Substance use screening, brief intervention, and referral to treatment for pediatricians

Pediatrics. 2011 Nov;128(5):e1330-40. doi: 10.1542/peds.2011-1754. Epub 2011 Oct 31.


As a component of comprehensive pediatric care, adolescents should receive appropriate guidance regarding substance use during routine clinical care. This statement addresses practitioner challenges posed by the spectrum of pediatric substance use and presents an algorithm-based approach to augment the pediatrician's confidence and abilities related to substance use screening, brief intervention, and referral to treatment in the primary care setting. Adolescents with addictions should be managed collaboratively (or comanaged) with child and adolescent mental health or addiction specialists. This statement reviews recommended referral guidelines that are based on established patient-treatment-matching criteria and the risk level for substance abuse.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Attitude to Health
  • Female
  • Humans
  • Male
  • Mass Screening / standards*
  • Pediatrics / standards
  • Practice Guidelines as Topic / standards*
  • Referral and Consultation / standards*
  • Risk Assessment
  • Risk-Taking
  • Societies, Medical
  • Substance-Related Disorders / diagnosis*
  • Substance-Related Disorders / therapy*
  • Treatment Outcome
  • United States