[Skip to Navigation]
Views 3,691
Citations 0
June 9, 2020

The Perils of Screening for Unhealthy Drug Use Are a Call to Action for the Mental Health Workforce

Author Affiliations
  • 1Department of Psychiatry, Columbia University, New York, New York
  • 2New York State Psychiatric Institute, New York
JAMA Psychiatry. 2020;77(11):1101-1102. doi:10.1001/jamapsychiatry.2020.1503

The US Preventive Services Task Force (USPSTF) updated their recommendations1 and evidence report and systematic review2 regarding screening for unhealthy drug use. They now recommend clinicians screen all populations of adults, including pregnant women, in primary care settings for unhealthy drug use who do not currently have a substance use disorder (SUD) diagnosis or receive addiction treatment.2 The recommendation, with a grade B (screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred), is an update to its 2008 inconclusive guidance on the relative benefits and harms for adults. However, the USPSTF maintained its inconclusive recommendation for adolescents given a lack of high-quality evidence (I statement).

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words