Results of a Statewide Survey of Adolescent Substance Use Screening Rates and Practices in Primary Care

• NCJ Number: 242924
• Journal: Substance Abuse Volume: 33 Issue: 4 Dated: October - December 2012 Pages: 321-326
• Author(s): Sion Kim Harris, Ph.D.; Kathleen Herr-Zaya, Ph.D.; Zohar Weinstein, B.S.; Kathleen Whelton, M.P.H.; Fernando Perfas, Jr., B.S.B.A.; Carolyn Castro-Donlan, M.A.; John Straus, M.D.; Karen Schoneman, M.S.; Michael Botticelli, M.Ed.; Sharon Levy, M.D.
• Date Published: November 2012
• Length: 6 pages
• Publication Format: Article
• Publication Type: Report (Study/Research); Questionnaire
• Language: English
• Country: United States of America

Annotation

The objective of this study was to describe the results of a state-wide questionnaire regarding adolescent substance use screening rates and techniques used by primary care physicians practicing in Massachusetts.

Abstract

Professional guidelines recommend annual screening, brief intervention, and referral to treatment (SBIRT) as part of health maintenance for all adolescents, but reported screening rates have been low and no report has documented the techniques being used. The objective of this study was to describe the results of a state-wide questionnaire regarding adolescent substance use screening rates and techniques used by primary care physicians practicing in Massachusetts. A questionnaire was mailed to every licensed physician registered as practicing pediatrics (N = 2,176), family medicine (N = 1,335), or both (N = 8) in the Massachusetts Board of Medicine database. After eliminating physicians who did not provide care for adolescents, the survey response rate was 28 percent and the final analyzable sample consisted of 743 surveys. Less than half of respondents reported using a validated adolescent screening tool. The majority of respondents used ineffective screening practices for adolescent substance use. Further physician training is recommended to encourage the use of developmentally appropriate screening tools and interventions for adolescents. Abstract published by arrangement with Taylor and Francis.