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Published on: November 9, 2016
Adolescent substance use: brief interventions by emergency care providers
Pamela J Burke1, Joanne O'Sullivan, Brigid L Vaughan
1Division of Adolescent and Young Adult Medicine, MCH Leadership Education in Adolescent Health, Children's Hospital, Boston, MA 02115, USA. pamela.burke@children's.harvard.edu
Pediatric Emergency Care
|November 11, 2005
Summary
Screening adolescents for substance use in emergency departments is crucial. Early identification and intervention, like motivational interviewing, can reduce harm and improve health outcomes for young people.
Area of Science:
- Public Health
- Adolescent Medicine
- Substance Use Disorders
Background:
- Adolescent substance use significantly contributes to morbidity and mortality.
- Substance use increases risks for injuries, violence, and unsafe sexual practices in adolescents.
- Acute care is often the first point of contact for adolescents experiencing substance use-related trauma or overdose.
Observation:
- Emergency departments (EDs) are critical settings for identifying adolescent substance use.
- The CRAFFT tool is a validated and reliable method for adolescent substance use screening.
- Screening positive necessitates assessing stage of use and readiness for change.
Findings:
- Adolescents with substance use issues often present with trauma or overdose, requiring emergency care.
- The CRAFFT screening tool effectively identifies adolescents at risk.
- Understanding the link between substance use and health consequences can motivate harm reduction.
Implications:
- Implementing routine substance use screening in EDs is vital for adolescent health.
- Motivational interviewing is an effective strategy for facilitating behavior change in adolescents.
- Early intervention can mitigate long-term health consequences associated with adolescent substance use.
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