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NCJ Number: 218629 Find in a Library
Title: Six T's: Barriers to Screening Teens for Substance Abuse in Primary Care
Journal: Journal of Adolescent Health  Volume:40  Issue:5  Dated:May 2007  Pages:456-461
Author(s): Shari Van Hook MPH; Sion Kim Harris Ph.D.; Traci Brooks M.D.; Peggy Carey M.D.; Robert Kossack M.D.; John Kulig M.D.; John R. Knight M.D.
Date Published: May 2007
Page Count: 6
Sponsoring Agency: Robert Wood Johnson Foundation
Princeton, NJ 08543
US Dept of Health and Human Services
Rockville, MD 20857
US Dept of Health and Human Services
Rockville, MD 20892-9304
Grant Number: 45222;K07 AA013280;5T20MC000-11-06;5T71MC00009-12-0
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This study investigated barriers to adolescent substance abuse screenings in primary care settings.
Abstract: Study results indicated that primary care providers most commonly reported lack of time as the main barrier to adolescent substance abuse screening, followed by lack of training on how to manage a positive screen. While providers reported they had sufficient time to administer a short substance abuse screen, they did not have sufficient time to manage a positive result during a well care visit. Other barriers reported by primary care providers included the need to triage competing problems, lack of treatment resources, difficult parents, and unfamiliarity with screening tools. The findings suggest that a lack of time combined with poor training on how to handle positive screenings is keeping many primary care providers from screening those adolescents most in need of help. Providers clearly need training, education, and support for substance abuse screening in order to provide appropriate care for their adolescent patients. Future research should focus on developing effective methods for handling positive substance abuse screens during primary care visits. Participants were 38 primary care providers at 6 sites who completed focus group interviews about barriers to adolescent substance abuse screenings. The resulting data was transcribed and analyzed by ranking barriers across all sites by the number of groups identifying the barrier. Then the mean ranking was calculated for each barrier. Table, references
Main Term(s): Juvenile drug use
Index Term(s): Adolescent chemical dependency; Adolescents at risk; Healthcare
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