The ecology of adolescent substance abuse service utilization.

The ecology of adolescent substance abuse service utilization. Research Abstract Details 

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The ecology of adolescent substance abuse service utilization. Abstract Text:

Diana L Jones,Craig Anne Heflinger,Robert C Saunders,Diana L Jones,Craig Anne Heflinger,Robert C Saunders,

This paper presents an ecological-community model toward the explanation of variation in patterns of substance abuse (SA) service utilization among adolescents who are enrolled in Tennesssee's Medicaid program (TennCare). Guided by a theoretical framework that draws from the social ecology work of Bronfenbrenner and health services utilization models promoted by Aday and Andersen, we apply a social indicators approach toward explaining the impact of community ecology on identification of SA and treatment engagement. Both county-level rates and individual-level treatment utilization are examined and hierarchical linear modeling is incorporated to examine the individual-in-community phenomenon. This study is an expansion of previous service utilization research and suggests that explanations of youth's service utilization must necessarily include not only individual, familial, and service system characteristics, but community factors, as well.

The ecology of adolescent substance abuse service utilization. Publishing Authors By Initials

DL Jones,CA Heflinger,RC Saunders,DL Jones,CA Heflinger,RC Saunders,

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The ecology of adolescent substance abuse service utilization. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: American journal of community psychology

VOLUME: 40

Page Numbers: 345-58

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ISSN: 0091-0562

DAY: 7

MONTH: Dec

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: Department of Human & Organizational Development, Vanderbilt University, 230 Appleton Place, Box #90 Peabody, Nashville, TN, 37203, USA, diana.l.jones@vanderbilt.edu.

Country: United States

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MEDLINETA: Am J Community Psychol

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