Substance Use among Youth in Community and Residential Mental Health Care Facilities in Ontario, Canada

Bibliographic Data

ID15511522
AuthorsOluwakemi Olanike Aderibigbe (0000-0002-3554-8143, University of Waterloo, corresponding author), Shannon L Stewart (0000-0002-6480-883X, Western University), John P Hirdes (0000-0001-9619-6543, University of Waterloo), Christopher M Perlman (0000-0002-7952-4952, University of Waterloo), Christopher Perlman (University of Waterloo)
Year2022
Volume19
Issue3
Pages1731-1731
Publication date2022-02-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19031731
PMID35162754
OpenAlexW4210773072
LanguageEN
Citations received4
References cited52

There is a need to improve the integration of substance use and mental health care for children and youth. This study examines risk and protective factors for substance use among youth with mental health conditions who received community-based or residential care services between 2012-2020 in Ontario, Canada. In this study, a cross-sectional design was used to examine patterns and factors associated with substance use among youth (12-18 years) assessed in the community (n = 47,418) and residential (n = 700) mental health care facilities in Ontario, Canada. Youth were assessed with the interRAI Child and Youth Mental Health Assessment (ChYMH). Substance use is identified by any substance use (including alcohol) 14 to 30 days prior to assessment. Logistic regression with generalized estimating equations was used to examine clinical, psychosocial, and environmental factors associated with substance use. This study shows that 22.3% of youth reported the use of substances in the community settings and 37% in residential settings. Older age group (Youth older than 16 years), being a victim of abuse, having experienced self-injurious ideation/attempt, being at risk of disrupted education, and having a parent/caregiver with addiction or substance use disorder were significantly associated with substance use. Several factors reduced the risk of substance use, including being a female, having anxiety symptoms, and having cognition problems. In conclusion, the study found that individual and parental factors increase youth's risk of substance use, highlighting the importance of a holistic approach that includes consideration of social and biological risk factors to prevention/risk reduction, risk assessment, management, and recovery

Addiction · Anxiety · Environmental health · Mental health · Poison control · Psychiatry · Psychosocial · Substance abuse · Substance use · Suicidal ideation · Suicide prevention · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Homelessness and Social Issues · Medicine · Psychology · Youth Substance Use and School Attendance

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