Addressing Substance Use in Adolescents: Screening, Brief Intervention, and Referral to Treatment

Inman, Dianna D.; El-Mallakh, Peggy; Jensen, Lynne A.; Ossege, Julie; Scott, Leslie K

doi:10.1016/j.nurpra.2019.10.004

Cited by 4 publications

(6 citation statements)

References 23 publications

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“…However, one limitation is the potential decrease in accessibility of assessment and referral caused by the pandemic and subsequent shutdowns. SAMHSA has funded the development of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) assessment protocol, intended to universally screen for substance use issues (Inman et al 2020 ; Levy et al 2020 ). This model has largely been employed in medical settings, such as primary care and emergency rooms, in an effort to capture as many people as possible (Davoudi and Rawson 2010 ).…”

Section: Implications For Practicementioning

confidence: 99%

Exploring Factors Associated with Alcohol and/or Substance Use During the COVID-19 Pandemic

MacMillan

Corrigan

Coffey

et al. 2021

Int J Ment Health Addiction

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This study explored the relationship between alcohol and substance use in the general population during the early stages of COVID-19 as related to individual, family, and community stressors. A convenience sample of adults who resided in the USA and Canada was utilized. An online survey was conducted. Over one-third of the sample reported utilizing alcohol and substances as a means to cope during the pandemic. A linear regression revealed that use of social media as a source of information, being personally affected by COVID-19, experiencing child care challenges, and not being associated with a religious community were related to increased likeliness for alcohol and/or substance use. Future research should explore these concepts further within the general population.

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Section: Implications For Practicementioning

confidence: 99%

Exploring Factors Associated with Alcohol and/or Substance Use During the COVID-19 Pandemic

MacMillan

Corrigan

Coffey

et al. 2021

Int J Ment Health Addiction

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“…While adolescent alcohol use is a significant concern, adolescents are also involved in the use of opioids and illicit substances. The adolescent's brain is maturing and is particularly vulnerable to substance use, placing the adolescent at increased risk for substance misuse and addiction (Inman et al, 2020). One-third of adolescents report having access to opioids, twothirds report access to stimulants, and 13% to 26% of adolescents use marijuana (Garofoli, 2020;Inman et al, 2020).…”

Section: Opioid and Illicit Substance Usementioning

confidence: 99%

“…The adolescent's brain is maturing and is particularly vulnerable to substance use, placing the adolescent at increased risk for substance misuse and addiction (Inman et al, 2020). One-third of adolescents report having access to opioids, twothirds report access to stimulants, and 13% to 26% of adolescents use marijuana (Garofoli, 2020;Inman et al, 2020). Of particular concern is that 5% to 9% of adolescents report using synthetic cannabinoids, which exert a more toxic and potent effect than natural marijuana, in an unpredictable fashion (Inman et al, 2020).…”

Section: Opioid and Illicit Substance Usementioning

confidence: 99%

“…One-third of adolescents report having access to opioids, twothirds report access to stimulants, and 13% to 26% of adolescents use marijuana (Garofoli, 2020;Inman et al, 2020). Of particular concern is that 5% to 9% of adolescents report using synthetic cannabinoids, which exert a more toxic and potent effect than natural marijuana, in an unpredictable fashion (Inman et al, 2020). An additional concern is the potential contamination of illicit drugs such as heroin with substances such as fentanyl in toxic quantities.…”

Section: Opioid and Illicit Substance Usementioning

confidence: 99%

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Growth and Development During Adolescence

Smith¹,

Coleman²

2021

Primary Care Pediatrics for the Nurse Practitioner

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“…Adolescent substance use has been called a public health crisis. 1 In the United States, initiation of substance use during the high school years is common and the earlier teens initiate, the more likely they are to develop physical and mental health problems and substance use disorders, including addiction. 2 Adolescence represents both a critical at-risk period for substance use initiation as well as an opportune time to intervene.…”

Section: Introductionmentioning

confidence: 99%

Rates and Predictors of Substance use in Pediatric Primary Care Clinics

Soberay¹,

Levy

Cheung³

et al. 2022

Substance Abuse

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Background: Screening for substance use within pediatric primary care provides a unique opportunity to identify adolescents in need of intervention. Methods: This study analyzed screening data collected across 13 Federally Qualified Health Centers over the course of an 18-month project designed to implement Screening Brief Intervention Referral to Treatment (SBIRT) for adolescents aged 12–21. A mixed-effects modeling strategy was used to describe associations between demographic, procedural, and clinical factors and adolescent reports of substance use. Results: In total, 10,813 adolescents were screened between December 2017 and May 2019, with 17% reporting past year use, including 11% at lower risk and 6% at high risk of a substance use disorder. Females, Hispanic, Black/African American, heterosexual, non-primary English speakers, and patients who did not have a co-occurring mental health disorder were all less likely to report past year substance use. While rates of disclosing any past year substance use were equivalent between patients screened by a staff member and those who completed self-administered screens, patients who were screened by a staff member were associated with reporting overall greater frequencies of use. Patients who were screened by a staff member with a parent present were less likely to disclose any past year substance use. Conclusion: While overall rates of disclosure of any past year substance use (17.2%) were lower than reported in research settings, a substantial proportion (6.3%) had screen results indicating a high risk for substance use disorder.

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Addressing Substance Use in Adolescents: Screening, Brief Intervention, and Referral to Treatment

Cited by 4 publications

References 23 publications

Exploring Factors Associated with Alcohol and/or Substance Use During the COVID-19 Pandemic

Exploring Factors Associated with Alcohol and/or Substance Use During the COVID-19 Pandemic

Growth and Development During Adolescence

Rates and Predictors of Substance use in Pediatric Primary Care Clinics

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