Screening, Brief Intervention, and Referral to Treatment in the Adolescent Trauma Population

Noffsinger, Dana; Cooley, Jane

doi:10.1097/jtn.0b013e318261d38f

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…Barriers exist that can influence the successful implementation of SBIRT with adolescent trauma patients (Noffsinger & Cooley, 2012). Prior work demonstrates that institutional policy regarding screening adolescent trauma patients can improve screening rates (Mello et al, 2013); the current results suggest that a policy requiring comprehensive screening via laboratory testing and validated screening tools may be necessary to improve the quality of universal screening.…”

Section: Discussionmentioning

confidence: 80%

Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Mello

Becker

Spirito

et al. 2020

Journal of Trauma Nursing

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Background:The American College of Surgeons Committee on Trauma recommends universal alcohol screening be part of the evaluation of admitted trauma patients. Yet, suboptimal screening rates have been reported for admitted adult and adolescent trauma patients. This lack of screening, in turn, has limited the ability of trauma services to provide patients with brief interventions during their hospital admission and subsequent referrals to treatment after discharge. The primary aim of this study was to examine current rates of alcohol and other drug screening with admitted injured adolescents across a national cohort of 10 pediatric trauma centers.Methods: This retrospective observational study was nested within a larger adolescent screening, brief intervention, and referral to treatment implementation study (Clinicaltrials.gov

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Section: Discussionmentioning

confidence: 80%

Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Mello

Becker

Spirito

et al. 2020

Journal of Trauma Nursing

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“…In addition, they recommend educating parents on how to identify at-risk behavior. The ED presents the opportunity for screening and education by initiating a “teachable moment.” This creates a perfect window for intervention regarding alcohol abuse, yet, policies that support such measures have been “poorly followed or not implemented.” 19–22 This is why more research, implementation of alcohol SBI, enforcement, and education is needed for adolescents…”

Section: Commentarymentioning

confidence: 99%

Fatalities and Binge Drinking among High School Students: A Critical Issue to Emergency Departments and Trauma Centers

Lotfipour¹,

Cisneros²,

Chakravarthy³

2013

WestJEM

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The Centers for Disease Control and Prevention (CDC) has published significant data and trends related to drinking and driving among United States (U.S.) high school students. National data from 1991–2011 shows an overall 54% relative decrease (from 22% to 10.3%) in drinking and driving among U.S. high school students aged ≥ 16 years. In 2011, this still represents approximately 950,000 high school students ages 16–19 years. The decrease in drinking and driving among teens is not fully understood, but is believed to be due to policy developments, enforcement of laws, graduated licenses, and economic impacts. Most significant to emergency physicians is that even with these restrictions, in 2010 approximately 2,700 teens (ages 16–19) were killed in the U.S. and about 282,000 were treated and released from emergency departments for injuries suffered in motor-vehicle accidents. In the same year, 1 in 5 drivers between the ages of 16–19 who were involved in fatal crashes had positive (>0.00%) blood alcohol concentration (BAC). We present findings from the CDC's Morbidity and Mortality Weekly Report with commentary on current recommendations and policies for reducing drinking and driving among adolescents.

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“…[5][6][7] Little research exists on the prevalence and any role alcohol may have in the pediatric trauma population. 2,8 In cases of pediatric maxillofacial injuries, studies recognizing alcohol involvement are few, 9,10 and in relation to the etiology and epidemiology of pediatric facial trauma, the presence and possible role of alcohol remains largely unknown.…”

mentioning

confidence: 99%

“…Adolescence is a period of development associated with independence from parents and participation in risk behavior including alcohol experimentation. The additional influence of young adult role models can further promote childhood exposure to alcohol misuse and these combinations of factors may predispose young people to traumatic injuries requiring hospitalization 2…”

mentioning

confidence: 99%

“…Alcohol is a recognized risk factor in the adult trauma population4 and the role of alcohol in adult maxillofacial trauma, particularly as a consequence of interpersonal violence, is well established 567. Little research exists on the prevalence and any role alcohol may have in the pediatric trauma population 28. In cases of pediatric maxillofacial injuries, studies recognizing alcohol involvement are few,910 and in relation to the etiology and epidemiology of pediatric facial trauma, the presence and possible role of alcohol remains largely unknown.…”

mentioning

confidence: 99%

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Alcohol Consumption and Interpersonal Injury in a Pediatric Oral and Maxillofacial Trauma Population: A Retrospective Review of 1,192 Trauma Patients

McAllister

Laverick

Makubate

et al. 2015

Craniomaxillofacial Trauma & Reconstruction

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The social, financial, and health implications of adult alcohol-related oral and maxillofacial trauma have been recognized for several years. Affordability and widespread accessibility of alcohol and issues of misuse in the pediatric trauma population have fostered concerns alcohol may be similarly implicated in young patients with orofacial trauma. The aim of this study was to review data of pediatric facial injuries at a regional maxillofacial unit, assess the prevalence of alcohol use, and review data of patients sustaining injury secondary to interpersonal violence. This study is a retrospective, 3-year review of a Regional Maxillofacial Unit (RMU) trauma database. Inclusion criterion was consecutive facial trauma patients under 16 years of age, referred to RMU for further assessment and/or management. Alcohol use and injuries sustained were reviewed. Of 1,192 pediatric facial trauma patients, 35 (2.9%) were associated with alcohol intake. A total of 145 (12.2%) alleged assault as the mechanism of injury, with older (12-15 years) (n = 129; 88.9%), male (n = 124; 85.5%) (p < 0.001) patients commonly involved and alcohol use implicated in 26 (17.9%) presentations. A proportion of vulnerable adolescents misuse alcohol to the risk of traumatic facial injury, and prospective research to accurately determine any role of alcohol in the pediatric trauma population is essential.

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Screening, Brief Intervention, and Referral to Treatment in the Adolescent Trauma Population

Cited by 7 publications

References 9 publications

Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Screening Adolescent Trauma Patients for Substance Use at 10 Pediatric Trauma Centers

Fatalities and Binge Drinking among High School Students: A Critical Issue to Emergency Departments and Trauma Centers

Alcohol Consumption and Interpersonal Injury in a Pediatric Oral and Maxillofacial Trauma Population: A Retrospective Review of 1,192 Trauma Patients

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