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BMC Primary Care
Published in: BMC Primary Care 1/2018

Open Access 01-12-2018 | Research article

Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings

Authors: Lisa S. Meredith, Brett A. Ewing, Bradley D. Stein, William G. Shadel, Stephanie Brooks Holliday, Layla Parast, Elizabeth J. D’Amico

Published in: BMC Primary Care | Issue 1/2018

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Abstract

Background

To describe patterns of alcohol and other drug (AOD) use risk and adolescent reported primary care (PC) screening and intervention, and examine associations of AOD risk and mental health with reported care received.

Methods

We analyzed data from cross-sectional surveys collected from April 3, 2013 to November 24, 2015 from 1279 diverse adolescents ages 12–18 who reported visiting a doctor at least once in the past year. Key measures were AOD risk using the Personal Experience Screening Questionnaire; mental health using the 5-item Mental Health Inventory; binary measures of adolescent-reported screening and intervention.

Results

Half (49.2%) of the adolescents reported past year AOD use. Of the 769 (60.1%) of adolescents that reported being asked by a medical provider in PC about AOD use, only 37.2% reported receiving screening/intervention. The odds of reported screening/intervention were significantly higher for adolescents with higher AOD risk and lower mental health scores.

Conclusions

Adolescents at risk for AOD use and poor mental health are most likely to benefit from brief intervention. These findings suggest that strategies are needed to facilitate medical providers identification of need for counseling of both AOD and mental health care for at risk youth.

Trials registration

clinicaltrials.​gov, Identifier: NCT01797835, March 2013.
Literature
1.
Johnston LD, O'Malley PM, Miech RA, Bachman JG, Schulenberg JE. Monitoring the future national survey results on drug use, 1975–2015: overview, key findings on adolescent drug use. Ann Arbor: Institute for Social Research, The University of Michigan; 2016.
2.
Adams WL. The effects of alcohol on medical illnesses and medication interactions. In: Gurnack AM, Atkinson R, Osgood NJ, editors. Treating alcohol and drug abuse in the elderly. New York: Springer Publishing Co; 2002. p. 32–49.
3.
Eaton DK, Davis KS, Barrios L, Brener ND, Noonan RK. Associations of dating violence victimization with lifetime participation, co-occurrence, and early initiation of risk behaviors among U.S. high school students. J Interpers Violence. 2007;22:585–602.CrossRefPubMed
4.
Ḳaminer Y and Bukstein OG. Adolescent substance abuse: psychiatric comorbidity and high-risk behaviors: Taylor & Francis; 2008.
5.
Martins SS, Alexandre PK. The association of ecstasy use and academic achievement among adolescents in two U.S. national surveys. Addict Behav. 2009;34:9–16.CrossRefPubMed
6.
Patton GC, Coffey C, Carlin JB, Degenhardt L, Lynskey M, Hall W. Cannabis use and mental health in young people: cohort study. Br Med J. 2002;325:1195–8.CrossRef
7.
Shrier LA, Harris SK, Kurland M, Knight JR. Substance use problems and associated psychiatric symptoms among adolescents in primary care. Pediatrics. 2003;111:e699–705.CrossRefPubMed
8.
Tripodi SJ, Springer DW, Corcoran K. Determinants of substance abuse among incarcerated adolescents: implications for brief treatment and crisis intervention. Brief Treatment and Crisis Intervention. 2007;7:34.CrossRef
9.
McCambridge J, McAlaney J, Rowe R. Adult consequences of late adolescent alcohol consumption: a systematic review of cohort studies. PLoS Med. 2011;8
10.
Centers for Disease Control and Prevention. The Cost of Excessive Alcohol Use: A Drain on the U.S. Economy. CDC 24/7: Saving Lives, Protecting People: Department of Health and Human Services; 2016.
11.
12.
Bloom B, Cohen RA. Summary health statistics for U.S. children: National Health Interview Survey, 2006. Vital Health Stat 10. 2007:1–79.
13.
Johnson SB, Millstein SG. Prevention opportunities in health care settings. Am Psychol. 2003;58:475–81.CrossRefPubMed
14.
Newacheck PW, Brindis CD, Cart CU, Marchi K, Irwin CE. Adolescent health insurance coverage: recent changes and access to care. Pediatrics. 1999;104:195–202.CrossRefPubMed
15.
Ozer EM, Adams SH, Orrell-Valente JK, Wibbelsman CJ, Lustig JL, Millstein SG, et al. Does delivering preventive Services in Primary Care Reduce Adolescent Risky Behavior? J Adolesc Health. 2011;49:476–82.CrossRefPubMed
16.
17.
American Academy of Pediatrics Committee on Substance Abuse. Policy statement—alcohol use by youth and adolescents: a pediatric concern. Pediatrics. 2010;125:1078–87.CrossRef
18.
NIAAA. Alcohol screening and brief intervention for youth: a practioners guide. NIH publication no. 11–7805. Rockville, MD: NIAAA, DHHS and AAP; 2011.
19.
Hingson RW, Heeren T, Edwards EM, Saitz R. Young adults at risk for excess alcohol consumption are often not asked or counseled about drinking alcohol. J Gen Intern Med. 2012;27:179–84.CrossRefPubMed
20.
Hingson RW, Zha W, Iannotti RJ, Simons-Morton B. Physician advice to adolescents about drinking and other health behaviors. Pediatrics. 2013;131:249–57.CrossRefPubMedPubMedCentral
21.
Klein DJ, Allan MJ, Elster AB, Stevens D, Cox C, Hedberg VA, et al. Improving adolescent preventive care in community health centers. Pediatrics. 2001;107:318–27.CrossRefPubMed
22.
Van Hook S, Harris SK, Brooks T, Carey P, Kossack R, Kulig J, et al. The “six T's”: barriers to screening teens for substance abuse in primary care. J Adolesc Health. 2007;40:456–61.CrossRefPubMed
23.
Ozer EM, Adams SH, Gardner LR, Mailloux DE, Wibbelsman CJ, Irwin CE. Provider self-efficacy and the screening of adolescents for risky health behaviors. J Adolesc Health. 2004;35:101–7.CrossRefPubMed
24.
Sterling S, Kline-Simon AH, Wibbelsman C, Wong A, Weisner C. Screening for adolescent alcohol and drug use in pediatric health-care settings: predictors and implications for practice and policy. Addict Sci Clin Pract. 2012;7:13.CrossRefPubMedPubMedCentral
25.
Marcell AV, Halpern-Felsher B, Coriell M, Millstein SG. Physicians’ attitudes and beliefs concerning alcohol abuse prevention in adolescents. Am J Prev Med. 2002;22:49–55.CrossRefPubMed
26.
Center for Mental Health Services. Mental Health Care for Youth: A National Assessment, Annual/Final Progress Report, editors. Vol. January-December 2001. Rockville, MD: Substance Use and Mental Health Services Administration; 2001.
27.
SAMHSA. Results from the 2011 National Survey on drug use and health: summary of national findings. NSDUH series H-44, HHS publication no. (SMA) 12–4713. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2012.
28.
Turner WC, Muck RD, Muck RJ, Stephens RL, Sukumar B. Co-occurring disorders in the adolescent mental health and substance abuse treatment systems. J Psychoactive Drugs. 2004;36:455–62.CrossRefPubMed
29.
Burnett-Zeigler I, Walton MA, Ilgen M, Barry KL, Chermack ST, Zucker RA, et al. Prevalence and correlates of mental health problems and treatment among adolescents seen in primary care. J Adolesc Health. 2012;50:559–64.CrossRefPubMed
30.
D'Amico EJ, Paddock SM, Burnam A, Kung FY. Identification of and guidance for problem drinking by general medical providers: results from a national survey. Med Care. 2005;43:229–36.CrossRefPubMed
31.
Sturm R, Gresenz C, Sherbourne C, Minnium K, Klap R, Bhattacharya J, et al. The design of healthcare for communities: a study of health care delivery for alcohol, drug abuse, and mental health conditions. Inquiry. 1999;36:221–33.PubMed
32.
Winters KC. Development of an adolescent alcohol and other drug abuse screening scale: Personal Experiences Screening Questionnaire. Addict Behav. 1992;17:479–90.
33.
Berwick DM, Murphy JM, Goldman PA, Ware JE Jr, Barsky AJ, Weinstein MC. Performance of a five-item mental health screening test. Med Care. 1991;29:169–76.CrossRefPubMed
34.
Gelman A and Hill J. Data analysis using regression and multilevel/hierarchical models: Cambridge University press; 2006.CrossRef
35.
Rubin DB, Little RJA. Statistical analysis with missing data. Hoboken, NJ: J Wiley & Sons; 2002.
36.
Brener ND, Billy JO, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health. 2003;33:436–57.CrossRefPubMed
37.
Eisenhower D, Mathiowetz NA, Morganstein D. Recall error: sources and bias reduction techniques. In: Biemer PP, Groves RM, Lyberg LE, et al., editors. Measurement errors in surveys. New York: John Wiley & Sons; 1991. p. 127–44.
38.
DeMaio T. Social desirability and survey measurement: a review. In: Turner CF, Martin E, editors. Surveying social phenomena. New York, NY: Russell Sage Foundation; 1984. p. 257–82.
39.
Poulin C, MacNeil P, Mitic W. The validity of a province-wide student drug use survey: lessons in design. Can J Public Health. 1993;84:259–64.PubMed
40.
Johnston LD, O'Malley PM, Bachman JG, Schulenberg JE. Monitoring the future national survey results on drug use, 1975–2012. Volume I: secondary school students. Ann Arbor, Michigan: Institute for Social Research, The University of Michigan; 2013.
41.
Patnode CD, O'Connor E, Rowland M, Burda BU, Perdue LA, Whitlock EP. Primary care behavioral interventions to prevent or reduce illicit drug use and nonmedical pharmaceutical use in children and adolescents: a systematic evidence review for the US preventive services task force. Ann Intern Med. 2014;160:612–U161.CrossRefPubMed
42.
43.
Earls MF, Hay SS. Setting the stage for success: implementation of developmental and behavioral screening and surveillance in primary care practice - the North Carolina assuring better child health and development (ABCD) project. Pediatrics. 2006;118:E183–8.CrossRefPubMed
44.
Saitz R, Cheng DM, Allensworth-Davies D, Winter MR, Smith PC. The ability of single screening questions for unhealthy alcohol and other drug use to identify substance dependence in primary care. Journal of studies on alcohol and drugs. 2014;75:153–7.CrossRefPubMedPubMedCentral
45.
Smith PC, Schmidt SM, Allensworth-Davies D, Saitz RA. Single-question screening test for drug use in primary care. Arch Intern Med. 2010;170:1155–60.PubMedPubMedCentral
46.
Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. Primary care validation of a single-question alcohol screening test. J Gen Intern Med. 2009;24:783–8.CrossRefPubMedPubMedCentral
47.
McCormick KA, Cochran NE, Back AL, Merrill JO, Williams EC, Bradley KA. How primary care providers talk to patients about alcohol: a qualitative study. J Gen Intern Med. 2006;21:966–72.CrossRefPubMedPubMedCentral
48.
Stockwell T, Donath S, Cooper-Stanbury M, Chikritzhs T, Catalano P, Mateo C. Under-reporting of alcohol consumption in household surveys: a comparison of quantity-frequency, graduated-frequency and recent recall. Addiction. 2004;99:1024–33.CrossRefPubMed
49.
McNeely J, Cleland CM, Strauss SM, Palamar JJ, Rotrosen J, Saitz R. Validation of self-administered single-item screening questions (SISQs) for unhealthy alcohol and drug use in primary care patients. J Gen Intern Med. 2015;30:1757–64.CrossRefPubMedPubMedCentral
50.
Buckelew SM, Adams SH, Irwin CE Jr, Gee S, Ozer EM. Increasing clinician self-efficacy for screening and counseling adolescents for risky health behaviors: results of an intervention. J Adolesc Health. 2008;43:198–200.CrossRefPubMed
51.
Ozer EM, Adams SH, Lustig JL, Gee S, Garber AK, Gardner LR, et al. Increasing the screening and counseling of adolescents for risky health behaviors: a primary care intervention. Pediatrics. 2005;115:960–8.CrossRefPubMed
52.
D'Amico EJ, Miles JN, Stern SA, Meredith LS. Brief motivational interviewing for teens at risk of substance use consequences: a randomized pilot study in a primary care clinic. J Subst Abus Treat. 2008;35:53–61.CrossRef
53.
Ambresin AE, Otjes CP, Patton GC, Sawyer SM, Thuraisingam S, English DR, et al. Training general practitioners to detect probable mental disorders in young people during health risk screening. J Adolesc Health. 2017;
54.
Ozechowski TJ, Becker SJ, Hogue A. SBIRT-A: adapting SBIRT to maximize developmental fit for adolescents in primary care. J Subst Abus Treat. 2016;62:28–37.CrossRef
Metadata
Title
Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
Authors
Lisa S. Meredith
Brett A. Ewing
Bradley D. Stein
William G. Shadel
Stephanie Brooks Holliday
Layla Parast
Elizabeth J. D’Amico
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2018
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-017-0689-y

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