Pediatrics in Review
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(Pediatrics in Review. 2007;28:355-357.)
© 2007 American Academy of Pediatrics

In Brief

Substance Abuse Counseling

The first 300 words of the full text of this article appear below.

Adolescent Substance Use Disorders and Comorbidity. Simkin DS. Pediatr Clin North Am. 2002;49 :463 –477[CrossRef][Medline] ASAM Patient Placement Criteria for the Treatment of Substance-Related Disorders. 2nd ed. Mee-Lee D. Chevy Chase, Md: The American Society of Addiction Medicine, Inc;2001 Indications for Management and Referral of Patients Involved in Substance Abuse. American Academy of Pediatrics Committee on Substance Abuse. Pediatrics. 2000;106 :143 –148[Abstract/Free Full Text] Monitoring the Future National Survey Results on Drug Use, 1975–2005, Volume I: Secondary School Students. (NIH Publication No. 06–5883). Johnston LD, O'Malley PM, Bachman JG, Schulenberg JE. Bethesda, Md: National Institute on Drug Abuse;2006 Tobacco, Alcohol, and Other Drugs: The Role of the Pediatrician in Prevention, Identification, and Management of Substance Abuse. Kulig JW and the American Academy of Pediatrics Committee on Substance Abuse. Pediatrics. 2005;115 :816 –821[Abstract/Free Full Text]

Substance use among adolescents presents a difficult challenge to the pediatrician. Use of illicit drugs, as well as substances such as tobacco and alcohol, is common among the adolescent population and should be ascertained and addressed by pediatricians at the routine health supervision visit. Many pediatricians are uncomfortable with this aspect of patient care. All primary care physicians who take care of adolescents should be familiar with the signs of substance use and abuse, have the expertise to perform office-based intervention, recognize situations that require referral for outside treatment, and be able to guide the patient and family toward appropriate treatment settings.

Use of illegal drugs among high-school students has been relatively stable over the past several years, down from peak use in the late 1990s. In the 2005 Monitoring the Future Study of middle school and high school students in the United States, 50% of 12th graders reported lifetime use of any illicit substance, similar to results . . . [Full Text of this Article]


Dominic Hollman, MD
Elizabeth Alderman, MD
 Children's Hospital at Montefiore
Bronx, NY

Henry M. Adam, MD, Editor, In Brief




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