This TIP, Screening and Assessing Adolescents for Substance Use Disorders,
updates TIP 3, published in 1993, and presents information on identifying,
screening, and assessing adolescents who use substances. Adolescents differ from
adults both physiologically and emotionally as they make the transition from
child to adult. Although experimentation with substances is common with this
population, substance abuse can seriously impair development, leaving an
adolescent unprepared for the demands of adulthood. Therefore, it is important
for a wide range of professionals who come into regular contact with adolescents
to recognize the signs of substance use. This TIP focuses on the most current
procedures and instruments for detecting substance abuse among adolescents,
conducting comprehensive assessments, and beginning treatment planning.
Chapter 1 provides an overview of
the document. Chapters 2 and
3 present appropriate strategies and
guidelines for screening and assessment. An explanation of legal issues
concerning Federal and State confidentiality laws appears in
Chapter 5 provides guidance for
screening and assessing adolescents in juvenile justice settings.
Appendix B summarizes instruments
to screen and assess adolescents for substance abuse and general functioning
domains, many of them updated since 1993. Appendix
C excerpts a 1998 publication on drug testing juvenile
detainees prepared under a grant from the Office of Juvenile Justice and
Delinquency Prevention of the U.S. Department of Justice.
This publication is part of the Substance Abuse Prevention and Treatment Block Grant technical assistance program. This publication was written under contract number 270-95-0013 with The CDM
Group, Inc. (CDM). Sandra Clunies, MS, ICADC, served as the CSAT
government project officer. Rose M Urban, MSW, JD, CSAC, served as the
CDM TIPs project director. Other CDM TIPs personnel included Y-Lang Nguyen,
production/copy editor, Raquel Ingraham, MS, project manager, Virginia
Vitzthum, former managing editor, Mary Smolenski, EdD, CRNP, former
project director, and MaryLou Leonard, former project manager.
The opinions expressed herein are the views of the Consensus Panel members and do
not reflect the official position of CSAT, SAMHSA, or the U.S. Department of
Health and Human Services (DHHS). No official support or endorsement of CSAT,
SAMHSA, or DHHS for these opinions or for particular instruments or software
that may be described in this document is intended or should be inferred. The
guidelines proffered in this document should not be considered as substitutes
for individualized client care and treatment decisions.