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Addict Behav. 2019 Dec;99:106080. doi: 10.1016/j.addbeh.2019.106080. Epub 2019 Aug 5.
Substance use among adolescents is associated with a range of negative outcomes and risk-taking behaviors. Identifying and intervening early is essential to reducing associated risks in adolescence and adulthood. New approaches are needed to equip youth-serving systems with tools to identify and respond to substance use. Screening, Brief Intervention, and Referral to Treatment (SBIRT) has emerged as a promising public health framework and there is a growing research interest in effective adaptations for its use with adolescents. However, healthcare settings, schools, and other community-based settings are slow to adapt SBIRT, citing gaps in knowledge and capacity to deliver evidence-based substance use prevention and early intervention. Further, these settings and the surrounding communities often lack the treatment and other prevention and recovery support resources needed for youth who screen as high-risk. Integrating young adult peers with personal lived experience of substance use recovery may meet this practical need. By drawing upon their shared experiences and skills developed in recovery, young adult peers can provide developmentally appropriate screening and intervention support to youth - while also providing urgently needed skills and time to under resourced settings. This article describes the value of young adult peer roles in expanding youth substance use prevention and early intervention, and features Project Amp as an example. Project Amp was designed as an extended, four-session brief intervention for low to moderate risk adolescents, delivered by trained young adult peers. Project Amp draws on best practices from peer recovery support and prevention and early intervention approaches such as SBIRT.
青少年的物质使用与一系列负面后果和冒险行为有关。及早发现和干预对于减少青少年和成年期的相关风险至关重要。需要新的方法来为青少年服务系统配备工具，以识别和应对物质使用问题。筛选、简短干预和转介治疗 (SBIRT) 已成为一种有前途的公共卫生框架，人们越来越有兴趣对其进行有效的改编，以便在青少年中使用。然而，医疗保健机构、学校和其他社区为基础的环境由于知识和提供基于证据的物质使用预防和早期干预的能力存在差距，因此迟迟未能采用 SBIRT。此外，这些环境和周围社区通常缺乏对筛查为高风险的青少年所需的治疗和其他预防及康复支持资源。整合有物质使用康复个人生活经验的青年成年人同伴可能会满足这一实际需求。青年成年人同伴可以利用他们在康复中积累的共同经验和技能，为青少年提供适合其发展阶段的筛查和干预支持，同时为资源不足的环境提供急需的技能和时间。本文介绍了青年成年人同伴角色在扩大青少年物质使用预防和早期干预方面的价值，并以项目 Amp 为例。Amp 项目旨在为低至中度风险的青少年提供扩展的、四节简短干预，由经过培训的青年成年人同伴提供。Amp 项目借鉴了同伴康复支持以及预防和早期干预方法（如 SBIRT）的最佳实践。
