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Clinical Preventive Services in Substance Abuse and Mental Health Update: From Science to Services

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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
www.samhsa.gov

Acknowledgments

This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) under contract number 02M00915301D. The co-authors of this report are Joel Nitzkin, MD, MPH, of JLN, MD Associates, LLC, and Shelagh Smith, MPH, CHES, of the Center for Mental Health Services (CMHS), SAMHSA, U.S. Department of Health and Human Services (DHHS). Shelagh Smith was the Government Project Officer. Alison Aucoin, MPH, Nancy Kennedy, Dr PH, Center for Substance Abuse Prevention (CSAP), and Ronald Manderscheid, PhD, CMHS, provided advice and counsel to the authors. The authors appreciate the editing provided by Nancy McKenzie of Z-Tech Corporation.

Disclaimer
The views, opinions, and content of this publication are those of the authors and do not necessarily reflect the views or policies of SAMHSA or DHHS.

Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, DHHS.

Electronic Access and Copies of Publication
This publication can be accessed electronically through the following Internet World Wide Web connection: www.samhsa.gov/. For additional free copies of this document, please call SAMHSAs National Mental Health Information Center at 1-800-789-2647.

Recommended Citation
Nitzkin, J., & Smith, S. A. Clinical preventive services in substance abuse and mental health update: From science to services. (2004). DHHS Pub. No. (SMA) 04-3906. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

Originating Office
Center for Mental Health Services
Office of the Associate Director for Organization and Financing
1 Choke Cherry Road, Rockville, MD 20850, Phone 240-276-1959, Fax: 240-276-1395.

2004 DHHS Publication No. (SMA) 04-3906

Table of Contents

1. Executive Summary
2. Introduction
   1. Clinical Preventive Behavioral Services
   2. Models of Preventive Services
   3. Clinical vs. Community Preventive Services
   4. Health Care Delivery System Provision of Preventive Behavioral Services
   5. Organization of This Report
3. Methods
4. Overview of Interventions
5. Pregnant Women
   1. Tobacco
   2. Alcohol
   3. Illicit Drugs
6. High-Risk Pregnant Women and Children to Age 5
   1. Social and Economic Dependency
   2. Educational Services To Improve the Intelligence of Selective Infants and Preschool Children
7. Screening Children and Adolescents (518 Years)
   1. Screening for Evidence of Behavioral Disorder
8. Adolescents (1218 Years)
   1. Tobacco
   2. Alcohol
   3. Illicit Drugs
   4. Depression
9. Adults (19 Years and Older)
   1. Tobacco
   2. Alcohol
   3. Adult Use/Abuse of Illicit Drugs
   4. Depression and Anxiety
   5. Depression in High-Cost Patients Without a Major Chronic Disease
10. Psychoeducation for Three Categories of Patients
1. Why Psychoeducation?
2. Psychoeducation for Patients With Chronic Disease
3. Psychoeducation for Patients Scheduled for Surgical Procedures
4. Psychoeducation for Patients With Somatization
11. Conclusions
12. References
13. Appendix A: Literature Search Methods and Results
14. Appendix B: Policy and Management Issues and Guidelines
15. Appendix C: Billing for Preventive Behavioral Services
16. Appendix D: Procedures for Implementation and Evaluation of Preventive Services