Offering simple, practical advice, this handbook helps primary care pediatricians effectively use the basic tools of addiction medicine to advance substance use prevention and to address substance use disorders (SUD) in their patients. Parents and teens often have questions about cannabis, nicotine, alcohol, and other substances. More than 8% of 12-to-18-year-olds in the United States have a SUD, making it one of the most common problems pediatricians will encounter in this age group. This guide offers pediatricians a solid grounding in the core concepts of addiction medicine and prepares them to answer common questions, counsel patients and parents, and use medications and laboratory tests effectively. Organized by types of substance, each chapter offers clinical vignettes, an overview of each substance, clinical pearls, actionable advice, and clinical takeaways from each vignette. Topics covered include: Risk factors for SUD Screening, brief intervention, referral to treatment (SBIRT) framework Brief interventions Drug testing Alcohol Cannabis Nicotine Vaping Opioids Stimulants Hallucinogens Primary care providers will also learn about supportive language, treatment levels, and how best to support adolescents with SUD and their families.
Sharon Levy, MD, MPH is a pediatrician, addiction Medicine specialist, Chief of the Division of Addiction Medicine at Boston Children's Hospital and Professor of Pediatrics at Harvard Medical School. Over the past 20 years, she has evaluated and treated thousands of adolescents with substance use disorders, conducted research, and written extensively on the topic. In 2016 she established the nation's first accredited Pediatric Addiction Medicine Fellowship training program, and in 2023 she was appointed chief of the first Division of Addiction Medicine at a pediatric medical center in the US. She has expertise in the integration of substance use treatment services into pediatric primary care.
Prologue Introduction Chapter 1. Substance Use Disorders and Addiction Chapter 2. Using Supportive Language Chapter 3: Risk Factors for Substance Use Disorder (SUD) Chapter 4. Screening, Brief Intervention, Referral to Treatment (SBIRT) framework Chapter 5. Brief Interventions Chapter 6. Drug Testing Chapter 7. Alcohol Chapter 8. Cannabis Chapter 9. Nicotine Chapter 10. Vaping Chapter 11. Opioids Chapter 12. Stimulants Chapter 13. Hallucinogens Chapter 14. SUD treatment in Pediatric Primary Care Chapter 15. SUD Treatment Levels of Care Chapter 16. Supporting Teens with SUD and Their Families
