The U.S. opioid epidemic is a public health emergency, and adolescents and young adults are at the epicenter of the crisis. The American Academy of Pediatrics recommends medication treatment for youth with opioid use disorders (OUDs) because it is effective at reducing opioid use, overdose, and downstream consequences. However, currently fewer than 25% of youth under age 25 who are identified with an OUD are prescribed medications and fewer than 12% of adolescents under age 18 receive medication treatment. Youth typically initiate alcohol, marijuana, and/or tobacco use prior to using opioids, thus secondary prevention of opioid misuse and OUD (i.e. initiating treatment for other substance use, before opioid use ever begins) is a logical strategy for slowing the pipeline to control the opioid epidemic. Few pediatric providers are trained to identify and manage substance use problems and disorders, and compared to adults, youth typically do poorly in treatment settings. Health care reform has demanded the integration of treatment for mental health, behavioral health, and substance use disorder (SUD) services into primary care, and such integration could vastly increase SUD prevention and treatment efforts, including access to medication treatment for youth.
This session will describe a model for integrating SUD treatment into pediatric primary care. Initial data from pilot sites will be provided, which suggest that the practice model is feasible and acceptable in pediatric primary care settings. Needs for future research in this area will be discussed.
This session is accredited for the following accreditation types: CME, CNE, CPE, APA, AAFP, AAHCPAD*, NAADAC*, ASWB*
*State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.