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

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...

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Main Authors: Lisa S. Meredith, Brett A. Ewing, Bradley D. Stein, William G. Shadel, Stephanie Brooks Holliday, Layla Parast, Elizabeth J. D’Amico
Format: Article
Language:English
Published: BMC 2018-01-01
Series:BMC Family Practice
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12875-017-0689-y
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author Lisa S. Meredith
Brett A. Ewing
Bradley D. Stein
William G. Shadel
Stephanie Brooks Holliday
Layla Parast
Elizabeth J. D’Amico
author_facet Lisa S. Meredith
Brett A. Ewing
Bradley D. Stein
William G. Shadel
Stephanie Brooks Holliday
Layla Parast
Elizabeth J. D’Amico
author_sort Lisa S. Meredith
collection DOAJ
description 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.
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spelling doaj.art-8479fe7965c0405e85d86e58f335dbbf2022-12-22T02:42:20ZengBMCBMC Family Practice1471-22962018-01-011911910.1186/s12875-017-0689-yInfluence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settingsLisa S. Meredith0Brett A. Ewing1Bradley D. Stein2William G. Shadel3Stephanie Brooks Holliday4Layla Parast5Elizabeth J. D’Amico6RAND CorporationRAND CorporationRAND CorporationRAND CorporationRAND CorporationRAND CorporationRAND CorporationAbstract 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.http://link.springer.com/article/10.1186/s12875-017-0689-yScreening and brief interventionAdolescentsPrimary care
spellingShingle Lisa S. Meredith
Brett A. Ewing
Bradley D. Stein
William G. Shadel
Stephanie Brooks Holliday
Layla Parast
Elizabeth J. D’Amico
Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
BMC Family Practice
Screening and brief intervention
Adolescents
Primary care
title Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
title_full Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
title_fullStr Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
title_full_unstemmed Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
title_short Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
title_sort influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings
topic Screening and brief intervention
Adolescents
Primary care
url http://link.springer.com/article/10.1186/s12875-017-0689-y
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