Parental Alcohol Screening in Pediatric Practices

Wilson, Celeste R.; Harris, Sion Kim; Sherritt, Lon; Lawrence, Nohelani; Glotzer, Deborah E.; Shaw, Judith S.; Knight, John R.

doi:10.1542/peds.2008-1183

Cited by 19 publications

(30 citation statements)

References 30 publications

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“…Office staff could be encouraged to report any of these signs or symptoms to the pediatrician. 67 Additional guidance on dealing with the judgmentimpaired parent in the pediatric office can be found in another clinical report from the American Academy of Pediatrics. 13 Indications of abuse or neglect would require a mandatory report to the child protective services agency.…”

Section: Methods To Assess and Engage The Family Affected By Parentalmentioning

confidence: 99%

“…67 With supportive care, parents often are willing to enter drug treatment or engage in harm reduction on behalf of their children. Even when parents do not go to treatment, they may reduce use of the substances that they view as more threatening, such as methamphetamine, but increase marijuana or tobacco use.…”

Section: Methods To Assess and Engage The Family Affected By Parentalmentioning

confidence: 99%

See 1 more Smart Citation

Families Affected by Parental Substance Use

Smith¹,

Wilson²,

Ryan³

et al. 2016

Pediatrics

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163

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Children whose parents or caregivers use drugs or alcohol are at increased risk of short- and long-term sequelae ranging from medical problems to psychosocial and behavioral challenges. In the course of providing health care services to children, pediatricians are likely to encounter families affected by parental substance use and are in a unique position to intervene. Therefore, pediatricians need to know how to assess a child’s risk in the context of a parent’s substance use. The purposes of this clinical report are to review some of the short-term effects of maternal substance use during pregnancy and long-term implications of fetal exposure; describe typical medical, psychiatric, and behavioral symptoms of children and adolescents in families affected by substance use; and suggest proficiencies for pediatricians involved in the care of children and adolescents of families affected by substance use, including screening families, mandated reporting requirements, and directing families to community, regional, and state resources that can address needs and problems.

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Section: Methods To Assess and Engage The Family Affected By Parentalmentioning

confidence: 99%

Section: Methods To Assess and Engage The Family Affected By Parentalmentioning

confidence: 99%

Families Affected by Parental Substance Use

Smith¹,

Wilson²,

Ryan³

et al. 2016

Pediatrics

Self Cite

163

View full text Add to dashboard Cite

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“…Respondents with a total score of ≤1 point are at low AUD risk, respondents with a total score of 2 points are at moderate AUD risk, and respondents with a total score of ≥3 points are at high AUD risk (Dawson et al 2001). Shown to reliably identify AUD risk in other samples of young adult women (e.g., Cherpitel 1995;Fleming 2002;Russell et al 1996;Wilson et al 2008), the TWEAK displays "superior sensitivity and specificity" in relation to other well-known brief screeners, such as the CAGE and AUDIT (Flynn et al 2003:83;Russell et al 1996). For example, Cherpitel (1995) found that the TWEAK demonstrated sensitivity of 89% and specificity of 87% among female participants.…”

Section: Tweak Brief Screener For Alcohol Use Disordersmentioning

confidence: 99%

High-Risk Drinking Among Female College Drinkers at Two Reporting Intervals: Comparing Spring Break to the 30 Days Prior

et al. 2011

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Alcohol use has increased among college women in the past decade, and although event-specific high-risk drinking is common among college students, few studies have focused on Spring Break-specific high-risk drinking and other risk behaviors among female college drinkers. As such, we compared substance use (e.g., alcohol and marijuana use) and engagement in other risk behaviors (e.g., riding with an impaired driver) in the 30 days prior (T 1 ) and during Spring Break (T 2 ) in a sample of 86 female college drinkers (mean age=19.9, SD=1.3, 18-23 years). Participants were recruited on a public beach during their Spring Break vacation and were administered a survey that included the TWEAK, a brief screener to identify alcohol use disorder (AUD) risk. Initial results indicated that heavy alcohol use, riding with an alcohol-impaired driver, and marijuana use were high during T 1 and increased significantly during T 2 . The TWEAK results indicated that 78% of respondents were at high AUD risk, yet only 25% felt the need to reduce their alcohol consumption. OLS regression results indicated significant relationships between changes in engagement in risk behaviors at T 2 as compared to T 1 across a number of sample characteristics and TWEAK indicators (e.g., age at first drink; age at first sex). Implications for prevention programming targeting female college drinkers are discussed.Keywords Spring Break . Female college drinkers . High-risk drinking . TWEAK High-risk drinking (e.g., heavy episodic drinking or "binge drinking") is prevalent among US college students and is associated with a variety of adverse behaviors such as

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“…Previous studies in pediatric practices also found high maternal receptivity to health advice at well-child visits. 20,[28][29][30][31][32][33][34][35] This association suggests that well-child visits are an underused opportunity to address maternal risks for poor subsequent birth outcomes. The ICC approach we explored is consistent with recommendations by the American Academy of Pediatrics, which strongly advocates screening for maternal conditions such as smoking and depression at well-child visits.…”

mentioning

confidence: 99%

Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study

Rosener

Barr

Frayne

et al. 2016

The Annals of Family Medicine

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PURPOSE Interconception care (ICC) is recommended to improve birth outcomes by targeting maternal risk factors, but little is known about its implementation. We evaluated the frequency and nature of ICC delivered to mothers at well-child visits and maternal receptivity to these practices. METHODSWe surveyed a convenience sample of mothers accompanying their child to well-child visits at family medicine academic practices in the IMPLICIT (Interventions to Minimize Preterm and Low Birth Weight Infants Through Continuous Improvement Techniques) Network. Health history, behaviors, and the frequency of the child's physician addressing maternal depression, tobacco use, family planning, and folic acid supplementation were assessed, along with maternal receptivity to advice.RESULTS Three-quarters of the 658 respondents shared a medical home with their child. Overall, 17% of respondents reported a previous preterm birth, 19% reported a history of depression, 25% were smoking, 26% were not using contraception, and 58% were not taking folic acid. Regarding advice, 80% of mothers who smoked were counseled to quit, 59% reported depression screening, 71% discussed contraception, and 44% discussed folic acid. Screening for depression and family planning was more likely when the mother and child shared a medical home (P <.05). Most mothers, nearly 95%, were willing to accept health advice from their child's physician regardless of whether a medical home was shared (P >.05).CONCLUSIONS Family physicians provide key elements of ICC at well-child visits, and mothers are highly receptive to advice from their child's physician even if they receive primary care elsewhere. Routine integration of ICC at these visits may provide an opportunity to reduce maternal risk factors for adverse subsequent birth outcomes. 2016;14:350-355. doi: 10.1370/afm.1933. Ann Fam Med INTRODUCTIONI nterconception care (ICC) is defined as care provided to mothers between pregnancies to improve health outcomes for women, newborns, and children.1 It includes interventions that modify risk factors in order to promote healthy outcomes of subsequent pregnancies.2 In 2006, the Centers for Disease Control and Prevention Work Group and Select Panel on Preconception Care recommended risk assessment and intervention in the interconception period, especially for women with previous adverse birth outcomes.3 ICC recommendations regarding maternal depression, tobacco use, folic acid supplementation, and family planning are supported by evidence suggesting that addressing these factors reduces poor birth outcomes. [4][5][6][7][8][9][10][11][12][13][14] ICC has been broadly advocated but not widely implemented. 15,16 Barriers include limited access to health care between pregnancies, maternal focus on their infant to the exclusion of their own personal health needs, 351inadequate knowledge of ICC among clinicians, and lack of an established ICC model. Continuity of care with the same primary care clinician or practice over time has been associated with improved ou...

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Parental Alcohol Screening in Pediatric Practices

Cited by 19 publications

References 30 publications

Families Affected by Parental Substance Use

Families Affected by Parental Substance Use

High-Risk Drinking Among Female College Drinkers at Two Reporting Intervals: Comparing Spring Break to the 30 Days Prior

Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study

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