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Related Experiment Videos

Office-based intervention for adolescent substance abuse.

Sharon Levy1, Brigid L Vaughan, John R Knight

  • 1Department of Pediatrics, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.

Pediatric Clinics of North America
|May 8, 2002
PubMed
Summary
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Primary care clinicians can use brief interventions for adolescent substance use, reserving referrals for severe cases. Effective strategies include feedback, responsibility, alternatives, empathy, and self-efficacy enhancement.

Area of Science:

  • Adolescent medicine
  • Substance use disorders
  • Primary care pediatrics

Background:

  • Substance use is common in adolescents.
  • Primary care clinicians face challenges referring all teens for specialized care.
  • Office-based interventions offer a scalable solution.

Purpose of the Study:

  • To outline the utility of brief interventions for adolescent substance use in primary care.
  • To describe effective components of brief interventions.
  • To highlight the role of motivational interviewing.

Main Methods:

  • Review of evidence for brief interventions in adult and adolescent populations.
  • Description of key elements of effective interventions.
  • Explanation of motivational interviewing principles.

Related Experiment Videos

Main Results:

  • Brief interventions are effective for reducing problematic drinking in adults, with promising results in adolescents.
  • Effective intervention components include risk feedback, personal responsibility, alternatives, empathy, and self-efficacy.
  • Motivational interviewing enhances counseling success and referral adherence.

Conclusions:

  • Primary care clinicians can effectively use brief interventions for adolescent substance use.
  • Referrals should be reserved for adolescents with significant substance use problems.
  • Motivational interviewing is a valuable tool for both intervention and referral adherence.