Principles of Care for Young Adults With Substance Use Disorders
- PMID: 33386322
- PMCID: PMC7942818
- DOI: 10.1542/peds.2020-023523B
Principles of Care for Young Adults With Substance Use Disorders
Abstract
Despite the disproportionate impact of substance use on young adults, as well as their unique developmental circumstances, there has historically been little attention given to the substance use care needs of this population. As a result, there are currently few evidence-based recommendations to guide clinicians in caring for young adults with substance use disorders. The Grayken Center for Addiction Medicine at Boston Medical Center convened an interdisciplinary meeting of experts to establish principles of care to guide the management of young adults with substance use disorders, to help health care organizations establish effective care systems for these patients, and to help guide policy. In this article, we review the care principles and introduce a series of linked articles that go into further details of principles in the domains of evidence-based substance use treatment, family engagement in care, recovery support services, comorbid psychiatric illness, harm reduction, and criminal justice system reform.
Copyright © 2021 by the American Academy of Pediatrics.
Conflict of interest statement
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
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References
-
- Schulenberg JE, Johnston LD, O’Malley PM, Bachman JG, Miech RA, Patrick ME. Monitoring the Future National Survey Results on Drug Use, 1975–2017. Volume II, College Students & Adults Ages 19–55. Institute for Social Research; 2018. Accessed July 1, 2020. https://eric.ed.gov/?id=ED589764
-
- Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health. Published online 2017. Accessed June 20, 2020. https://www.samhsa.gov/data/
-
- Substance Abuse and Mental Health Services Administration C for BHS and Q. Treatment Episode Data Set (TEDS) 2003 – 2013. Published online 2015:131.
-
- Centers for Disease Control and Prevention. Vital Signs: Demographic and Substance Use Trends Among Heroin Users — United States, 2002–2013. Published online 2015. Accessed May 22, 2020. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm64e0707a1.htm
-
- Centers for Disease Control and Prevention. HIV/AIDS, Statistics Overview. Published online 2020. Accessed May 15, 2020. http://www.cdc.gov/hiv/statistics/basics/.
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