1 screening, brief intervention, and referral to treatmentintroduction to SBIRT for adolescents Lecture 7.1

2 adolescents are less likely to have a substance use disorder & more likely to be engaging in risky use

3 half of the adolescents coming into emergency rooms will screen positive for alcohol

4 adolescent alcohol use patternsalcohol is typically the first substance used by an adolescent (usually around 14 years of age) 1 out of 3 youth will consume alcohol by the 8th grade half of those report they have previously been drunk approximately 70% of high school seniors report having drank alcohol a quarter of high school seniors report binge drinking in the previous weeks male youth more commonly binge drink than female youth

5 adolescent alcohol use patternsoften consuming beer, liquor or flavored beverages lower consumption of wine energy drinks containing alcohol gaining popularity youth may not ‘feel’ as intoxicated, but are impaired

6 adolescent binge drinking(NIAAA, n.d.)

7 adolescent drug use patternsrates of adolescent drug use are increasing primarily accounted for by the increase in marijuana use teens are more likely to smoke marijuana than cigarettes increase in the use of synthetic marijuana (“spice”) prescription drug misuse rising among youth preferred medications: Vicodin & Adderall reduction in crack cocaine & inhalants cigarette use is decreasing; other forms of tobacco gaining in popularity (e.g. hookahs, e-cigarettes)

8 prescription drugs are being increasingly misused by young people

9 1 in 12 high school seniors report having used Vicodin for nonmedicalpurposes

10 prescription drugs are one of the most commonly misuseddrugs by high school seniors

11 trends

12 trends

13 trends

14 trends

15 trends

17 target groups for screeningADD/ADHD patients youth with conduct disorders depressed/anxious youth unplanned pregnancies patients with STDs/STIs accident/injury victims those engaging in other risky behaviors (e.g. smoking) recent behavior changes (e.g. poor grades, mood changes, truancy, etc.)

18 most adolescents report they are willing to discuss their substance use with their doctor

19 most physicians do not ask about adolescent substance use, noting concerns about knowing how to properly do so

20 only 1 in 20 adolescents who are have a substance use disorder or high-risk will receive treatment