Screening for Substance Use and Associated Medical Conditions

  • Jesse W. Schram
  • Patricia C. F. SchramEmail author
  • John R. Knight


Early onset of substance use leads to a higher risk of developing psychosocial problems and a lifelong substance use disorder, which makes screening, prevention, and early intervention instrumental in moderating potential harm. Substance use can be viewed along a continuum from experimentation to problematic substance use and to mild, moderate, and severe substance use disorders. Nonmedical use of prescription medications also operates under a similar continuum and is particularly relevant to the adolescent age group since prescription medications may be more available to young people in some settings than are other substances. This chapter discusses key revisions from the DSM-IV to the DSM-5 and briefly explains how shifts in the diagnostic process impact the implementation of various screening tools. Evidence-based screening instruments are presented and described in detail. Additional health screening recommendations are outlined due to the high-risk behaviors associated with substance use.


Adolescent Substance use Substance use screening DSM-5 CRAFFT S2BI 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jesse W. Schram
    • 1
  • Patricia C. F. Schram
    • 2
    • 3
    Email author
  • John R. Knight
    • 3
    • 4
  1. 1.Department of Social Work, Adolescent Substance Use and Addiction ProgramBoston Children’s HospitalBostonUSA
  2. 2.Department of MedicineBoston Children’s HospitalBostonUSA
  3. 3.Department of PediatricsHarvard Medical SchoolBostonUSA
  4. 4.Department of Medicine and PsychiatryBoston Children’s HospitalBostonUSA

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