Screening for adolescent alcohol and drug use in pediatric health-care settings: Predictors and implications for practice and policy

Addiction Science and Clinical Practice

Volumn 7, Issue 1, 2012, Pages

  Sterling, Stacy ^a   Kline Simon, Andrea H ^a   Wibbelsman, Charles ^b   Wong, Anna ^a   Weisner, Constance ^a,c  

^a KAISER PERMANENTE   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Adolescent; Alcohol; Behavioral; Brief intervention; Drugs; Primary care; SBIRT; Screening

Indexed keywords

ADOLESCENT; CHILD HEALTH CARE; CLINICAL PRACTICE; FEMALE; HEALTH CARE POLICY; HUMAN; MALE; MASS SCREENING; ORGANIZATION AND MANAGEMENT; PATIENT ATTITUDE; PEDIATRICS; PRIMARY HEALTH CARE; QUESTIONNAIRE; STANDARDS; STATISTICS AND NUMERICAL DATA; SUBSTANCE-RELATED DISORDERS;

ADOLESCENT; ADOLESCENT HEALTH SERVICES; FEMALE; HEALTH POLICY; HUMANS; MALE; MASS SCREENING; PATIENT ACCEPTANCE OF HEALTH CARE; PEDIATRICS; PHYSICIAN'S PRACTICE PATTERNS; PRIMARY HEALTH CARE; QUESTIONNAIRES; SUBSTANCE-RELATED DISORDERS;

EID: 84893480292     PISSN: 19400632     EISSN: 19400640     Source Type: Journal    
DOI: 10.1186/1940-0640-7-13     Document Type: Review

References (80)

1. National Institute on Alcohol Abuse and Alcoholism: Five-year strategic plan (FY07-11) alcohol across the lifespan. http://pubs.niaaa.nih.gov/publications/StrategicPlan/NIAAASTRATEGICPLAN.htm
2. Brindis C, Park MJ, Ozer EM, Irwin CE: Adolescents' access to health services and clinical preventive health care: crossing the great divide. Pediatr Ann. 2002, 31: 575-581.
3. Blum R: Physicians′ assessment of deficiencies and desire for training in adolescent care. J Med Educ. 1987, 62: 401-407.
4. Shrier LA, Harris SK, Kurland M, Knight JR: Substance use problems and associated psychiatric symptoms among adolescents in primary care. Pediatrics. 2003, 111: e699-e705.
5. Knight JR, Harris SK, Sherritt L, Van Hook S, Lawrence N, Brooks T, Carey P, Kossack R, Kulig J: Prevalence of positive substance abuse screen results among adolescent primary care patients. Arch Pediatr Adolesc Med. 2007, 161: 1035-1041.
6. Ammon L, Sterling S, Mertens J, Weisner C: Adolescents in private chemical dependency programs: Who are most at risk for HIV?. J Subst Abuse Treat. 2005, 29: 39-45.
7. US Substance Abuse and Mental Health Services Administration: Report to Congress on the Prevention and Treatment of Co-Occurring Substance Use Disorders and Mental Disorders. http://www.samhsa.gov/reports/congress2002/CoOccurringRpt.pdf
8. Windle M, Spear LP, Fuligni AJ, Angold A, Brown JD, Pine D, Smith GT, Giedd J, Dahl RE: Transitions into underage and problem drinking: developmental processes and mechanisms between 10 and 15 years of age. Pediatrics. 2008, 121 (Suppl 4): S273-S289.
9. Brown SA, Tapert SF, Granholm E, Delis DC: Neurocognitive functioning of adolescents: effects of protracted alcohol use. Alcohol Clin Exp Res. 2000, 24: 164-171.
10. Merenstein D, Green L, Fryer GE, Dovey S: Shortchanging adolescents: room for improvement in preventive care by physicians. Fam Med. 2001, 33: 120-123.
11. Levy S, Vaughan BL, Knight JR: Office-based intervention for adolescent substance abuse. Pediatr Clin North Am. 2002, 49: 329-343.
12. Yoast RA, Fleming M, Balch GI: Reactions to a concept for physician intervention in adolescent alcohol use. J Adolesc Health. 2007, 41: 35-41.
13. Brown JD, Wissow LS: Discussion of sensitive health topics with youth during primary care visits: relationship to youth perceptions of care. J Adolesc Health. 2009, 44: 48-54.
14. Freeborn DK, Polen MR, Mullooly JP: Adolescent drug misuse treatment and use of medical care services. Int J Addict. 1995, 30: 795-822. PMCID: PMC040599/itn
15. Mertens JR, Flisher AJ, Fleming MF, Weisner CM: Medical conditions of adolescents in alcohol and drug treatment: comparison with matched controls. J Adolesc Health. 2007, 40: 173-179.
16. Sterling S, Kohn CS, Lu Y, Weisner C: Pathways to chemical dependency treatment for adolescents in an HMO. J Psychoactive Drugs. 2004, 36: 439-453.
17. Levy SJ, Kokotailo PK: Substance use screening, brief intervention, and referral to treatment for pediatricians. Pediatrics. 2011, 128: e1330-e1340.
18. Kaul P, Coupey SM: Clinical evaluation of substance abuse. Pediatr Rev. 2002, 23: 85-94.
19. Knight JR: The role of the primary care provider in preventing and treating alcohol problems in adolescents. Ambul Pediatr. 2001, 1: 150-161.
20. American Academy of Pediatrics/Bright Futures: Recommendations for preventive pediatric health care. Periodicity Schedule. Practice Management Online. http://practice.aap.org/content.aspx?aid=1599
21. American Academy of Pediatrics Committee on Substance Abuse: Tobacco, alcohol, and other drugs: The role of the pediatrician in prevention and management of substance abuse. Pediatrics. 1998, 101: 125-128.
22. American Medical Association: Guidelines for Adolescent Preventive Services (GAPS). 1997, Chicago: American Medical Association
23. US Preventive Services Task Force: Guide to Clinical Preventive Services, AHRQ Publication No. 08-05122. 2008, http://odphp.osophs.dhhs.gov/pubs/guidecps/pcpstoc.htm
24. American Academy of Pediatrics: Research update: 45 % of fellows routinely screen for alcohol use. http://aapnews.aappublications.org/cgi/content/short/14/10/1
25. Bethell C, Klein J, Peck C: Assessing health system provision of adolescent preventive services: The Young Adult Health Care Survey. Med Care. 2001, 39: 478-490.
26. Friedman LS, Johnson B, Brett AS: Evaluation of substance-abusing adolescents by primary care physicians. J Adolesc Health Care. 1990, 11: 227-230.
27. Emans SJ, Bravender TD, Knight JR, Frazer C, Luoni M, Berkowitz C, Armstrong E, Goodman E: Adolescent medicine training in pediatric residency programs: Are we doing a good job?. Pediatrics. 1998, 102: 588-595.
28. Spandorfer JM, Israel Y, Turner BJ: Primary care physicians' views on screening and management of alcohol abuse: inconsistencies with national guidelines. J Fam Pract. 1999, 48: 899-902.
29. Steiner BD, Gest KL: Do adolescents want to hear preventive counseling messages in outpatient settings?. J Fam Pract. 1996, 43: 375-381.
30. Friedmann PD, McCullough D, Chin MH, Saitz R: Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatrists. J Gen Intern Med. 2000, 15: 84-91.
31. Ozer EM, Adams SH, Gardner LR, Mailloux DE, Wibbelsman CJ, Irwin CE: Provider self-efficacy and the screening of adolescents for risky health behaviors. J Adolesc Health. 2004, 35: 101-107.
32. Gottlieb NH, Mullen PD, McAlister AL: Patients′ substance abuse and the primary care physician: patterns of practice. Addict Behav. 1987, 12: 23-32.
33. Wilson CR, Sherritt L, Gates E, Knight JR: Are clinical impressions of adolescent substance use accurate?. Pediatrics. 2004, 114: e536-e540.
34. Stevens J, Kelleher KJ, Gardner W, Chisolm D, McGeehan J, Pajer K, Buchanan L: Trial of computerized screening for adolescent behavioral concerns. Pediatrics. 2008, 121: 1099-1105.
35. Hassan A, Harris SK, Sherritt L, Van Hook S, Brooks T, Carey P, Kossack R, Kulig J, Knight JR: Primary care follow-up plans for adolescents with substance use problems. Pediatrics. 2009, 124: 144-150.
36. Monti PM, Colby SM, Barnett NP, Spirito A, Rohsenow DJ, Myers M, Woolard R, Lewander W: Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department. J Consult Clin Psychol. 1999, 67: 989-994.
37. Gates S, McCambridge J, Smith LA, Foxcroft DR: Interventions for prevention of drug use by young people delivered in non-school settings. Cochrane Database Syst Rev Issue 1. Art. No.: CD000353. 2004, 10.1002/14651858.CD000353.pub2.
38. Spirito A, Monti PM, Barnett NP, Colby SM, Sindelar H, Rohsenow DJ, Lewander W, Myers M: A randomized clinical trial of a brief motivational intervention for alcohol-positive adolescents treated in an emergency department. J Pediatr. 2004, 145: 396-402.
39. Winters KC, Leitten W, Wagner E, O'Leary Tevyaw T: Use of brief interventions for drug abusing teenagers within a middle and high school setting. J Sch Health. 2007, 77: 196-206.
40. Knight JR, Sherritt L, Van Hook S, Gates EC, Levy S, Chang G: Motivational interviewing for adolescent substance use: a pilot study. J Adolesc Health. 2005, 37: 167-169.
41. Leontieva L, Horn K, Haque A, Helmkamp J, Ehrlich P, Williams J, Carroll KM, Ball SA, Nich C, Martino S, Frankforter TL, Farentinos C, Kunkel LE, Mikulich-Gilbertson SK, Morgenstern J, Obert JL, Polcin D, Snead N, Woody GE, Borsari B, Carey KB, Freyer J, Tonigan JS, Keller S, Rumpf HJ, John U, Hapke U: Readiness to change problematic drinking assessed in the emergency department as a predictor of change. J Crit Care. 2005, 20: 251-256.
42. Lawendowski LA: A motivational intervention for adolescent smokers. Prev Med. 1998, 27: A39-A46.
43. Martin G, Copeland J, Swift W: The Adolescent Cannabis Check-Up: feasibility of a brief intervention for young cannabis users. J Subst Abuse Treat. 2005, 29: 207-213.
44. Marlatt GA, Baer JS, Kivlahan DR, Dimeff LA, Larimer ME, Quigley LA, Somers JM, Williams E: Screening and brief intervention for high-risk college student drinkers: results from a two-year follow-up assessment. J Consult Clin Psych. 1998, 66: 604-615.
45. Bernstein J, Heeren T, Edward E, Dorfman D, Bliss C, Winter M, Bernstein E: A brief motivational interview in a pediatric emergency department, plus 10-day telephone follow-up, increases attempts to quit drinking among youth and young adults who screen positive for problematic drinking. Acad Emerg Med. 2010, 17: 890-902.
46. Walton MA, Chermack ST, Shope JT, Bingham CR, Zimmerman MA, Blow FC, Cunningham RM: Effects of a brief intervention for reducing violence and alcohol misuse among adolescents: a randomized controlled trial. JAMA. 2010, 304: 527-535.
47. Baer JS, Kivlahan DR, Blume AW, McKnight P, Marlatt GA: Brief intervention for heavy-drinking college students: 4-year follow-up and natural history. Am J Public Health. 2001, 91: 1310-1316.
48. Borsari B, Carey KB: Effects of a brief motivational intervention with college student drinkers. J Consult Clin Psychol. 2000, 68: 728-733.
49. Carey KB, Correia CJ: Drinking motives predict alcohol-related problems in college students. J Stud Alcohol. 1997, 58: 100-105.
50. Monti PM, Barnett NP, Colby SM, Gwaltney CJ, Spirito A, Rohsenow DJ, Woolard R: Motivational interviewing versus feedback only in emergency care for young adult problem drinking. Addiction. 2007, 102: 1234-1243.
51. Larimer ME, Turner AP, Anderson BK, Fader JS, Kilmer JR, Palmer RS, Cronce JM: Evaluating a brief alcohol intervention with fraternities. J Stud Alcohol. 2001, 62: 370-380.
52. Murphy JG, Duchnick JJ, Vuchinich RE, Davison JW, Karg RS, Olson AM, Smith AF, Coffey TT: Relative efficacy of a brief motivational intervention for college student drinkers. Psychol Addict Behav. 2001, 15: 373-379.
53. Tait RJ, Hulse GK, Robertson SI, Sprivulis PC: Emergency department-based intervention with adolescent substance users: 12-month outcomes. Drug Alcohol Depend. 2005, 79: 359-363.
54. Ozer E, Lustig JL, Adams S, Gee AGS, Wibblesman C, Bonar RW, Fuster D, Irwin J, Charles J: Integrating training into practice: Increasing the delivery of adolescent clinical preventive services. J Adolesc Health. 2003, 32: 130-131.
55. De Micheli D, Fisberg M, Formigoni ML: Study on the effectiveness of brief intervention for alcohol and other drug use directed to adolescents in a primary health care unit. Rev Assoc Med Bras. 2004, 50: 305-313.
56. D'Amico EJ, Miles JN, Stern SA, Meredith LS: Brief motivational interviewing for teens at risk of substance use consequences: a randomized pilot study in a primary care clinic. J Subst Abuse Treat. 2008, 35: 53-61.
57. Aira M, Kauhanen J, Larivaara P, Rautio P: Factors influencing inquiry about patients' alcohol consumption by primary health care physicians: qualitative semi-structured interview study. Fam Pract. 2003, 20: 270-275.
58. Rowland N, Maynard A, Beveridge A, Kennedy P, Wintersgill W: Doctors have no time for alcohol screening. Br Med J. 1987, 295: 95-96.
59. Yarnall KS, Pollak KI, Ostbye T, Krause KM, Michener JL: Primary care: is there enough time for prevention?. Am J Public Health. 2003, 93: 635-641.
60. Horwitz SM, Kelleher KJ, Stein RE, Storfer-Isser A, Youngstrom EA, Park ER, Heneghan AM, Jensen PS, O'Connor KG, Hoagwood KE: Barriers to the identification and management of psychosocial issues in children and maternal depression. Pediatrics. 2007, 119: e208-e218.
61. Van Hook S, Harris SK, Brooks T, Carey P, Kossack R, Kulig J, Knight JR: The "Six T′s": barriers to screening teens for substance abuse in primary care. J Adolesc Health. 2007, 40: 456-461.
62. Meadows T, Valleley R, Haack MK, Thorson R, Evans J: Physician "costs" in providing behavioral health in primary care. Clin Pediatr (Phila). 2011, 50: 447-455.
63. Stein RE, Horwitz SM, Storfer-Isser A, Heneghan A, Olson L, Hoagwood KE: Do pediatricians think they are responsible for identification and management of child mental health problems? Results of the AAP periodic survey. Ambul Pediatr. 2008, 8: 11-17.
64. Friedmann PD, McCullough D, Saitz R: Screening and intervention for illicit drug abuse: a national survey of primary care physicians and psychiatrists. Arch Intern Med. 2001, 161: 248-251.
65. Ewing GB, Selassie AW, Lopez CH, McCutcheon EP: Self-report of delivery of clinical preventive services by U.S. physicians. Comparing specialty, gender, age, setting of practice, and area of practice. Am J Prev Med. 1999, 17: 62-72.
66. Klein JD, Wilson KM: Delivering quality care: adolescents' discussion of health risks with their providers. J Adolesc Health. 2002, 30: 190-195.
67. National Center on Addiction and Substance Abuse at Columbia University: Missed opportunity: National Survey of Primary Care Physicians and Patients on Substance Abuse. [ http://www.casacolumbia.org/articlefiles/380-Missed%20Opportunity%20Physicians%20and%20Patients.pdf ]
68. Gardner W, Pajer KA, Kelleher KJ, Scholle SH, Wasserman RC: Child sex differences in primary care clinicians' mental health care of children and adolescents. Arch Pediatr Adolesc Med. 2002, 156: 454-459.
69. Gardner W, Kelleher KJ, Pajer KA, Campo JV: Primary care clinicians' use of standardized tools to assess child psychosocial problems. Ambul Pediatr. 2003, 3: 191-195.
70. Weisner C, Matzger H: Missed opportunities in screening for alcohol problems in medical and mental health services. Alcohol Clin Exp Res. 2003, 27: 1132-1141.
71. Volk RJ, Steinbauer JR, Cantor SB: Patient factors influencing variation in the use of preventive interventions for alcohol abuse by primary care physicians. J Stud Alcohol. 1996, 57: 203-209.
72. McCrady BS, Richter SS, Morgan TJ, Slade J, Pfeifer C: Involving health care workers in screening for alcohol problems. J Addict Dis. 1996, 15: 45-58.
73. Franzgrote M, Ellen JM, Millstein SG, Irwin CE: Screening for adolescent smoking among primary care physicians in California. Am J Public Health. 1997, 87: 1341-1345.
74. Ellen JM, Franzgrote M, Irwin CE, Millstein SG: Primary care physicians' screening of adolescent patients: a survey of California physicians. J Adolesc Health. 1998, 22: 433-438.
75. Friedmann PD, Saitz R, Gogineni A, Zhang JX, Stein MD: Validation of the screening strategy in the NIAAA "Physicians' Guide to Helping Patients with Alcohol Problems. J Stud Alcohol. 2001, 62: 234-238.
76. Institute of Medicine: Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series. 2006, Washington, DC: National Academies Press
77. Mental Health America: Parity and health care reform: important changes for behavioral health. http://www.nmha.org/action/webinars/2010-07/Parity-and-HCR-July-8-2010.pdf
78. Mignone J, Washington R, Ramesh BM, Blanchard JF, Rajaretnam T, Moses S: Discrepancies between the self-reporting of STI preventive care and the actual care provided by male doctors to male patients in Karnataka, India. Sex Transm Infect. 2010, 86: 391-392.
79. Parthasarathy S, Weisner C: Health care services use by adolescents with intakes into an outpatient alcohol and drug treatment program. Am J Addict. 2006, 15 (Suppl): 113-121.
80. Sisko AM, Truffer CJ, Keehan SP, Poisal JA, Clemens MK, Madison AJ: National health spending projections: the estimated impact of reform through 2019. Health Aff (Millwood). 2010, 29: 1933-1941.