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Article
October 12, 1984

Treating the Intoxicated Adolescent: A Need for Comprehensive Services

Author Affiliations

From the Department of Pediatrics, University of Wisconsin Medical School, Madison (Dr Stephenson); the Adolescent Alcohol/Drug Abuse Intervention Program, University of Wisconsin Hospital and Clinics (Dr Stephenson and Ms Daniels); and the Department of Sociology (Mr Moberg) and the School of Social Work (Dr Robertson), University of Wisconsin-Madison. Ms Daniels is now with the Outpatient Psychiatry Department, University of Wisconsin Hospital and Clinics.

JAMA. 1984;252(14):1884-1888. doi:10.1001/jama.1984.03350140030020
Abstract

Intoxicated adolescents seen in hospital emergency departments are frequently treated for their immediate complaints, but fail to have follow-up assessments for underlying alcohol/drug abuse and/or psychosocial problems. We undertook a prospective study of 171 acutely intoxicated adolescents (12 to 18 years of age) admitted to the emergency department of the University of Wisconsin Hospital and Clinics, Madison. A comparison group randomly selected from the community demonstrated that the emergency department patients were at a significantly higher risk for alcohol and polydrug abuse and psychological dependency. To adequately serve this potentially high-risk group, follow-up assessment must be done, including the gathering of in-depth information regarding legal, psychosocial, and alcohol/drug use status. This study indicates that the general hospital, with its 24-hour emergency department services and other resources, can play a vital role not only in the crisis management of intoxicated adolescents, but in their follow-up, assessment, and, when indicated, appropriate referral for treatment.

(JAMA 1984;252:1884-1888)

References
1.
Kurtz NR, Regier MC:  The Uniform Alcoholism and Intoxication Treatment Act: The compromising process of social policy formation .  J Stud Alcohol 1975;36:1421-1441.
2.
Conrad P, Schneider JW:  Deviance and Medicalization: From Badness to Sickness . St Louis, CV Mosby & Co, 1980.
3.
Jankowski C, Drum DE:  Criteria for the diagnosis of alcoholism .  Arch Intern Med 1971; 137:1532-1536.Crossref
4.
Size T, Daniels B, Stephenson J, et al:  An adolescent alcohol/drug intervention program beginning in the emergency department .  J Ambulatory Care Management 1981;4:73-79.Crossref
5.
Moberg DP, Robertson JF, Fischer JS, et al:  Alcohol and Other Drug Use by Dane County Teenagers: Findings From a Telephone Survey . Madison, Wis, Adolescent Alcohol Research Project, School of Social Work, University of Wisconsin, 1982.
6.
Moberg DP, Stevens S:  The clinician as data collector in program evaluator . Read before the  annual meeting of the Evaluation Network, Austin, Tex, Oct 1, 1981 .
7.
Akers RL, Krohn MD, Lanza-Kadence L, et al:  Social learning and deviant behavior: A specific test of a general theory .  Am Sociol Rev 1979;44:636-655.Crossref
8.
Rooney JF:  The influence of informal control sources upon adolescent alcohol use and problems .  Am J Drug Alcohol Abuse 1982;9:233-245.Crossref
9.
Mayer JE, Filstead WJ:  The adolescent alcohol involvement scale: An instrument for measuring adolescent use and misuse of alcohol .  J Stud Alcohol 1979;40:291-300.
10.
Moberg DP:  Identifying adolescents with alcohol problems: A field test of the adolescent alcohol involvement scale .  J Stud Alcohol 1983; 44:701-721.
11.
Bacon SD:  Defining adolescent alcohol use: Implications for a definition of adolescent alcoholism .  J Stud Alcohol 1976;37:1014-1019.
12.
Chauncey RL:  New careers for moral entrepreneurs: Teenage drinking .  J Drug Issues 1980;10:45-80.
13.
Finn P:  Teenage drunkenness: Warning signal, transient boisterousness, or symptom of social change ?  Adolescence 1979;14:821-834.
14.
Schuckit MA, Morrissey ER, Lewis NJ, et al:  Adolescent problem drinkers , in Seixa FA (ed):  Currents in Alcoholism. New York, Grune & Stratton Inc, 1977, vol 2, pp 325-355.
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