Cannabis use disorder treatment use and perceived treatment need in the United States: Time trends and age differences between 2002 and 2019

Daily cannabis use, cannabis use disorder, and any medical cannabis use among US adults: Associations within racial, ethnic, and sexual minoritized identities in a changing policy context

“…Future studies could extend our findings to assess reasons for use, including potential pain and other co-occurring health indications, that could further inform clinical encounters. In addition, findings were observed in the context of decreasing CUD treatment trends across age groups ( Askari et al, 2021 ) and higher perceived need for substance use disorder treatment more among sexual minoritized adults, particularly bisexual women ( Krasnova et al, 2021 ). However, less than one in five specialty substance use treatment facilities reported specific programs designed for people who identified as lesbian, gay, bisexual, or transgender in 2016 ( Williams and Fish, 2020 ).…”

“…Daily/near-daily cannabis use (“daily cannabis”) was defined as reporting at least 300 days of cannabis use in the past year. Past-year CUD was operationalized as a binary (yes/no) variable that served as a DSM-5 proxy for CUD, created using DSM-IV criteria for CUD except craving, as done previously ( Compton et al, 2019 , Levy et al, 2021 , Askari et al, 2021 ).…”

“…While many individuals may use cannabis without negative health consequences, daily cannabis use and medical cannabis use are associated with cannabis use disorder (CUD) ( Compton et al, 2009 , Han et al, 2018 ). In addition, CUD is associated with co-occurring substance use and psychiatric disorders ( Hasin et al, 2016 ), but treatment among people with CUD is decreasing ( Askari et al, 2021 ). Negative outcomes related to cannabis use are often concentrated among marginalized groups, including racial, ethnic and sexual minoritized (e.g., lesbian/gay or bisexual) groups.…”

Barriers to Implementing a Cannabis Focused SBIRT in Adolescent Primary Care

“…Despite the rapidly evolving changes to cannabis use treatment utilization, decreasing perceptions of cannabis related risks and harm, and increasing acceptance of cannabis use in the general population 3 , 4 , 13 little attention has been given to primary care providers’ view of adolescent cannabis use and their perceived need for treatments that address this issue. One study from France found that general practitioners working with adolescents were largely ambivalent to their patient’s cannabis use 14 and similar provider ambivalence has been found among obstetricians’ views of their patient’s perinatal cannabis use 15 suggesting that, like the general population, health care providers’ perceptions of cannabis use may be becoming more accepting.…”

“… 1 , 2 These shifting norms and attitudes toward cannabis have been identified as an underlying cause of increases in adolescent cannabis use 2 and the decreasing cannabis disorder treatment utilization and perceived treatment need during the past decade. 3 Pediatric medical providers can play an important role in the prevention of adolescent cannabis use since substance use during adolescence has been linked to altered brain development, heightened risk behaviors, and increased likelihood of developing later substance use disorders. 4 , 5 The American Academy of Pediatrics recommends that pediatric providers screen for alcohol, tobacco, and other drugs, including cannabis, during adolescent well visits.…”