Adolescent Behavioral Risk Screening and Use of Health Services

  • Deena J. ChisolmEmail author
  • Jennifer Klima
  • William Gardner
  • Kelly J. Kelleher
Original Paper


This study assessed whether primary care based computerized screening for substance use, mental health issues and suicidal thoughts affects subsequent use of medical and behavioral health care services in adolescents. Administrative claims data were used to determine service use 6 months after a visit where screening could have occurred. Controlling for previous service use, screened youths were more likely to have post screening use than those not screened. Among the screened patients, medical service use did not differ by screening result. However, behavioral service use was higher for screened youths who screened positive for depression or suicidal thoughts.


Adolescence Substance use Mental health Screening Service utilization 



This research was supported by the National Institute of Drug Abuse (DA018943-01 and DA 018943-02S1; PI: Kelleher). We would like to thank the entire TARAA research team for their contributions to this work.


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Deena J. Chisolm
    • 1
    • 2
    • 3
    Email author
  • Jennifer Klima
    • 2
  • William Gardner
    • 2
    • 4
  • Kelly J. Kelleher
    • 5
    • 6
  1. 1.Department of Pediatrics and Public HealthThe Ohio State UniversityColumbusUSA
  2. 2.The Research Institute at Nationwide Children’s HospitalColumbusUSA
  3. 3.ColumbusUSA
  4. 4.Department of Pediatrics, Psychology, & PsychiatryThe Ohio State UniversityColumbusUSA
  5. 5.Department of Pediatrics, Psychiatry, and Public HealthThe Ohio State UniversityColumbusUSA
  6. 6.Center for Innovation in Pediatric PracticeThe Research Institute at Nationwide Children’s HospitalColumbusUSA

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