| Adolescence is a transitional stage where youth may become susceptible to threats of substance use, abuse, and even dependency. Moreover, substance use among adolescents continues to be a major problem for the healthcare community at large. Because of the increasing prevalence of substance use among adolescents, drug use screening instruments are a viable means of early detection and should be used frequently. The earlier the substance use patterns are identified, the easier it becomes to prevent the progression to abuse and dependency. The best means to identify substance use among adolescents at an early stage is through substance use screening and assessment instruments. Unfortunately, practitioners may not screen for substance use as frequently as is clinically indicated. The research review analyzed the features and benefits of sixteen of the most commonly referenced adolescent substance use assessment and screening instruments noted in the literature. To provide further contrast, the screening instruments were matched to the requirements of most private practice settings, that is, the need for instruments that were reliable, valid, brief, and cost-effective. The review followed a thematic approach while funneling the concepts to build on the literature. Based on the findings, the ADI, CAGE, PESQ, PEI, and SASSI are five of the best adolescent screening instruments available based on the rating criterion selected. Of the remaining eleven instruments reviewed, nine were considered above average on the rating criteria. Two instruments received no score, one based on reliability and validity problems the other due to lack of available data. Recommendations also call for an increase in the frequency in administration of adolescent screening instruments for early detection of adolescent substance abuse. |
