Screening instruments for substance use and brief interventions targeting adolescents in primary care: a literature review.

dc.contributor.author

Pilowsky, Daniel J

dc.contributor.author

Wu, Li-Tzy

dc.date.accessioned

2020-02-03T04:46:06Z

dc.date.available

2020-02-03T04:46:06Z

dc.date.issued

2013-05

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2020-02-03T04:46:06Z

dc.description.abstract

A review of the literature was conducted to examine substance use screening instruments commonly used with adolescents in medical settings, their comparative usefulness, and SBIRT (Screening, Brief Intervention, and Referral to Treatment).We screened two databases (Ovid MEDLINE and PsycINFO) targeting journal articles dealing with screening for alcohol and drug use in adolescence as well as adolescent SBIRT.Adolescents preferred paper forms and computerized questionnaires over interviews with physicians or nurses. The CRAFFT was the best studied instrument for screening for alcohol/drug use and related problems, and is the only tool with data to support its use in medical settings. Other screening instruments require more testing/evaluation in more representative samples of adolescents in primary care settings. Long term follow-up data to establish the efficacy of SBIRT in adolescence are not available. Innovative computerized approaches to screening for substance use in this population have recently been proposed. Although promising, they require further evaluation.The CRAFFT has the most consistent data to support its use in primary care settings. The effects of SBIRT in adolescence have not been adequately evaluated. Adolescents' opinions and preferences for SBIRT should be studied to improve their acceptance.

dc.identifier

S0306-4603(13)00027-0

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0306-4603

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1873-6327

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https://hdl.handle.net/10161/19967

dc.language

eng

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Elsevier BV

dc.relation.ispartof

Addictive behaviors

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10.1016/j.addbeh.2013.01.015

dc.subject

Humans

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Substance-Related Disorders

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Early Diagnosis

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Risk Factors

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Substance Abuse Detection

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Adolescent

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Referral and Consultation

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Patient Preference

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Surveys and Questionnaires

dc.title

Screening instruments for substance use and brief interventions targeting adolescents in primary care: a literature review.

dc.type

Journal article

duke.contributor.orcid

Wu, Li-Tzy|0000-0002-5909-2259

pubs.begin-page

2146

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2153

pubs.issue

5

pubs.organisational-group

School of Medicine

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Duke

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Center for Child and Family Policy

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Sanford School of Public Policy

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Duke Clinical Research Institute

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Institutes and Centers

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Duke Institute for Brain Sciences

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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Psychiatry & Behavioral Sciences

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Clinical Science Departments

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Medicine, General Internal Medicine

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Medicine

pubs.publication-status

Published

pubs.volume

38

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