Substance abuse in adolescent is associated with risk factors such as drug induced psychosis or suicide. The serious risk factors are at the focus of the pediatric health departments and the public health sector as they lead to serious mortalities. The health systems seek to increase their capacity to screen and provide early interventions for the affected youth. This paper seeks to examine the issue to assessment and management of substance abuse among adolescents in inpatient settings. The clinical report by Levy and Williams (2016) introduces the concepts of screening and a clinical approach that applies policy guidelines. The report capitalizes on early screening and brief interventions before referral to an inpatient facility. Considering the nature of the adolescent group, it is important for pediatric psychiatrists to conduct their procedures with sensitivity.
Purpose of the Concept Analysis
Drug abuse in adolescence poses serious health issues. Use of illicit substances affects their brain development and can affect their performance in adulthood. Advanced practice healthcare workers have a primary goal of addressing substance abuse from the angle of scientific-based evidence. Early screening, brief intervention, and referral are the recommended tools for adolescent care. This analysis seeks to understand how these preventive approaches can apply in different inpatient settings.
Application of the Concept Analysis in Practice
An important concept in adolescent screening is the focus on biopsychosocial factors. The extensive screening focuses on the family, school, employment, peer activities, sexuality, food, and drug use. Use of a framework that completes a psychosocial review in these areas adds strengths to the diagnosis and treatment. The screening tool that looks into all psycho-social areas also aims to reconstruct the life of the adolescent from abstinence to addiction. The next intervention steps depend on the unique experience of the patient. In fact, Levy & Williams (2016) state that having unique outcomes makes it possible for psychiatrists to specify treatment modalities while saving on resources. After the initial assessment, a brief intervention is necessary to encourage healthy choices and reduce harm. According to researched recommendations, it is important to discuss and negotiate the treatment plan with the client and their family (Inman, El-Mallakh, Jensen, Ossege, & Scott, 2020). Those who are warranted for inpatient care should be placed in a warranted intensive treatment facility. Another important concept is the introduction of a trustworthy adult during inpatient care.
Application of the Concept in Psychiatric Nursing Practice
The decision of whether to transfer an adolescent to an inpatient referral center depends on availability of treatment facilities and the client and family preferences. For a psychiatric nurse, it becomes easier to manage behavior change in adolescent drug abuse using the guidelines provided by this tool. The separate adolescent guidelines make it easier for the nurse to initiate successful early interventions. The intensive inpatient treatment is personalized depending on the psychosocial factors affecting the client. All these fctors make it easy for the nurse to provide holistic care. It is also notable that the concept advocates for treatment in a less restrictive environment. This approach enlightens the nurse to set the treatment facility to allow for a better potential to recovery (Babor, Del Boca, & Bray,2017). The inpatient medical facilities facilitate recovery. The psychiatric nurse should also learn to work with the third-party adult who is representing the patient.
Psychiatric nurses play a big role in curbing and managing drug abuse among adolescents. Through evidence-based practice guidelines and multidisciplinary collaboration, they can support the families in the screening and early interventions. These approaches can play a significant role in managing the pandemic successfully.
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Babor, T. F., Del Boca, F., & Bray, J. W. (2017). Screening, brief intervention and referral to treatment: implications of SAMHSA’s SBIRT initiative for substance abuse policy and practice. Addiction, 112, 110-117. https://doi.org/10.1300/J465v28n03_03
Levy, S. J., & Williams, J. F. (2016). Substance use screening, brief intervention, and referral to treatment. Pediatrics, 138(1). https://doi.org/10.1542/peds.2016-1211
Inman, D., El-Mallakh, P., Jensen, L., Ossege, J., & Scott, L. (2020). Addressing substance use in adolescents: screening, brief intervention, and referral to treatment. The Journal for Nurse Practitioners, 16(1), 69-73.https://doi.org/10.1016/j.nurpra.2019.10.004