Health professionals who care for children will find a thoughtful and hands-on resource to address racism and race-related issues in their practices in this essay collection. Leading experts from across disciplines frame the issues and provide practical information on prevention, intervention, and anticipatory guidance. Each chapter is grounded in the recommendations outlined in the American Academy of Pediatrics (AAP) policy statement “The Impact of Racism on Child and Adolescent Health.” The AAP is committed to reducing the ongoing costs and burden of racism to children, the health care system, and society—this book is an important contribution to that effort and ongoing conversation. Available for purchase at https://www.aap.org/Untangling-the-Thread-of-Racism-A-Primer-for-Pediatric-Health-Professionals-Paperback
13: Substance Use Policy and Practice
Hoover Adger, Jr, MD, MPH, MBA, J. Deanna Wilson, MD, MPH, "Substance Use Policy and Practice", Untangling the Thread of Racism: A Primer for Pediatric Health Professionals, American Academy of Pediatrics, Maria Trent, MD, MPH, FSAHM, FAAP, Danielle G. Dooley, MD, MPhil, FAAP, Jacqueline Dougé, MD, MPH, FAAP
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Substance use remains a common condition for youth from all racial and ethnic groups and all socioeconomic statuses. Although minoritized and other marginalized youth use substances at similar rates as white youth, minoritized youth are more likely to experience severe consequences and less likely to receive evidence-based treatment than their white counterparts. To address disparities related to substance use, pediatric health professionals must integrate substance use/substance use disorder prevention, early intervention, and treatment as part of routine pediatric primary care. To do so, we need to train a diverse workforce to engage in patient-centered conversations that are nonjudgmental and compassionate and that acknowledge the impact of structural determinants of health, including racism, on substance use and treatment outcomes.
Keywords: substance use, addiction, substance use disorders