Evidence map›Paper›PMID 30681950›Full record

ArticleJournal of studies on alcohol and drugs. Supplement2019

Estimation of Needs for Addiction Services: A Youth Model.

Joël Tremblay, Karine Bertrand, Nadine Blanchette-Martin, Brian Rush, Annie-Claude Savard, Nadia L'Espérance, Geneviève Demers-Lessard, Rosalie Genois

Open access · bronzeAbstract read
In one paragraph

Article in Journal of studies on alcohol and drugs. Supplement, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Addiction Treatment: Who Needs It?Journal of studies on alcohol and drugs. Supplement · 2019
    Review
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Joël TremblayDépartement de psychoéducation, Université du Québec à Trois-Rivières, Québec City, Québec, Canada.
Karine BertrandUniversité de Sherbrooke, Longueuil, Québec, Canada.
Nadine Blanchette-MartinService de recherche en dépendance CIUSSS-Capitale-Nationale/CISSS-Chaudière-Appalaches, Québec City and Lévis, Québec, Canada.
Brian RushInstitute for Mental Health Policy Research at CAMH, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Annie-Claude SavardUniversité Laval, Québec City, Québec, Canada.
Nadia L'EspéranceCIUSSS-Mauricie-Centre-du-Québec, Trois-Rivières, Québec, Canada.
Geneviève Demers-LessardDépartement de psychoéducation, Université du Québec à Trois-Rivières, Québec City, Québec, Canada.
Rosalie GenoisDépartement de psychoéducation, Université du Québec à Trois-Rivières, Québec City, Québec, Canada.
Université du Québec à Trois-Rivières · CACentre for Addiction and Mental Health · CACentre intégré de santé et de services sociaux de Chaudière-Appalaches · CACentre intégré universitaire de santé et de services sociaux de la Mauricie-et-du-Centre-du-Québec · CAUniversité de Sherbrooke · CAUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn the field of health care services, resource allocation is increasingly determined based on a population needs model. Although service needs models have been developed for adults with substance use problems, it would seem inappropriate to apply them indiscriminately to young people.

methodThe method used proposes six steps: (1) targeting the population, (2) estimating the proportion of the population affected by substance misuse and (3) the proportion of youths who should receive services, (4) identifying categories of services, (5) estimating the proportions of youths who should have access to each category of services, and (6) applying the model to real use of services by youths to recalibrate it.

resultsYouths ages 12-17 from the Province of Québec were classified within a tiered model comprising four levels of substance use severity. Youths in need of services varied from 38% (weak response) to 95% (high response) for the highest severity cases. Service categories retained are detoxification/intoxication, outpatient, and residential, with each one being subdivided into four categories. The proportion of youths from each tier who should access categories and subcategories of services varied widely. After a pre-experimentation, the model was adjusted.

conclusionsThe model can be applied in different jurisdictions, with the caution of adjusting prevalence to local reality. Further improvement will be based on more accurate information concerning the path of clients through services, better strategies to reach youths in need of services, and increased knowledge of optimal service categories. Models adapted to low- or moderate-income countries, where the health care system has minimal services in the areas of mental health and addiction, should be developed.

Indexed as

AdultFemaleFinlandHealth Services Needs and DemandHumansMaleMental DisordersMental Health ServicesMiddle AgedStatistics as TopicSubstance-Related Disorders

Identifiers

PMID30681950
PMCPMC6377010
OpenAlexW2911368004

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.