Screening and Brief Advice to Reduce Adolescents' Risk of Riding With Substance-Using Drivers.

Objective: Alcohol- and drug-related car crashes are a leading cause of death for adolescents in the United States. This analysis tested the effects of a computer-facilitated Screening and Brief Advice (cSBA) system for primary care on adolescents' reports of driving after drinking or drug use (driving) and riding with substance-using drivers (riding).

Method: Twelve- to 18-year-old patients (N = 2,096) at nine New England pediatric offices completed assessments only during the initial 18-month treatment-as-usual (TAU) phase.

Computer-facilitated substance use screening and brief advice for teens in primary care: an international trial.

Objective: Primary care providers need effective strategies for substance use screening and brief counseling of adolescents. We examined the effects of a new computer-facilitated screening and provider brief advice (cSBA) system.

Methods: We used a quasi-experimental, asynchronous study design in which each site served as its own control.

Primary care follow-up plans for adolescents with substance use problems.

Objective: Primary care visits provide an opportunity to screen adolescents for substance use and offer early intervention, but little is known about follow-up plans. The objective of this study was to determine recommendations by PCPs and assess the relationship between their diagnostic impressions of substance use severity and plans for intervention.

Methods: Data were collected through a prospective observational study conducted at 7 primary care practices in New England.

Adolescents' preference for substance abuse screening in primary care practice.

Objective: To assess adolescents' preferences for substance abuse screening in primary medical care settings.

Design/methods: Twelve- to 18-year-old patients (N = 2133) arriving for routine care at a network of primary care sites completed an interview that included demographic items, the CRAFFT screen, and a questionnaire assessing preferences for screening method (paper questionnaire, computer, oral interview by nurse or doctor). A subgroup (n = 222) completed the CRAFFT directly on the computer.

Prevalence of positive substance abuse screen results among adolescent primary care patients.

Objectives: To measure the prevalence of positive substance use screen results among adolescent primary care patients and to estimate the prevalence of substance-related problems and disorders.

Design: Cross-sectional survey.

Setting: A network of primary care practices in New England.

The "Six T's": barriers to screening teens for substance abuse in primary care.

Purpose: To identify barriers to adolescent substance abuse screening in primary care.

Methods: Focus groups were held at six primary care sites with a total of 38 providers. Providers brainstormed a list of barriers, collectively grouped similar barriers, and voted to produce a final ranked list.

Principles and core functions of integrated child health information systems.

Infants undergo a series of preventive and therapeutic health interventions and activities. Typically, each activity includes collection and submission of data to a dedicated information system. Subsequently, health care providers, families, and health programs must query each information system to determine the child's status in a given area.