Adolescent Behavioral Risk Screening and Use of Health Services
- 386 Downloads
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.
KeywordsAdolescence 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.
- Chevarley, F. M. (2001). Statistical brief #12: Children’s access to necessary health care, fall 2001. Rockville, MD: Agency for Health Care Quality and Research.Google Scholar
- Green, M., & Palfrey, J. (Eds.). (2002). Bright futures: Guidelines for health supervision of infants, children, and adolescents (2nd ed.). Arlington, VA: National Center for Education in Maternal and Child Health.Google Scholar
- Meyers, K., McLellan, A. T., Jaeger, J. L., & Pettinati, H. M. (1995). The development of the comprehensive addiction severity index for adolescents (CASI-A). An interview for assessing multiple problems of adolescents. Journal of Substance Abuse Treatment, 12(3), 181–193.CrossRefPubMedGoogle Scholar
- Rhodes, K., Lauderdale, D., Stocking, C., Howes, D., Roizen, M., & Levinson, W. (2001). Better health while you wait: A controlled trial of a computer based intervention for screening and health promotion in the emergency department. Annals of Emergency Medicine, 37(3), 284–291.CrossRefGoogle Scholar
- Rogers, W. H. (1993). Regression standard errors in cluster samples. Stata Technical Bulletin, 13, 19–23.Google Scholar
- US Department of Health, Human Services. (1999). Mental health: A report of the surgeon general chapter 3 children and mental health. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.Google Scholar
- US Public Health Service. (2000). Report of the surgeon general’s conference on children’s mental health: A national agenda. Washington, DC: Department of Health and Human Services.Google Scholar
- Woodwell, D., & Cherry, D. (2004). National ambulatory medical care survey: 2002 summary. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar