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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
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Drug concentration is the quantity of a drug present in a biological sample. Measuring drug amounts in biological samples allows the clinician to understand how a drug is absorbed, distributed, metabolized, and excreted. Samples can be obtained through invasive or non-invasive methods. Invasive techniques involve surgical or parenteral interventions to gather blood, cerebrospinal fluid, or tissue biopsy. Conversely, non-invasive approaches provide samples like urine, feces, and saliva.
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Updated: Jun 18, 2025

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Which pediatric practices use substance use consultation services?

Sharon Levy1,2, Mei-Sing Ong3, Machiko Minegishi1

  • 1Division of Addiction Medicine, Boston Children's Hospital, Boston, MA, United States.

Frontiers in Pediatrics
|July 31, 2024
PubMed
Summary
This summary is machine-generated.

Pediatric primary care can improve adolescent substance use disorder (SUD) treatment. Additional resources may increase provider engagement with consultation lines, enhancing access to care for youth with SUD.

Keywords:
adolescentsalcoholcannabisprimary caresubstance usetobaccotreatment

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Area of Science:

  • Adolescent medicine
  • Substance use disorders
  • Healthcare access

Background:

  • Substance use disorders (SUD) are prevalent in adolescents and young adults.
  • Youth with SUD are undertreated, with low rates of medication-assisted treatment compared to adults.
  • Pediatric primary care settings offer a potential avenue for improving youth SUD treatment access.

Purpose of the Study:

  • To describe substance use consultation services for pediatric providers in Massachusetts.
  • To examine if additional resources are linked to increased utilization of these consultation services.
  • To assess provider engagement in adolescent SUD treatment.

Main Methods:

  • The study describes services offered through a Massachusetts substance use consultation line for pediatric providers.
  • It examines data from a network of primary care practices receiving additional grant-funded resources.
  • Consultation line usage served as a marker for provider engagement.

Main Results:

  • Massachusetts offers a substance use consultation line for pediatric providers.
  • A network of practices received supplemental resources via a grant.
  • The study investigates the association between these resources and consultation line use.

Conclusions:

  • Pediatric primary care providers require support to effectively treat youth with SUD.
  • Consultation lines can facilitate provider engagement in SUD treatment.
  • Further research can explore the impact of enhanced resources on treatment access for adolescents.