Costs and consequences of drug use: A comparison of health care utilization and social-psychological consequences for clinical and nonclinical adolescents and their families

Richard Needle, Peter Brown, Yoav Lavee, Susan Su, William Doherty

Research output: Contribution to journalArticlepeer-review

Abstract

A retrospective (case control) design was used to compare adolescents in treatment for alcohol and drug problems and their families with adolescents and families not in treatment to determine: (1) the extent to which adolescents' drug-using behavior was associated with greater physical and mental health services utilized by the adolescent and his/ her family members over a period of 3 years; and (2) costs incurred for a health maintenance organization and social-psychological consequences for the individuals and their families. On the average, those families with an adolescent with alcohol and/or drug problems use more health services, resulting in greater costs to the prepaid health plan than the costs for families with adolescents not in treatment or not using drugs. for both the adolescents and other family members, significant differences between groups were found for utilization of mental health services, but not for services for physical health. Consequences of drug use-relational, health related, and social/legal-were greatest for adolescents in treatment. Adolescents whose drug use was similar to those in treatment, but who were not in treatment, also experienced drug-related consequences; this group can be considered at high risk for alcohol and drug problems that, in the future, may require treatment.

Original languageEnglish
Pages (from-to)1125-1143
Number of pages19
JournalSubstance Use and Misuse
Volume23
Issue number11
DOIs
StatePublished - 1988
Externally publishedYes

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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