Abstract
Youth with emotional disturbance who have substance abuse problems are of particular concern to child-serving agencies. Approximately 22% of the youth served in New York State's Intensive Case Management Program for Children and Youth (CYICM) have identified substance abuse problems. We compared youths enrolled in CYICM who abuse substances with those who do not abuse substances. Adolescents with substance abuse problems differed from non-abusing adolescents. The abusing cohort was most likely to be emancipated minors, not enrolled in school, less likely to be members of a minority group, and more likely to have private health care coverage. They also evidenced a different constellation of symptoms than the non-abusing cohort, with abusers tending to display suicidal symptoms and behaviors and sexual acting out. Abusers were also more likely to have been admitted to private psychiatric hospitals and to have had crisis contacts in emergency rooms. Similar to non-abusers, however, abusers spent significantly fewer days as inpatients in state hospitals, and had fewer admissions to these hospitals following their enrollment in CYICM.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Anthony, W. A., Cohen, M., Farkas, M., & Cohen, B. F. (1988). Clinical care update: The chronically mentally ill: Case management—more than a response to a dysfunctional system.Community Mental Health Journal, 24 219–288.
Fleisch, B. (1991).Approaches in the treatment of adolescents with emotional and substance abuse problems. (Report No. ADM 91-1744). Rockville, MD: Office of Treatment Improvement.
Friedman, R. M. (1992). Mental health and substance abuse services for adolescents: Clinical and service system issues.Administration and Policy in Mental Health, 19 159–178.
Harris, M., & Bergman, H. C. (1988). Misconceptions about use of case management services by the chronically mentally ill: A utilization analysis.Hospital and Community Psychiatry, 39 1276–1280.
Henderson, M., & Wallack, S. (1987). Evaluating case management for catastrophic illness.Business and Health, 4(3), 7–11.
Huz, S., & Pulice, R. T. (1988).CSS evaluation report: An evaluation of CSS case management service delivery. Albany, NY: NYSOMH, Bureau of Evaluation and Services Research.
Leginski, W. A., Croze, C., Driggers, J., Dumpman, S., Geertsen, D., Kamis-Gould, E., Namerow, M. J., Patton, R. E., Wilson, N. Z., & Wurster, C. R. (1989).Data standards for mental health decision support systems. Mental Health Service System Reports, Series FN. (DHHS Pub. No. ADM 89-1589). Washington, DC: Superintendent of Documents, U.S. Government Printing Office.
New York State Data Center (1990).1990 census of population and housing summary characteristics for New York State counties. Albany, NY: New York State Department of Economic Development.
New York State Office of Mental Health (1989, August).Program guidelines: Intensive case management for children and youth. Albany, NY: NYSOMH, Bureau of Children and Families.
New York State Office of Mental Health (1991).Statewide comprehensive plan for mental health services, 1992–1996. Albany, NY: NYSOMH, Bureau of Planning Assistance and Coordination.
Philadelphia Three Year Plan (1986).Community mental health/mental retardation program, July 1, 1986–June 30, 1989. Philadelphia, PA: Philadelphia Office of Mental Health and Mental Retardation.
Rapp, C., & Chamberlain, R. (1985). Case management services for the chronically mentally ill.Social Work, 30 417–422.
Rodriguez, A., & Maher, J. (1986). Psychiatric case management offers cost, quality control.Business and Health, 3(4 14–17.
Rose, S. M., & Black, B. L. (1985).Advocacy and empowerment: Mental health care in the community. Boston, MA: Routledge and Kegan Paul.
Stein, L. I., & Test, M. A. (1980). Alternative to mental hospital treatment. I. Conceptual model, treatment program and clinical evaluation.Archives of General Psychiatry, 37 392–397.
Sullivan, J. P. (1981). Case management. In J. A. Talbott, (Ed.),The chronic mentally ill (pp. 119–131). New York: Human Sciences Press.
Surles, R. C., Blanch, A. K., Shern, D. L. & Donahue, S. A., (1992). Case management as a strategy for systems change.Health Affairs, 11 151–163.
Witheridge, T. F., & Dincin, J. (1985). The bridge: An assertive outreach program in an urban setting. In L. I. Stein and M. A. Test, (Eds.),The training in community living model: A decade of experience (pp. 65–76). San Francisco: Jossey-Bass.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Evans, M.E., Dollard, N. & McNulty, T.L. Characteristics of seriously emotionally disturbed youth with and without substance abuse in intensive case management. J Child Fam Stud 1, 305–314 (1992). https://doi.org/10.1007/BF01322072
Issue Date:
DOI: https://doi.org/10.1007/BF01322072