Youth substance use and abuse: challenges and strategies for identification and intervention

摘要

Jeremy is 17 and has lived on the street for 3 years. He visits the emergency department for the fifth time in the past month reporting chest pain: "My heart's jumping out of my chest. Think I'm having a heart attack or something." He further reports symptoms of anxiety and panic attacks. He admits to using cannabis daily, and cocaine and ecstasy several times a week. The emergency physician takes a few minutes to ask Jeremy about his health concerns. Jeremy says he wants "to know that#