| Autor: |
Ponton, Lynn, Judice, Samuel L., Petti, Theodore |
| Zdroj: |
Adolescent Psychiatry; 2021, Vol. 11 Issue: 3 p150-158, 9p |
| Abstrakt: |
Background Objectives: Thirty-three states and the District of Columbia(DC) have enacted some form of legalized cannabis or cannabinoid for medicalconditions (MMJ), 11 of them and DC for recreational use. It has become criticalfor psychiatrists and other mental health professionals working with adolescents tobe aware of the diversion of marijuana (MJ) to youth and subsequent potentialadverse effects in environments with widely different regulations. The experienceof two office-based psychiatrists in California (the first state to legalize MMJ)through case presentations and an informal practice review illustrate the role thatdiverted MMJ plays in the clinical presentation of youth for psychiatric care,highlighting clinical implications and guidelines for treators as states legalize MJfor adult recreational use. Methods: Two child and adolescent psychiatrists practicing in California over thelast twenty years report on their experiences working with adolescent patients andtheir families during the period of legalized MMJ. After a comprehensive literaturereview, they report their clinical observations and make recommendations fortreators of adolescents. Discussion: There is general confusion among adolescents and their parents aboutMJ and MMJ. There is a lack of clear regulatory guidelines and a need for betterclinical training for prescribing physicians. Diversion of MMJ to teens during periodsof legalization of medical marijuana is common in states where it has not beenlegislated or regulated sufficiently to provide effective safeguards. This lax approachis demonstrated by our case reports and clinical review. Similar experiences havebeen reported elsewhere. Increased problems with diversion are expected aslegalization efforts continue. Professionals and their organizations need to becomemore active in advocating policies to protect youth from potential harm related tocannabis use and abuse and carefully evaluate its use among their teen patients. |
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