Units

Psychiatry & Behavioral Sciences, Social and Community Psychiatry

Psychiatry & Behavioral Sciences

Clinical Science Departments

Medicine, General Internal Medicine

Medicine

Center for the Study of Aging and Human Development

Family Medicine and Community Health

Psychiatry & Behavioral Sciences, Geriatric Behavioral Health

Psychiatry & Behavioral Sciences, Addictions

Published

36