Coffee Break Protecting Vulnerable Populations: Preventing Substance Use Among Adolescents with Emotional or Psychiatric Illnesses

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1 www. T h e N a t i o n a l C o u n c i l. o r g Coffee Break Protecting Vulnerable Populations: Preventing Substance Use Among Adolescents with Emotional or Psychiatric Illnesses Aaron Williams, MA National Council for Community Behavioral Healthcare May 27, 2014

2 Addiction is a major public health concern. Annual Costs Addiction 193 billion* *2011 ONDCP report: The Economic Impact of Illicit Drug Use on American Society #1 predictor of adult substance abuse or dependence.. Youth substance use problems!

3 Scope of the Problem Four million children and adolescents in this country suffer from a serious mental disorder that causes significant functional impairments at home, at school, and with peers. Of children ages 9 to 17, 21 percent (or 1 in 5) have a diagnosable mental or addictive disorder that causes at least minimal impairment.* *Substance Abuse and Mental Health Services Administration. (2011). Identifying mental health and substance use problems of children and adolescents: A guide for child-serving organizations (HHS Publication No. SMA ). Rockville, MD: Author. 2

4 Scope of the Problem *50% of all lifetime cases of mental illness begin by age 14 and 75% by age 24. Suicide is the 3rd leading cause of death in youth and young adults aged NAMI Management/ContentDisplay.cfm&ContentID=

5 Addiction and Adolescents Mental health problems in adolescents often increase their use of substances such as alcohol, marijuana, and other drugs. Youths aged 12 to 17 with MDE in the past year were more likely than those without MDE to have a co-occurring substance use disorder in the past year (18.9 vs. 6.0 percent). Substance Abuse and Mental Health Services Administration. (2010). Results from the 2009 National Survey on Drug Use and Health: Mental Health Findings (Office of Applied Studies, NSDUH Series H-39, HHS Publication No. SMA ). Rockville, MD. 4

6 Addiction and Adolescents 2013 Study in the journal of the American Academy of Child & Adolescent Psychiatry looked at Adolescents with Bipolar Disorder. Results indicated: One in three teens with bipolar disorder developed substance abuse, for the first time, during 4 years of follow-up. 5

7 Five factors that predicted later substance abuse Oppositional defiant disorder Panic disorder Family history of substance abuse Low family cohesiveness Absence of antidepressant treatment Benjamin I. Goldstein, Michael Strober, David Axelson, Tina R. Goldstein, Mary Kay Gill, Heather Hower, Daniel Dickstein, Jeffrey Hunt, Shirley Yen, Eunice Kim, Wonho Ha, Fangzi Liao, Jieyu Fan, Satish Iyengar, Neal D. Ryan, Martin B. Keller, Boris Birmaher. Predictors of First-Onset Substance Use Disorders During the Prospective Course of Bipolar Spectrum Disorders in Adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 2013; 52 (10): 6

8 So why is this important? 7

9 Why is this important? *Co-occurring substance use also affect the course and effectiveness of treatment. A youth who frequently abuses substances may not be able to apply gains made in treatment to behavioral decisions. Substance use is highly implicated in suicide among adolescents *Substance Abuse and Mental Health Services Administration. (2011). Identifying mental health and substance use problems of children and adolescents: A guide for child-serving organizations (HHS Publication No. SMA ). Rockville, MD: Author.

10 Treatment Gap In any given year, only about 10% of the nearly two million adolescents exhibiting substance abuse or dependence in the United States receive substance abuse treatment 9

11 So what can we do to address this? 10

12 So what can we do? Screening/Early detection Evidence based practices Partnerships Community Resources 11

13 Next Time We ll Discuss June 3 rd What does it take: Providing substance use services to adolescents with emotional or psychiatric illnesses June 10 th Addressing substance use among adolescents with emotional or psychiatric illnesses: An opportunity for the field 12

14 Questions? Aaron M. Williams, MA Director ext. 247