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Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth
BACKGROUND: This project examines the substance use and mental health concerns of a cross-sectoral, national, service-seeking sample of adolescents and emerging adults using an extended version of the Global Appraisal of Individual Needs-Short Screener (GSS). It also aims to provide incremental evid...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331633/ https://www.ncbi.nlm.nih.gov/pubmed/28261324 http://dx.doi.org/10.1186/s13033-017-0128-4 |
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author | Henderson, Joanna L. Chaim, Gloria Hawke, Lisa D. |
author_facet | Henderson, Joanna L. Chaim, Gloria Hawke, Lisa D. |
author_sort | Henderson, Joanna L. |
collection | PubMed |
description | BACKGROUND: This project examines the substance use and mental health concerns of a cross-sectoral, national, service-seeking sample of adolescents and emerging adults using an extended version of the Global Appraisal of Individual Needs-Short Screener (GSS). It also aims to provide incremental evidence of the psychometric properties of the GSS. METHODS: A sample of 2313 youth aged 12–24 years who presented for service participated in the project. Youth were recruited from 89 participating services across Canada representing eight major clinical and non-clinical sectors. Participants completed the GSS and provided sociodemographic data. RESULTS: The majority of youth presenting for services endorsed concerns on the GSS and would be likely to meet diagnostic criteria for a disorder in a full diagnostic assessment according to the norms for the scale, while many endorsed multiple concerns. This was true in both clinical and non-clinical settings. Externalizing concerns and suicidality were significantly more common in younger participants, while substance use was significantly more common in older youth. Females were more likely to endorse internalizing and suicidality concerns, while males endorsed more substance use and crime/violence concerns. Internalizing and suicidality concerns were also more common in Canada’s northerly regions. The reliability of the GSS was confirmed, however the factor structure revealed problems. CONCLUSIONS: Youth presenting across clinical and non-clinical service sectors endorse high levels of need, supporting the importance of universal, cross-sectoral screening. The GSS is a practical tool that service providers across sectors can employ to identify the addiction and mental health service needs of youth, although further psychometric work is warranted. Implications for screening and treatment in community contexts are discussed. |
format | Online Article Text |
id | pubmed-5331633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-53316332017-03-03 Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth Henderson, Joanna L. Chaim, Gloria Hawke, Lisa D. Int J Ment Health Syst Research BACKGROUND: This project examines the substance use and mental health concerns of a cross-sectoral, national, service-seeking sample of adolescents and emerging adults using an extended version of the Global Appraisal of Individual Needs-Short Screener (GSS). It also aims to provide incremental evidence of the psychometric properties of the GSS. METHODS: A sample of 2313 youth aged 12–24 years who presented for service participated in the project. Youth were recruited from 89 participating services across Canada representing eight major clinical and non-clinical sectors. Participants completed the GSS and provided sociodemographic data. RESULTS: The majority of youth presenting for services endorsed concerns on the GSS and would be likely to meet diagnostic criteria for a disorder in a full diagnostic assessment according to the norms for the scale, while many endorsed multiple concerns. This was true in both clinical and non-clinical settings. Externalizing concerns and suicidality were significantly more common in younger participants, while substance use was significantly more common in older youth. Females were more likely to endorse internalizing and suicidality concerns, while males endorsed more substance use and crime/violence concerns. Internalizing and suicidality concerns were also more common in Canada’s northerly regions. The reliability of the GSS was confirmed, however the factor structure revealed problems. CONCLUSIONS: Youth presenting across clinical and non-clinical service sectors endorse high levels of need, supporting the importance of universal, cross-sectoral screening. The GSS is a practical tool that service providers across sectors can employ to identify the addiction and mental health service needs of youth, although further psychometric work is warranted. Implications for screening and treatment in community contexts are discussed. BioMed Central 2017-02-28 /pmc/articles/PMC5331633/ /pubmed/28261324 http://dx.doi.org/10.1186/s13033-017-0128-4 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Henderson, Joanna L. Chaim, Gloria Hawke, Lisa D. Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth |
title | Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth |
title_full | Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth |
title_fullStr | Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth |
title_full_unstemmed | Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth |
title_short | Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth |
title_sort | screening for substance use and mental health problems in a cross-sectoral sample of canadian youth |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331633/ https://www.ncbi.nlm.nih.gov/pubmed/28261324 http://dx.doi.org/10.1186/s13033-017-0128-4 |
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