Pediatrics. 2011 Nov;128(5):e1330-40. doi: 10.1542/peds.2011-1754. Epub 2011 Oct 31.
As a component of comprehensive pediatric care, adolescents should receive appropriate guidance regarding substance use during routine clinical care. This statement addresses practitioner challenges posed by the spectrum of pediatric substance use and presents an algorithm-based approach to augment the pediatrician's confidence and abilities related to substance use screening, brief intervention, and referral to treatment in the primary care setting. Adolescents with addictions should be managed collaboratively (or comanaged) with child and adolescent mental health or addiction specialists. This statement reviews recommended referral guidelines that are based on established patient-treatment-matching criteria and the risk level for substance abuse.
作为全面儿科护理的一个组成部分,青少年在常规临床护理中应接受关于物质使用的适当指导。本声明针对儿科物质使用的范围提出了从业者面临的挑战,并提出了一种基于算法的方法,以增强儿科医生在初级保健环境中进行物质使用筛查、简短干预和转介治疗的信心和能力。有物质使用障碍的青少年应与儿童和青少年心理健康或成瘾专家合作(或共同管理)。本声明回顾了推荐的转诊指南,这些指南基于既定的患者-治疗匹配标准和物质滥用的风险水平。