Larsen: Drug Use Under Age 18 Flashcards
Understand why teens use drugs
They want to fit in (cool peers)
They want to be less inhibited (more fun, sex, friends, etc.)
They’re bored (something to do that’s cheap and available)
Life sucks – they’re angry, jealous, sad, abused, neglected, tired, afraid, etc…
What two drugs can kids chug to get high?
Robitussin
Coricidin cough & cold
What is happening to the rate of drug use in the country?
It is going down
What percentage of high school seniors have used marijuana?
35%
When are kids more likely to use drugs?
ages 18-25
What is the most common test for urine drug screening?
immunoassay
What is the most common confirmatory test for urine drug screening?
gas chromatography-mass spectrometry
Why get a confirmatory test for drug screens?
lots of false positives!
**when taking Rx drugs, these can sometimes cause false positives for illicit drugs
This is a screening tool for adolescent substance abuse
CRAFFT
Have you ever ridden in a car w/ someone who was drinking?
Ever used alcohol to relax?
Do you ever use alcohol when you are alone?
Do you forget things while using alcohol or drugs?
Do you family/friends tell you you should cut down on your drinking?
Have you gotten in trouble over your alcohol use/drugs?
How do you reduce drug use?
prevention: teach drug refusal skills!
treatment: multidimensional family therapy
An incarcerated adolescent is being assessed fro chronic polysubstance abuse. Which of the following substances has the greatest likelihood of detection in a urine drug screen 3 weeks after the most recent episode of substance use?
marijuana
A 12 year-old patient is brought to the ED with acute euphoria and disorientation. A routine drug screen is negative. Vitals are normal. The patient denies any hallucinations or delusions. The patient becomes drowsy and drifts off to sleep. Which of the following substances is most likely involved?
an inhalant
Which of the following is the most systematically developed and empirically supported family treatment for adolescents with substance abuse?
multidimensional family therapy
Which of the following is the most systematically developed and empirically supported family treatment for adolescents with substance abuse?
drug refusal skills
Which of the following instruments is a brief screen for substance abuse in adolescents that is useful in primary care settings?
CRAFFT
