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Substance Use Services at Child Psychiatry Access Programs.

Alexis Ball1, Chuan-Mei Lee2, Paige Tripp3

  • 1Department of Pediatrics, University of Washington, Seattle Children's Research Institute, Seattle, Washington.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|May 16, 2026
PubMed
Summary
This summary is machine-generated.

Child psychiatry access programs (CPAPs) offer some substance use resources, but guidance is limited compared to depression care. This highlights an opportunity to improve adolescent substance use support in primary care.

Keywords:
Access to health servicesAdolescent medicineBehavioral medicineChild psychiatryOpioid use disorderPrimary health careRemote consultationSubstance use disorder

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Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Health Services
  • Substance Use Disorder Treatment

Background:

  • Child psychiatry access programs (CPAPs) are crucial for extending behavioral health consultation to pediatric primary care.
  • Expanding youth access to substance use care is a significant public health challenge.
  • Existing CPAP resources for adolescent substance use are not well-characterized.

Purpose of the Study:

  • To evaluate the availability and scope of substance use resources provided by CPAPs.
  • To compare substance use resources with those available for depression within CPAPs.
  • To identify gaps in CPAP support for pediatric primary care providers managing adolescent substance use.

Main Methods:

  • A systematic assessment of 58 US and Canadian CPAP websites was conducted in 2025.
  • Resources for substance use (screening tools, educational materials, clinical pathways) were cataloged.
  • The prevalence of substance use resources was compared to depression resources using statistical tests.

Main Results:

  • 58.6% of CPAPs offered substance use resources, with only 22.4% providing clinical pathways.
  • In comparison, 74.1% offered depression resources, and 44.8% included depression clinical pathways.
  • Significant differences were observed in the availability of resources and clinical pathways for substance use versus depression (p < .003).

Conclusions:

  • While over half of CPAPs provide some substance use resources, the guidance is often limited, focusing more on screening than treatment.
  • CPAP resources for adolescent substance use are less comprehensive than those for depression.
  • There is a clear need to enhance CPAP support for primary care providers in managing adolescent substance use disorders.