Division of Research, Kaiser Permanente Northern California, 2000 Broadway, 3rd Floor, Oakland, CA 94612-2403, USA.
Curr Psychiatry Rep. 2012 Oct;14(5):453-61. doi: 10.1007/s11920-012-0304-9.
Substance use (SU) problems are common among adolescents, a serious health risk for them and a major public health problem, but are inadequately addressed in most pediatric health care settings. Primary care offers an excellent context for SU assessment and treatment for adolescents and their families, offering better access and a less stigmatized environment for receiving treatment than specialty programs. This paper examines the literature on the integration of substance use treatment with adolescent health care, focusing on 2 areas: Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Emergency Departments and Primary Care, and School- and College-Based Health Centers.
物质使用（SU）问题在青少年中很常见，这对他们的健康构成严重威胁，也是一个主要的公共卫生问题，但在大多数儿科保健环境中都没有得到充分解决。初级保健为青少年及其家庭提供了进行 SU 评估和治疗的绝佳环境，与专科项目相比，它为接受治疗提供了更好的机会，并且环境的污名化程度更低。本文研究了将物质使用治疗与青少年保健相结合的文献，重点关注两个领域：急诊和初级保健中的 SBIRT（Screening、Brief Intervention、and Referral to Treatment），以及学校和学院保健中心。
