Oluwadunni Adegbite, Andrew Enegela, Crystal Obiozor, Edore Onigu-Otite
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The narrative review\narticle aims to provide an overview of substance use during Adolescence in the\nUnited States, highlight related ER visits, and discuss extending care beyond the ER.\nA literature review was conducted to reveal historical and recent studies related to\nadolescent substance use trends, morbidity, and mortality patterns, as well as the\nmuch-needed continuum of care after the ER. Our approach prioritized capturing\ndiverse perspectives and significant studies relevant to these themes, aiming for a\nthorough discussion without strict adherence to systematic review methodologies.\nThe selection of studies involved a comprehensive search across multiple databases,\nincluding PubMed, Google Scholar, and relevant academic journals. Search terms\nwere tailored to capture studies addressing adolescent substance abuse, ER visitation,\nand aftercare. Studies were screened based on title, abstract, and full-text review,\nwith a focus on relevance and significance to the review's objectives. The strategy for\nthis narrative review facilitated a detailed exploration of the selected themes while\nalso allowing for flexibility in study selection and interpretation. National studies\nindicate an overall decline in the proportions of adolescents using substances\ncompared to pre-COVID-19 levels. However, morbidity and mortality patterns have\nnot mirrored this decline. Various factors, including gender, location, and specific\nmental health disorders, are associated with adolescent substance use presentations.\nAcute care providers in emergency settings, employing protocols like SBIRT, can\nsignificantly impact outcomes by facilitating appropriate screening and referral to\naftercare treatment programs. Identification of barriers to care, such as stigma and\nsocial determinants of health, is important in formulating tailored interventions.\nWhile acute care provides an opportunity to intervene and initiate treatment, a\ncontinuum of care is essential to reduce morbidity and mortality patterns among\nadolescents with substance use.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adolescent Substance Use, and Related Emergency Room Visits, and Continuum of Care\",\"authors\":\"Oluwadunni Adegbite, Andrew Enegela, Crystal Obiozor, Edore Onigu-Otite\",\"doi\":\"10.2174/0122106766304121240718112939\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n\\nAdolescence is a unique developmental period marked by\\nbiophysiological changes and psychosocial exploration. Risk-taking behaviors,\\nincluding experimentation with psychoactive substances, are common during this\\nperiod. Emergency room (ER) visits for adverse events related to adolescent\\nsubstance use have increased over the last two decades. Without a continuum of care\\nfrom the ER, significant opportunities to intervene are missed. The narrative review\\narticle aims to provide an overview of substance use during Adolescence in the\\nUnited States, highlight related ER visits, and discuss extending care beyond the ER.\\nA literature review was conducted to reveal historical and recent studies related to\\nadolescent substance use trends, morbidity, and mortality patterns, as well as the\\nmuch-needed continuum of care after the ER. Our approach prioritized capturing\\ndiverse perspectives and significant studies relevant to these themes, aiming for a\\nthorough discussion without strict adherence to systematic review methodologies.\\nThe selection of studies involved a comprehensive search across multiple databases,\\nincluding PubMed, Google Scholar, and relevant academic journals. Search terms\\nwere tailored to capture studies addressing adolescent substance abuse, ER visitation,\\nand aftercare. Studies were screened based on title, abstract, and full-text review,\\nwith a focus on relevance and significance to the review's objectives. The strategy for\\nthis narrative review facilitated a detailed exploration of the selected themes while\\nalso allowing for flexibility in study selection and interpretation. National studies\\nindicate an overall decline in the proportions of adolescents using substances\\ncompared to pre-COVID-19 levels. However, morbidity and mortality patterns have\\nnot mirrored this decline. Various factors, including gender, location, and specific\\nmental health disorders, are associated with adolescent substance use presentations.\\nAcute care providers in emergency settings, employing protocols like SBIRT, can\\nsignificantly impact outcomes by facilitating appropriate screening and referral to\\naftercare treatment programs. Identification of barriers to care, such as stigma and\\nsocial determinants of health, is important in formulating tailored interventions.\\nWhile acute care provides an opportunity to intervene and initiate treatment, a\\ncontinuum of care is essential to reduce morbidity and mortality patterns among\\nadolescents with substance use.\\n\",\"PeriodicalId\":43326,\"journal\":{\"name\":\"Adolescent Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2024-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescent Psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/0122106766304121240718112939\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/0122106766304121240718112939","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
Adolescent Substance Use, and Related Emergency Room Visits, and Continuum of Care
Adolescence is a unique developmental period marked by
biophysiological changes and psychosocial exploration. Risk-taking behaviors,
including experimentation with psychoactive substances, are common during this
period. Emergency room (ER) visits for adverse events related to adolescent
substance use have increased over the last two decades. Without a continuum of care
from the ER, significant opportunities to intervene are missed. The narrative review
article aims to provide an overview of substance use during Adolescence in the
United States, highlight related ER visits, and discuss extending care beyond the ER.
A literature review was conducted to reveal historical and recent studies related to
adolescent substance use trends, morbidity, and mortality patterns, as well as the
much-needed continuum of care after the ER. Our approach prioritized capturing
diverse perspectives and significant studies relevant to these themes, aiming for a
thorough discussion without strict adherence to systematic review methodologies.
The selection of studies involved a comprehensive search across multiple databases,
including PubMed, Google Scholar, and relevant academic journals. Search terms
were tailored to capture studies addressing adolescent substance abuse, ER visitation,
and aftercare. Studies were screened based on title, abstract, and full-text review,
with a focus on relevance and significance to the review's objectives. The strategy for
this narrative review facilitated a detailed exploration of the selected themes while
also allowing for flexibility in study selection and interpretation. National studies
indicate an overall decline in the proportions of adolescents using substances
compared to pre-COVID-19 levels. However, morbidity and mortality patterns have
not mirrored this decline. Various factors, including gender, location, and specific
mental health disorders, are associated with adolescent substance use presentations.
Acute care providers in emergency settings, employing protocols like SBIRT, can
significantly impact outcomes by facilitating appropriate screening and referral to
aftercare treatment programs. Identification of barriers to care, such as stigma and
social determinants of health, is important in formulating tailored interventions.
While acute care provides an opportunity to intervene and initiate treatment, a
continuum of care is essential to reduce morbidity and mortality patterns among
adolescents with substance use.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.