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Substance Use Disorders, Pediatric

Sara M. Buckelew, MD, MPH Reviewed 10/2018
 


BASICS

DESCRIPTION

  • In adolescence, substance use tends to occur along a continuum from abstinence to experimentation to nonproblematic use to problematic use to substance use disorder.

  • DSM-5 defines sub...

DIAGNOSIS

HISTORY

  • Adolescent-appropriate screening using a validated measure should be administered at least annually at every adolescent preventive care visit and appropriate urgent/acute care visits.

  • ...

TREATMENT

GENERAL MEASURES

  • School-based prevention programs have demonstrated efficacy.

  • Treatment can be provided in a number of different settings both outpatient and inpatient with varying intensity, ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Patients should be screened annually at all preventive visits.

  • When an action plan is created or in those receiving brief advice or brief interve...

ADDITIONAL READING

  • Adger H Jr, Saha S. Alcohol use disorders in adolescents. Pediatr Rev.  2013;34(3):103–114. [View Abstract on OvidInsights]

  • Das JK, Salam RA, Arshad A, et al. Interventions for ...

CODES

ICD9

  • 305.90 Other, mixed, or unspecified drug abuse, unspecified use

  • 305.00 Alcohol abuse, unspecified

  • 305.20 Cannabis abuse, unspecified

  • 305.1 Tobacco use disorder

  • 305.60 Cocaine abuse, unspecified

  • 3...

FAQ

  • Q: Should I screen adolescents who use substances for suicide risk?

  • A: Yes. All adolescents with a history of substance misuse should be screened for suicide risk and suicidal ideations. Adolescent...

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