期刊
JOURNAL OF DRUG ISSUES
卷 48, 期 1, 页码 78-89出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0022042617731132
关键词
community health centers; substance abuse; adolescents; alcohol; tobacco or other drugs; New York State
资金
- United Hospital Fund
- City University of New York (CUNY)
- Center for Innovation in Mental Health at CUNY
Adolescent experimentation with alcohol, tobacco, or other drugs is commonplace, and limited access to screening and treatment services poses a significant public health risk. This study identified alcohol, tobacco, and other drug services available for adolescents at community health center sites in New York. A survey was distributed to medical and behavioral health directors across 54 community health center organizations serving 255 primary care adolescent sites. One third of sites required adolescent screening for substance use disorders (SUDs). Twenty-eight percent of sites said all/nearly all (80%-100%) and 12% said most (60%-79%) adolescents actually were screened. On-site tobacco cessation treatment and substance abuse counseling were offered at 53% and 14% of sites, respectively. Multilevel models suggested that community health center organizations positively influenced sites' adolescent SUD screening and tobacco treatment. Additional investment in adolescent behavioral health screening and treatment is needed to reduce alcohol, illicit drug, or tobacco use among the underserved.
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