Many primary care providers do not feel comfortable with screening adolescents for the use of drugs and alcohol. They do not feel as if they have the time, the right assessment tools, or the proper training to adequately detect
Many primary care providers do not feel comfortable with screening adolescents for the use of drugs and alcohol. They do not feel as if they have the time, the right assessment tools, or the proper training to adequately detect and intervene in adolescent alcohol and substance abuse problems. However, primary care providers are those who are most likely to influence adolescence substance abuse. In addition, primary care providers must offer the anticipatory guidance that is needed for patients, parents, and caregivers. An easy way to screen adolescents for psychosocial problems is to use the HEADSS mnemonic. The CRAFFT screening tool is used specifically for alcohol and drugs. It is a series of questions designed to screen adolescents at high risk for alcohol and other drug use disorders.
Tasks:
Review the tool and then choose one of the following scenarios to discuss:
Peter is in the twelfth grade. He scored a 6 on the CRAFFT. During the interview, you learn that he drinks five or more beers on Fridays and Saturdays and smokes marijuana several times a day. You also learn that he stopped drinking after being arrested for drinking in a parked car. However, he does not have any intention of stopping marijuana. He does not believe that marijuana is addictive and believes that he can quit at any time. Ralph, Peter’s mother, is sitting in the waiting room. What counseling, interventions, and follow-up will you suggest to Ralph?
Phillip is sixteen years old. He comes to the office with his mother and father. Phillip’s CRAFFT score is 6. When speaking with Phillip, he says that he has agreed to allow his parents to bring him in to see someone as long as he can go in the room by himself and his parents will not find out anything that he says. Phillip admits to you that his drug problem is out of control and that he has started injecting. Discuss confidentiality and safety and your obligations as a provider.
Jade is fifteen years old and answered “no” to all the three opening questions. Jade then answered “no” to the CAR question. How would you conduct the rest of your visit with Jade?
Jade’s mother would like to know how she should talk to her daughter about drugs, alcohol, and peer pressure. How would you respond?
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
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