Introduction: Alcohol screening, brief intervention and referral to treatment is mandated within the level 1 pediatric trauma center. However, data on the prevalence of alcohol and drug use among admitted pediatric trauma patients is limited. Our study objective was to describe substance use and related negative consequences in admitted adolescent trauma patients across three pediatric level 1 trauma centers.
Methods: This surveillance study was nested within a study on electronically delivered parenting skills education to parents of admitted adolescents (12-17 years) screening positive for alcohol or drug use. Enrolled adolescents completed baseline assessments to examine demographics, substance use and related negative consequences. Thirty-seven parent-adolescent dyads enrolled in the intervention study.
Results: Participants were eligible if they received a positive CRAFFT score or a positive biological screen for alcohol or drug use at time of the hospital admission. Of those enrolled into the study, 9 (24%) reported no substance use in the prior 12 months in our assessment battery. Of the remaining 28 patients, 6 (16%) reported using only alcohol, 10 (27%) only marijuana, 9 (24%) both alcohol and marijuana, and 3 (8%) alcohol and marijuana with other drugs in the past 12 months. Negative consequences reported varied between those who reported alcohol use only and those who reported marijuana use only with physical consequences of use most often being reported by those using alcohol (hangover, vomiting), and psychosocial consequences (getting into trouble with parents, doing something later regret) by those who used only marijuana.
Conclusion: These findings support the use of laboratory screening and screening questionnaires for all adolescent trauma admissions to capture a complete picture of alcohol and drug use.
Keywords: Alcohol screening; Pediatric trauma center; SBIRT.
Feasibility and Acceptability of an Electronic Parenting Skills Intervention for Parents of Alcohol-Using Adolescent Trauma PatientsMJ Mello et al. Telemed J E Health 25 (9), 833-839. PMID 30484743.Background: Identifying problem drinkers and providing brief intervention (BI) for those who screen positive are required within all level I trauma centers. Whi …
Screening and Brief Intervention for Alcohol and Other AbuseSK Harris et al. Adolesc Med State Art Rev 25 (1), 126-56. PMID 25022191. - ReviewSubstance use is the most common health risk behavior among adolescents and is one of the greatest threats to their current and future health. Universal screening of adol …
CRAFFT as a Substance Use Screening Instrument for Adolescent Psychiatry AdmissionsTS Oesterle et al. J Psychiatr Pract 21 (4), 259-66. PMID 26164051.CRAFFT scores in adolescent inpatients were correlated with other measures of substance use, supporting its efficacy as a screening tool in this population. CRAFFT scores …
Pediatric Trauma Patient Alcohol Screening: A 3 Year Review of Screening at a Level I Pediatric Trauma Center Using the CRAFFT ToolKN Johnson et al. J Pediatr Surg 49 (2), 330-2. PMID 24528979.Alcohol and drug screening for injured pediatric trauma patients is frequently omitted despite policy-required screening. Of those patients screened, 18% admitted to risk …
Screening, Brief Intervention, and Referral for Alcohol Use in Adolescents: A Systematic ReviewPJ Yuma-Guerrero et al. Pediatrics 130 (1), 115-22. PMID 22665407. - ReviewBased on existing evidence, it is not clear whether SBIRT is an effective approach to risky alcohol use among adolescent patients in acute care. Additional research is ne …