Office recognition and management of adolescent substance abuse

Current Opinion in Pediatrics
David L Kaye

Abstract

Substance misuse and substance use disorders are important pediatric public health concerns. The prevalence is high, beginning in adolescence through adulthood, and there is marked morbidity. This is especially true in the adolescent population, in whom the three leading causes of death are all associated with substance abuse. The primary care physician is ideally situated to recognize, prevent, and triage significant substance abuse problems. This review will provide recent, relevant information for primary care physicians (PCP) to enable them to have the current knowledge, tools, and attitudes needed to address these issues. Epidemiologic studies continue to document the widespread use of licit and illicit substances by youth. Understanding of substance use disorders is moving forward with an increasing clarity of the multiple factors important in the development of these disorders. This has already led to the establishment of effective prevention programs, which may be applicable to the primary care setting. Research into psychosocial treatment is proceeding rapidly, and psychopharmacologic approaches are also being investigated. Evidence-supported approaches to treatment now exist. Substance abuse in youth is a serious publ...Continue Reading

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Citations

Feb 22, 2005·Current Problems in Pediatric and Adolescent Health Care·Donald E Greydanus, Dilip R Patel
Nov 19, 2008·Substance Use & Misuse·Steve SussmanSusan L Ames
Dec 1, 2005·Disease-a-month : DM·Donald E Greydanus, Dilip R Patel
Jan 19, 2010·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Jane Peterson

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