SBIRT for adolescent drug and alcohol use: Current status and future directions

Mitchell, Shannon Gwin; Gryczynski, Jan; O'Grady, Kevin E.; Schwartz, Robert P.

doi:10.1016/j.jsat.2012.11.005

Cited by 185Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentSmoking Behavior and Cessation

SBIRT for adolescent drug and alcohol use: Current status and future directions

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Mitchell, Shannon Gwin, Gryczynski, Jan, O'Grady, Kevin E., Schwartz, Robert P.·2013·Journal of Substance Abuse Treatment

DOI 10.1016/j.jsat.2012.11.005PMC PMC3602212

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Abstract

Adolescence is a period of rapid biological, psychological, and social development in the human life cycle. Drug and alcohol misuse during this critical period poses substantial problems for individual and public health, yet is highly prevalent in the United States and elsewhere. The screening, brief interventions, and referral to treatment (SBIRT) model may be well-suited for identifying and intervening with adolescents who are at-risk of developing substance use disorders and those adolescents whose substance use puts them at risk for injury or illness. This article reviews the literature on SBIRT for adolescent populations, focusing on findings from randomized controlled trials. The limited evidence suggests that brief interventions may be effective with adolescents, but a number of gaps in the literature were identified. Considerations for implementing SBIRT with adolescent populations are discussed. Randomized trials are needed that have adequate statistical power, employ longer-term follow-ups, and test the effectiveness of SBIRT for adolescents in various service delivery settings.

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Prior reviews have not provided enough evidence to determine whether brief alcohol interventions increase later treatment use.
“Overall, reviews have produced insufficient evidence to evaluate whether or not brief alcohol interventions actually increase subsequent treatment utilization.”
From Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials: SBI and referral to treatment (2015) · cites this paper as [28]
Prior reviews have evaluated SBI evidence separately by age, clinical setting, and alcohol use severity.
“The evidence for SBI has been evaluated separately in several reviews based on other study characteristics, such as age (adolescent versus adult) (28,36), clinical setting (37,38), and alcohol use severity (30), which we also considered in subgroup analyses.”
From Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials: SBI and referral to treatment (2015) · cites this paper as [28]

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Authors: Mitchell, S. G., Gryczynski, J., O'Grady, K. E., & Schwartz, R. P.
Affiliations: Friends Research Institute (US)
Corresponding author: Mitchell, Shannon Gwin
ORCID: Mitchell, Shannon Gwin
Gryczynski, Jan
Schwartz, Robert P.
Venue: Journal of Substance Abuse Treatment
Publisher: Elsevier BV
Published: 2013-05
Volume: 44
Issue: 5
Pages: 463-472
ISSN: 0740-5472 (ISSN-L)
DOI: 10.1016/j.jsat.2012.11.005
PMC: PMC3602212
OpenAlex: W2092571416
Cited by: 185
References: 72
Citations by year: 2026: 6 · 2025: 8 · 2024: 13 · 2023: 6 · 2022: 10 · 2021: 12 · 2020: 17 · 2019: 19 · 2018: 22 · 2017: 16 · 2016: 29 · 2015: 8 · 2014: 13 · 2013: 6
FWCI: 2.21
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Substance Abuse Treatment (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01DA026003)
Center for Substance Abuse Treatment
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords: SBIRT, adolescent substance use, adolescent alcohol use, adolescent drug use, brief intervention, substance use disorders, randomized controlled trials, implementation
MeSH terms: Adolescent, Alcohol Drinking, Humans, Mass Screening, Psychotherapy, Brief, Public Health, Risk, United States, Randomized Controlled Trials as Topic, Substance-Related Disorders, Alcohol-Related Disorders

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SBIRT for adolescent drug and alcohol use: Current status and future directions

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