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Related Concept Videos

Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

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.
Understanding the concepts of physical dependence,...
Drug Dependence01:17

Drug Dependence

Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
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Drug Abuse and Addiction: Pharmacological Phenomena

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 necessarily...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...

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High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
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Published on: April 23, 2019

Adolescent Substance Use Screening in the Emergency Department.

Stephen Sandelich1, Siraj Amanullah2, Isabella Barata3

  • 1Department of Emergency Medicine and Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania, USA.

Journal of the American College of Emergency Physicians Open
|July 1, 2026
PubMed
Summary
This summary is machine-generated.

Emergency departments can identify adolescent substance use through universal screening. Early intervention and referral to care are crucial for reducing harm and improving long-term health outcomes.

Keywords:
SBRITadolescent substance usebrief interventionemergency department screeninglinkage to care

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Published on: November 21, 2013

Area of Science:

  • Public Health
  • Adolescent Medicine
  • Emergency Medicine

Background:

  • Adolescent substance use is a significant public health issue, with emergency departments (EDs) being a key contact point for healthcare.
  • Despite stable or declining overall use rates, drug-related mortality, particularly from fentanyl, is increasing, necessitating early detection.
  • Universal screening for adolescent substance use is recommended but inconsistently implemented in EDs due to practical barriers.

Purpose of the Study:

  • To highlight the importance of universal, validated screening for adolescent substance use in emergency departments.
  • To discuss effective screening tools and implementation strategies within ED workflows.
  • To emphasize the need for integrated interventions and referral pathways to improve outcomes.

Main Methods:

  • Utilizing validated screening tools like CRAFFT, S2BI, and BSTAD for rapid, developmentally appropriate assessment.
  • Exploring integration of screening into electronic health records (EHRs) and digital formats.
  • Reviewing evidence on electronic/kiosk-based screening and its impact on disclosure and throughput.

Main Results:

  • Electronic or kiosk-based screening methods can increase disclosure and detection rates without negatively impacting patient flow.
  • Screening coupled with brief motivational interventions and facilitated referrals shows improved short-term outcomes and care linkage.
  • Suboptimal follow-up rates indicate a need for enhanced referral pathways and integrated care models.

Conclusions:

  • Universal, developmentally tailored screening in EDs is a practical strategy for adolescent substance use.
  • Combining screening with brief intervention and active linkage to outpatient care can reduce morbidity.
  • Improved referral pathways, behavioral health integration, and technology-supported follow-up are essential for long-term success.