Health Care Use Over 3 Years After Adolescent SBIRT

• DOI: 10.1542/peds.2018-2803
• Publication Date: 2019-04-24T12:25:18Z
• Authors: Stacy Sterling; Andrea H. Kline-S...; Ashley Jones; Lauren Hartman; Katrina Saba; Constance Weisner; Sujaya Parthasarathy
• Keywords: Brief intervention; Rate ratio

Most studies on adolescent screening, brief intervention, and referral to treatment (SBIRT) have examined substance use outcomes. However, it may also impact service comorbidity-an understudied topic. We address this gap by examining effects of SBIRT health care comorbidities.In a randomized trial sample, we assessed 3 modalities: (1) pediatrician-delivered, (2) behavioral clinician-delivered, (3) usual. Medical comorbidity were compared between brief-intervention group with access for (combined pediatrician clinician arms) without (usual care) over 1 years.Among sample eligible adolescents (n = 1871), the had fewer psychiatry visits at year (incidence rate ratio [iRR] 0.76; P .05) years (iRR 0.65; < .05). Total outpatient did not differ in 1. The was less likely mental diagnoses (odds [OR] 0.69; 95% confidence interval [CI] 0.48-1.01) or chronic conditions (OR 0.66; CI 0.45-0.98) those usual care. At years, total 0.85; 0.64; 0.45-0.91) more 2.04; .01).Providing pediatric primary improve health, recommend further exploring these