Adolescent treatment outcomes for comorbid depression and substance misuse: A systematic review and synthesis of the literature

Babowitch, Jacklyn D.; Antshel, Kevin M.

doi:10.1016/j.jad.2016.04.018

Cited by 23 publications

(16 citation statements)

References 40 publications

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“…Screening, brief intervention and referral to treatment (SBIRT) refers to systematic screening for substance use risk using evidence-based instruments, a brief patient-centered intervention, and referral to specialty treatment if needed. Numerous health and medical organizations have endorsed SBIRT [4, 5], and the literature on brief, integrated behavioral healthcare for adolescents, including SBIRT, includes evidence of effectiveness [6–8].…”

Section: Introductionmentioning

confidence: 99%

Pediatrician and Behavioral Clinician-Delivered Screening, Brief Intervention and Referral to Treatment: Substance Use and Depression Outcomes

Sterling¹,

Kline-Simon²,

Weisner³

et al. 2018

Journal of Adolescent Health

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Section: Introductionmentioning

confidence: 99%

Pediatrician and Behavioral Clinician-Delivered Screening, Brief Intervention and Referral to Treatment: Substance Use and Depression Outcomes

Sterling¹,

Kline-Simon²,

Weisner³

et al. 2018

Journal of Adolescent Health

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“…The findings are encouraging because, if untreated, the complex population of adolescents with co-occurring substance use and mood symptoms with poor prognoses have a higher likelihood of developing other comorbidities. [31][32][33] Integrated behavioral health services like SBIRT may help prevent the escalation of substance disorders in later adolescence and young adulthood. That medical comorbidities did not differ across study arms over the course of the study supports the likelihood that reductions in substance and mental health diagnoses were related to access to SBIRT.…”

Section: Discussionmentioning

confidence: 99%

Three-Year Outcomes After Brief Treatment of Substance Use and Mood Symptoms

et al. 2021

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BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) for adolescents exhibiting co-occurring substance use and mental health problems may improve outcomes and have long-lasting effects. This study examined the relationship between access to SBIRT and substance use, depression and medical diagnoses, and health services use at 1 and 3 years postscreening for such adolescents. METHODS:The study draws from a cluster-randomized trial comparing SBIRT to usual care (UC) for adolescents endorsing past-year substance use and recent mood symptoms during visits to a general pediatrics clinic between November 1, 2011, and October 31, 2013, in a large, integrated health system (N = 1851); this sample examined the subset of adolescents endorsing both problems (n = 289). Outcomes included depression, substance use and medical diagnoses, and emergency department and outpatient visits 1 and 3 years later. RESULTS:The SBIRT group had lower odds of depression diagnoses at 1 (odds ratio [OR] = 0.31; confidence interval [CI] = 0.11-0.87) and 3 years (OR = 0.51; CI = 0.28-0.94) compared with the UC group. At 3 years, the SBIRT group had lower odds of a substance use diagnosis (OR = 0.46; CI = 0.23-0.92), and fewer emergency department visits (rate ratio = 0.65; CI = 0.44-0.97) than UC group. CONCLUSIONS:The findings suggest that SBIRT may prevent health complications and avert costly services use among adolescents with both mental health and substance use problems. As SBIRT is implemented widely in pediatric primary care, training pediatricians to discuss substance use and mental health problems can translate to positive outcomes for these vulnerable adolescents.WHAT'S KNOWN ON THIS SUBJECT: Research suggests that screening, brief intervention, and referral to treatment (SBIRT) for adolescent substance use problems may improve patient outcomes. We examine SBIRT' s benefits among adolescents in primary care with co-occurring substance use and mood symptoms.WHAT THIS STUDY ADDS: Adolescents with access to SBIRT had improved substance use and depression outcomes and fewer emergency department visits at 3 years. Providing SBIRT in pediatric primary care may benefit adolescents with co-occurring substance use and mood symptoms.

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“…Equally important is the attitude in the community toward treatment for mental illness. Motivation enhancement therapy strategies can be effective in encouraging adolescents to engage in treatment plans (Babowitch & Antshel, 2016) and may be necessary for those who, like Daniel, resist such support.…”

Section: Discussionmentioning

confidence: 99%

A Psychological Autopsy of an Intellectually Gifted Student With Attention Deficit Disorder

Cross¹,

Cross²,

Dudnytska

et al. 2020

Roeper Review

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A psychological autopsy of an18-year-old male with dual exceptionalities contributes to our understanding of suicide among students with gifts and talents. Using four theories and models of suicide and research on the lived experience of students with gifts and talents, a comprehensive analysis of this adolescent's life offers implications for future suicide prevention among these students. Schools that are unprepared for exceptional students (gifted and/or 2e) may contribute to students' distress. Professional development and adequate resources focused on the unique needs of exceptional students will promote a responsive environment for students' positive psychosocial development. Parents, educators and counselors need information and strategies for responding to community members in distress. Such knowledge can foster the necessary positive attitudes toward evidence-based treatment for conditions that affect wellbeing. The importance of limiting access to lethal means among persons in distress cannot be overstated.

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Adolescent treatment outcomes for comorbid depression and substance misuse: A systematic review and synthesis of the literature

Cited by 23 publications

References 40 publications

Pediatrician and Behavioral Clinician-Delivered Screening, Brief Intervention and Referral to Treatment: Substance Use and Depression Outcomes

Pediatrician and Behavioral Clinician-Delivered Screening, Brief Intervention and Referral to Treatment: Substance Use and Depression Outcomes

Three-Year Outcomes After Brief Treatment of Substance Use and Mood Symptoms

A Psychological Autopsy of an Intellectually Gifted Student With Attention Deficit Disorder

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