The role of public health agencies in providing access to adolescent drug treatment services.
OBJECTIVE
To examine the role of public health agencies (PHAs) in providing access to drug treatment services for adolescents by describing the proportion of youth who obtain access to these services through PHA involvement in school health clinics, juvenile drug courts, and other community agencies.


METHODS
Analysis of cross-sectional telephone interview data collected from 1999-2003 from a national sample of 1793 PHA key informants from communities surrounding schools in the nationally representative Monitoring the Future (MTF) study of 8th, 10th and 12th grade students.


RESULTS
Fifty-eight percent of youth in the MTF sample were served by PHAs that participated in some way in school health clinics, with 30% served by PHAs that provided resources for drug treatment in schools. Twenty-nine percent of youth were served by PHAs involved in juvenile drug court (JDC) programs, 23% by PHAs acting as JDC referral agencies, and 13% by PHAs providing direct JDC drug assessment, treatment and monitoring services. In addition, 44% of youth were served by PHAs providing drug treatment resources in community settings. Treatment access for youth through PHAs varied by region, race/ethnicity, urbanicity, community income level, and youth population density. The largest variation occurred in access via JDC programs.


CONCLUSIONS
PHAs may help bridge gaps between drug treatment need and service provision for adolescents who need access to drug treatment services. Strengthening the linkages between PHAs and schools, juvenile drug courts, and other community settings may serve to increase youth access to drug treatment.
VanderWaal
Curtis J
CJ
Institute for Prevention of Addictions, Andrews University, Berrien Springs, Michigan 49104-0038, USA. vanderwa@andrews.edu
McBride
Duane C
DC
Terry-McElrath
Yvonne M
YM
Bishop
Rachel M
RM
D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D002648:Child; D003153:Community Health Services / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D011159:Population Surveillance; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012572:School Health Services / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000188:drug therapy* / Q000208:ethnology / Q000517:prevention & control; D014481:United States; D014492:United States Public Health Service / Q000706:statistics & numerical data*