Social services referral of adolescent trauma patients admitted following alcohol-related injury.
Alcohol screening of severely injured patients should be universal. Hospitalization following alcohol-related injury provides an opportunity for intervention to reduce recidivism. This study examines the frequency of social services referral of an alcohol positive cohort of adolescent trauma patients. This was a retrospective analysis of data collected from 1994 through 1998 by the National Pediatric Trauma Registry. All patients between the ages of 12 and 17 who had a blood alcohol level (BAL) measured were analyzed. Patients receiving referral to the department of social services, family counseling, or addiction services, and those receiving any substance abuse education intervention were considered a positive referral. There were 6006 children age 12 to 17 included in the database during this five-year period, 751 of whom had a BAL measured. Of those screened, 15.5% were positive. Sixty-eight (59%) of the BAL positive patients were referred for intervention through social services. The only statistically significant predictor of referral was whether or not the patient was the operator of a vehicle involved in the motor vehicle collision. Nearly half of the adolescents in this study, who screened positive for alcohol, received no social services support.
Mader
T J
TJ
Department of Emergency Medicine, Baystate Medical Center, Springfield, MA 01199, USA. timothy.mader@bhs.org
Smithline
H A
HA
Nyquist
S
S
Letourneau
P
P
D000063:Accidents, Traffic; D000293:Adolescent; D000298:Adolescent, Hospitalized / Q000523:psychology*; D000435:Alcoholic Intoxication / Q000097:blood / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D009511:New England / Q000453:epidemiology; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012042:Registries; D012189:Retrospective Studies; D012307:Risk Factors; D012948:Social Work Department, Hospital; D015599:Trauma Severity Indices; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology* / Q000534:rehabilitation