Screening for Youth Alcohol and Drug Use: A Study of Primary Care Providers

NCT02408952

NAINTERVENTIONAL

Kaiser Permanente

9,084 participants

Started 2011-10 · Completed 2025-12-31

Status: Active Not Recruiting (as of 12-23-2025)

Conditions

Substance Related Disorders

Interventions

BEHAVIORAL: Primary Care Physician BEHAVIORAL: Behavioral Medicine Specialist

Linked Papers (from SciSciNet-V2)

Total Papers126

Background

26

Result

0

Derived

0

Unknown

100

View on ClinicalTrials.gov

Total Citations Per Year

Brief Summary

This study evaluates the implementation and effectiveness of two modalities of Screening, Brief Intervention and Referral to Treatment (SBIRT) to reduce adolescent alcohol and other drug (AOD) use in a large pediatrics clinic.

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Background Papers50

Book: Crossing the Quality Chasm: A New Health System for the 21st Century

10,857 citations

Developmental Neurocircuitry of Motivation in Adolescence: A Critical Period of Addiction Vulnerability

1,634 citations

Developmental Neurocircuitry of Motivation in Adolescence: A Critical Period of Addiction Vulnerability

1,634 citations

What Is an Intracluster Correlation Coefficient? Crucial Concepts for Primary Care Researchers

What Is an Intracluster Correlation Coefficient? Crucial Concepts for Primary Care Researchers

Brief Intervention for Heavy-Drinking College Students: 4-Year Follow-Up and Natural History

Brief Intervention for Heavy-Drinking College Students: 4-Year Follow-Up and Natural History

Adolescent Brain Development and the Risk for Alcohol and Other Drug Problems

Adolescent Brain Development and the Risk for Alcohol and Other Drug Problems

Integrating Primary Medical Care With Addiction Treatment

Integrating Primary Medical Care With Addiction Treatment

Transitions Into Underage and Problem Drinking: Developmental Processes and Mechanisms Between 10 and 15 Years of Age

Transitions Into Underage and Problem Drinking: Developmental Processes and Mechanisms Between 10 and 15 Years of Age

Screening and intervention for alcohol problems

Screening and intervention for alcohol problems

Discussion of Sensitive Health Topics with Youth During Primary Care Visits: Relationship to Youth Perceptions of Care

Brief physician and nurse practitioner-delivered counseling for high-risk drinking

Brief physician and nurse practitioner-delivered counseling for high-risk drinking

Professional Satisfaction Experienced When Caring for Substance-abusing Patients. Faculty and Resident Physician Perspectives

Professional Satisfaction Experienced When Caring for Substance-abusing Patients. Faculty and Resident Physician Perspectives

Treatment Intensification and Risk Factor Control

Treatment Intensification and Risk Factor Control

Effect of Primary Health Care Orientation on Chronic Care Management

Access to Treatment for Adolescents With Substance Use and Co-Occurring Disorders: Challenges and Opportunities

Effect of Primary Health Care Orientation on Chronic Care Management

Access to Treatment for Adolescents With Substance Use and Co-Occurring Disorders: Challenges and Opportunities

Brief Intervention for Substance Use among At-Risk Adolescents: A Pilot Study

Brief Intervention for Substance Use among At-Risk Adolescents: A Pilot Study

The role of medical conditions and primary care services in 5-year substance use outcomes among chemical dependency treatment patients

Drinking social norms and drinking behaviours: a multilevel analysis of 137 workgroups in 16 worksites

Drinking social norms and drinking behaviours: a multilevel analysis of 137 workgroups in 16 worksites

The role of medical conditions and primary care services in 5-year substance use outcomes among chemical dependency treatment patients

Medical Conditions of Adolescents in Alcohol and Drug Treatment: Comparison with Matched Controls

Medical Conditions of Adolescents in Alcohol and Drug Treatment: Comparison with Matched Controls

Screening for adolescent smoking among primary care physicians in California.

Screening for adolescent smoking among primary care physicians in California.

Screening and Brief Intervention for Underage Drinkers

Screening and Brief Intervention for Underage Drinkers

Nine-Year Psychiatric Trajectories and Substance Use Outcomes

Nine-Year Psychiatric Trajectories and Substance Use Outcomes

Conducting economic evaluations of screening and brief intervention for hazardous drinking: Methods and evidence to date for informing policy

Conducting economic evaluations of screening and brief intervention for hazardous drinking: Methods and evidence to date for informing policy

Reactions to a Concept for Physician Intervention in Adolescent Alcohol Use

Reactions to a Concept for Physician Intervention in Adolescent Alcohol Use

Three‐Year Chemical Dependency and Mental Health Treatment Outcomes Among Adolescents: The Role of Continuing Care

Three‐Year Chemical Dependency and Mental Health Treatment Outcomes Among Adolescents: The Role of Continuing Care

Substance Use, Education, Employment, and Criminal Activity Outcomes of Adolescents in Outpatient Chemical Dependency Programs

Substance Use, Education, Employment, and Criminal Activity Outcomes of Adolescents in Outpatient Chemical Dependency Programs

Self-initiated tobacco cessation and substance use outcomes among adolescents entering substance use treatment in a managed care organization

Self-initiated tobacco cessation and substance use outcomes among adolescents entering substance use treatment in a managed care organization

Result Papers0

No result papers linked

Derived Papers0

No derived papers linked

Unknown Papers100

Why Don't Physicians Follow Clinical Practice Guidelines?

6,371 citations

Incidence of Parkinson's Disease: Variation by Age, Gender, and Race/Ethnicity

1,633 citations

Brief interventions for alcohol problems: a review

1,625 citations

Guidelines for prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: Recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America

1,277 citations

Screening and brief intervention for high-risk college student drinkers: Results from a 2-year follow-up assessment.

Assessing competence in the use of motivational interviewing

Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients

Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department.

Reduction of Alcohol Consumption by Brief Alcohol Intervention in Primary Care

Neurocognitive Functioning of Adolescents: Effects of Protracted Alcohol Use

Effects of a brief motivational intervention with college student drinkers.

Efficacy of Nurse Telehealth Care and Peer Support in Augmenting Treatment of Depression in Primary Care

The efficacy of single‐session motivational interviewing in reducing drug consumption and perceptions of drug‐related risk and harm among young people: results from a multi‐site cluster randomized trial

Evaluating a brief alcohol intervention with fraternities.

Preventive Care in the Emergency Department: Screening and Brief Intervention for Alcohol Problems in the Emergency Department: A Systematic Review

Why Physicians Are Unprepared to Treat Patients Who Have Alcohol- and Drug-related Disorders

Drinking motives predict alcohol-related problems in college students.

A randomized clinical trial of a brief motivational intervention for alcohol-positive adolescents treated in an emergency department

Brief Physician- and Nurse Practitioner–Delivered Counseling for High-Risk Drinkers

Brief motivational interviewing for teens at risk of substance use consequences: A randomized pilot study in a primary care clinic

Predictors of Substance Abuse Treatment Retention Among Women and Men in an HMO

Medical and Psychiatric Conditions of Alcohol and Drug Treatment Patients in an HMO

Relative efficacy of a brief motivational intervention for college student drinkers.

Delivering quality care: adolescents’ discussion of health risks with their providers

Influences on adolescent substance dependence: conduct disorder, depression, attention deficit hyperactivity disorder, and gender1Portions of this paper were previously presented at the annual meetings of the College on Problems of Drug Dependence (Scottsdale, AZ, 1995) and the Research Society on Alcoholism (Maui, HI, June, 1994 and Steamboat Springs, CO, June, 1995).1

Interventions for prevention of drug use by young people delivered in non-school settings

Culturally sensitive substance abuse intervention for Hispanic and African American adolescents: empirical examples from the Alcohol Treatment Targeting Adolescents in Need (ATTAIN) Project

The development of the comprehensive addiction severity index for adolescents (CASI-A)

Substance Use Problems and Associated Psychiatric Symptoms Among Adolescents in Primary Care

Short-term effects of a brief motivational intervention to reduce alcohol and drug risk among homeless adolescents.

Alcohol screening and brief intervention in primary care settings: implementation models and predictors.

Self-report of delivery of clinical preventive services by U.S. physicians Comparing specialty, gender, age, setting of practice, and area of practice

Are Clinical Impressions of Adolescent Substance Use Accurate?

Primary care physicians' views on screening and management of alcohol abuse: inconsistencies with national guidelines.

Hazardous Drinkers and Drug Users in HMO Primary Care: Prevalence, Medical Conditions, and Costs

Cannabis use and psychiatric and cogitive disorders: the chicken or the egg?

Association of outpatient alcohol and drug treatment with health care utilization and cost: revisiting the offset hypothesis.

BRIEF INTERVENTIONS FOR AT-RISK DRINKING: PATIENT OUTCOMES AND COST-EFFECTIVENESS IN MANAGED CARE ORGANIZATIONS

Provider self-efficacy and the screening of adolescents for risky health behaviors

The outcome and cost of alcohol and drug treatment in an HMO: day hospital versus traditional outpatient regimens.

National Health Spending Projections: The Estimated Impact Of Reform Through 2019

Assessing Health System Provision of Adolescent Preventive Services: The Young Adult Health Care Survey

Reducing alcohol consumption. Comparing three brief methods in family practice.

Utilization and Cost Impact of Integrating Substance Abuse Treatment and Primary Care

Screening and Intervention for Illicit Drug Abuse

Physiciansʼ assessment of deficiencies and desire for training in adolescent care

A Motivational Intervention for Adolescent Smokers

Use of Brief Interventions for Drug Abusing Teenagers Within a Middle and High School Setting

Missed Opportunities in Addressing Drinking Behavior in Medical and Mental Health Services

Dissemination of effectiveness and outcomes research

The role of community services and informal support on five-year drinking trajectories of alcohol dependent and problem drinkers.

Alcohol Screening, Brief Intervention, and Referral in the Emergency Department: An Implementation Study

The Adolescent Cannabis Check-Up: Feasibility of a brief intervention for young cannabis users

Integrating Screening and Interventions for Unhealthy Behaviors into Primary Care Practices

Primary Care Clinicians' Use of Standardized Tools to Assess Child Psychosocial Problems

Adolescent Medicine Training in Pediatric Residency Programs: Are We Doing a Good Job?

Use of Alcohol Screening and Brief Interventions in Primary Care Settings

Patient factors influencing variation in the use of preventive interventions for alcohol abuse by primary care physicians.

Chemical Dependency and Psychiatric Services for Adolescents in Private Managed Care: Implications for Outcomes

Prevalence of Positive Substance Abuse Screen Results Among Adolescent Primary Care Patients

Nurse-delivered brief interventions for hazardous drinkers with alcohol-related facial trauma: A prospective randomised controlled trial

Primary care physicians’ screening of adolescent patients: a survey of California physicians

Randomizing patients by family practice: sample size estimation, intracluster correlation and data analysis

Challenges Applying Alcohol Brief Intervention in Diverse Practice Settings: Populations, Outcomes, and Costs

Patients' substance abuse and the primary care physician: Patterns of practice

Strategies to increase alcohol screening in health care settings.

Family Environment Factors and Substance Abuse Severity in an HMO Adolescent Treatment Population

Rethinking Access to Alcohol Treatment

Can it be done? Implementing adolescent clinical preventive services.

Adolescents at risk for substance use disorders: role of psychological dysregulation, endophenotypes, and environmental influences.

Five-year trajectories of health care utilization and cost in a drug and alcohol treatment sample

Motivational interviewing for adolescent substance use: A pilot study

Cluster versus individual randomization in adolescent tobacco and alcohol studies: illustrations for design decisions

Emergency department-based intervention with adolescent substance users: 12-month outcomes

Office-based intervention for adolescent substance abuse

Adolescents' Access to Health Services and Clinical Preventive Health Care: Crossing the Great Divide

Shortchanging adolescents: room for improvement in preventive care by physicians.

An Assessment of Hospital Care for the Alcoholic Patient

Evaluation of substance-abusing adolescents by primary care physicians

Child Sex Differences in Primary Care Clinicians' Mental Health Care of Children and Adolescents

Brief Intervention for Students with Methamphetamine Use Disorders: A Randomized Controlled Trial

Identification and Brief Treatment of Alcohol Problems with Medical Patients: An International Perspective

Readiness to change problematic drinking assessed in the emergency department as a predictor of change

Pathways to Chemical Dependency Treatment for Adolescents in an HMO

The Role of the Primary Care Provider in Preventing and Treating Alcohol Problems in Adolescents

Adolescents in private chemical dependency programs: who are most at risk for HIV?

Involving Health Care Workers in Screening for Alcohol Problems

Clinical Evaluation of Substance Abuse

Adolescents with Co‐Occurring Substance Use and Mental Conditions in a Private Managed Care Health Plan: Prevalence, Patient Characteristics and Treatment Initiation and Engagement

A case report: implementing a nurse telecare program for treating depression in primary care.

Health Care Services Use by Adolescents with Intakes into an Outpatient Alcohol and Drug Treatment Program

Training High School Counselors on the Use of Motivational Interviewing to Screen for Substance Abuse

Adolescents with Substance Diagnoses in an HMO: Factors Associated with Medical Provider Referrals to Substance Abuse and Mental Health Treatment

The Views of Health and Social Service Professionals Regarding Alcohol Problems and Their Treatment^*

Addiction Treatment History, Medical Services Utilization, and Cost

Confidentiality in an Age of Managed Care: Can It Exist?

[Brief intervention for smoking, problem drinking and drug abuse by high school students].

Discussion of Sensitive Health Topics with Youth During Primary Care Visits Relationship to Youth Perceptions of Care