Emergency Department Screening and Interventions for Adolescents With Substance Use: A Narrative Review.

Autor: Renny MH; Departments of Emergency Medicine, Pediatrics, and Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: madeline.renny@mountsinai.org., Love JS; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York., Walton MA; Department of Psychiatry and Addiction Center, University of Michigan, Ann Arbor, Michigan., Levy S; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts., Merchant RC; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Jazyk: angličtina
Zdroj: The Journal of emergency medicine [J Emerg Med] 2024 Nov; Vol. 67 (5), pp. e414-e424. Date of Electronic Publication: 2024 Jun 10.
DOI: 10.1016/j.jemermed.2024.05.012
Abstrakt: Background: Adolescent substance use is a growing public health concern, particularly given rising mortality rates from drug overdose deaths. The emergency department (ED) provides a unique opportunity to screen adolescents for substance use and provide brief interventions and linkage to care.
Objective of the Review: This article provides a narrative review of the current evidence for ED screening and brief interventions for adolescents with substance use and identifies important opportunities, challenges, and areas for future research.
Discussion: There are several validated substance use screening and assessment tools for use with adolescents that can be implemented into ED screening programs. Brief motivational interviewing interventions may reduce alcohol use, but evidence for reductions of other substances is limited due to insufficient research. Both screening and interventions are feasible and acceptable in the ED setting with the appropriate resources. Increased training and the use of emerging technology can provide emergency physicians with opportunities to incorporate these tools into practice to when treating adolescents. Linkage to outpatient care for adolescents with substance use is understudied. The research on adult patient ED interventions and linkage to care is more robust and can provide insights for future ED studies among adolescents.
Conclusion: ED-based adolescent substance use screening and interventions are necessary, feasible, and acceptable, but understudied. Future studies, focusing on optimizing ED interventions and linkage to care, are important next steps in determining the best care for adolescents with substance use who present to the ED.
Competing Interests: Declaration of competing interest The authors have no conflict of interest.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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