Monasterio Erica B
Family Nurse Practitioner Program, Department of Family Health Care Nursing, University of California, San Francisco, 2 Koret Way, Box 0606, San Francisco, CA 94143-0606, USA; Division of Adolescent and Young Adult Medicine, Department of Pediatrics, 3333 California Street, Suite 245, University of California, San Francisco, San Francisco, CA 94143-0503, USA.
Prim Care. 2014 Sep;41(3):567-85. doi: 10.1016/j.pop.2014.05.009.
Substance use in adolescence is common, but not all use indicates a substance use disorder. The primary care provider has an essential role in screening for substance involvement, assessing the level of substance use and its impact on function, and engaging in a brief intervention to encourage and support behavioral change related to substance use. This article summarizes the literature on adolescent vulnerability to substance use disorders and their impact on adolescent health and well-being. Practical concrete suggestions for approaches to screening, brief interventions, and referral to treatment provide a stepwise approach to adolescent substance use assessment and intervention.
青少年使用成瘾物质的情况很常见,但并非所有使用都表明存在物质使用障碍。初级保健提供者在筛查物质使用情况、评估物质使用水平及其对功能的影响,以及进行简短干预以鼓励和支持与物质使用相关的行为改变方面起着至关重要的作用。本文总结了关于青少年对物质使用障碍易感性及其对青少年健康和幸福影响的文献。关于筛查方法、简短干预和转介治疗的实用具体建议为青少年物质使用评估和干预提供了一个循序渐进的方法。