eprintid: 10269 rev_number: 4 userid: 6 dir: disk0/00/01/02/69 datestamp: 2011-11-10 20:10:03 lastmod: 2016-11-15 13:54:10 status_changed: 2011-11-10 20:10:03 type: thesis_degree metadata_visibility: show contact_email: mcauleykm@hotmail.com item_issues_count: 0 eprint_status: archive creators_name: McAuley, Kristen Michelle creators_email: mcauleykm@hotmail.com title: Adolescence Explored: Mental Health and Substance Abuse in an Underserved Population ispublished: unpub divisions: sch_gsph_behavioralcommhealthsci full_text_status: public keywords: Adolescence; mental health; substance abuse abstract: The Surgeon General's Conference on Children's Mental Health held in 2000 brought attention to the fact that children and adolescents with mental health and substance abuse problems are an underserved population. Rates of psychiatric disorders are high among this population, yet very few adolescents who need help actually receive it. A comprehensive literature review was undertaken to examine various aspects of adolescent health, including rates of mental health and substance abuse as well as treatment and mental health service utilization among this population. Barriers to care are discussed, with emphasis on gender, ethnicity, psychiatric diagnosis, treatment setting, and parental influences. In the past, the specialty mental health care sector has been relied on to provide treatment for adolescents. This thesis examines school-based mental health services, and Student Assistance Programs in particular, as alternatives to treatment for the adolescent population. School-based clinics have the potential to reduce some barriers to care, hence increasing rates of care for adolescents with mental health and substance abuse problems. Other recommendations to reduce barriers to care and increase rates of treatment are presented. Mental health and substance abuse have a significant impact on the health of the nation. These disorders cause or exacerbate numerous health problems, including cancer and heart disease. In 1996, mental health problems cost the United States $150 billion in direct and indirect costs (USDHHS, 2000). The relevance of public health in this thesis is exemplified by the potential of public health to decrease the health consequences associated with these disorders by working to increase rates of treatment. date: 2004-12-17 date_type: completed institution: University of Pittsburgh refereed: TRUE etdcommittee_type: committee_chair etdcommittee_type: committee_member etdcommittee_type: committee_member etdcommittee_name: Terry, Martha Ann etdcommittee_name: Fertman, Carl etdcommittee_name: Hershey, Nathan etdcommittee_email: materry@pitt.edu etdcommittee_email: carl@pitt.edu etdcommittee_email: hershey@pitt.edu etdcommittee_id: MATERRY etdcommittee_id: CARL etdcommittee_id: HERSHEY etd_defense_date: 2004-12-02 etd_approval_date: 2004-12-17 etd_submission_date: 2004-12-10 etd_access_restriction: immediate etd_patent_pending: FALSE assigned_doi: doi:10.5195/pitt.etd.2011.10269 thesis_type: thesis degree: MPH committee: Martha Ann Terry, PhD (materry@pitt.edu) - Committee Chair committee: Carl Fertman, PhD (carl@pitt.edu) - Committee Member committee: Nathan Hershey, LLB (hershey@pitt.edu) - Committee Member etdurn: etd-12102004-083752 other_id: http://etd.library.pitt.edu/ETD/available/etd-12102004-083752/ other_id: etd-12102004-083752 citation: McAuley, Kristen Michelle (2004) Adolescence Explored: Mental Health and Substance Abuse in an Underserved Population. Master's Thesis, University of Pittsburgh. (Unpublished) document_url: http://d-scholarship-dev.library.pitt.edu/10269/1/mcauleykm_etd2004%5B1%5D.pdf