Skip to main content
SpringerLink
Log in

Family-Focused Universal Substance Use Prevention in Primary Care: Advancing a Pragmatic National Healthcare Agenda

  • Published:
Prevention Science Aims and scope Submit manuscript

Abstract

This article advances ideas presented at a National Academies of Sciences, Engineering, and Medicine workshop in 2022 that highlighted clinical practice and policy recommendations for delivering universal, family-focused substance use preventive interventions in pediatric primary care. Pediatric primary care is a natural setting in which to offer families universal anticipatory guidance and links to systematic prevention programming; also, several studies have shown that offering effective parenting programs in primary care is feasible. The article describes a blueprint for designing a pragmatic national agenda for universal substance use prevention in primary care that builds on prior work. Blueprint practice schematics leverage efficacious family-focused prevention programs, identify key program implementation challenges and resources, and emphasize adopting a core element approach and utilizing digital interventions. Blueprint policy schematics specify avenues for improving cross-sector policy and resource alignment and collaboration; expanding, diversifying, and strengthening the prevention workforce; and enhancing financing for family-focused prevention approaches. The article then draws from these schematics to assemble a candidate universal prevention toolkit tailored for adolescent patients that contains four interlocking components: education in positive parenting practices, parent and youth education in substance use risks, a parent-youth structured interaction task, and parent and youth linkage to in-person and web-based prevention resources.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Arango, C., Díaz-Caneja, C. M., McGorry, P. D., Rapoport, J., Sommer, I. E., Vorstman, J. A., McDaid, D., Marín, O., Serrano-Drozdowskyj, E., Freedman, R., & Carpenter, W. (2018). Preventive strategies for mental health. The Lancet Psychiatry, 5(7), 591–604.

    Article  PubMed  Google Scholar 

  • Aspen Institute. (2022). Strong and sustainable children’s cabinets: A discussion guide for state leaders.

  • Baldwin, G. T., Seth, P., & Noonan, R. K. (2021). Continued increases in overdose deaths related to synthetic opioids: Implications for clinical practice. JAMA, 325, 1151–1152.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Berkel, C., Fu, E., Carroll, A. J., Wilson, C., Tovar-Huffman, A., Mauricio, A., Rudo-Stern, J., Grimm, K. J., Dishion, T. J., & Smith, J. D. (2021). Effects of the family check-up 4 health on parenting and child behavioral health: A randomized clinical trial in primary care. Prevention Science, 22(4), 464–474.

    Article  PubMed  Google Scholar 

  • Browning, L., Hammer, G., & Minnes, K. (2021). Medicaid forward: Behavioral health. National Association of Medicaid Directors. Retrieved March 27, 2023, from https://medicaiddirectors.org/wp-content/uploads/2021/03/Medicaid-Forward-Behavioral-Health-Executive-Summary.pdf

  • Brykman, K., Houston, R., Bailey, M. (2021). Value-based payment to support children’s health and wellness: Shifting the focus from short-term to life course impact. Center for Health Care Strategies & Massachusetts Medicaid Policy Institute.

  • Buck, L., Beers, A., & Mikels-Carrasco, W. (2022). A community-centered approach to data sharing and policy change: Lessons for advancing health equity. Center for Health Care Strategies & Data Across Sectors for Health. Retrieved March 27, 2023, from https://www.chcs.org/resource/a-community-centered-approach-to-data-sharing-and-policy-change-lessons-for-advancing-health-equity/

  • Buka, S. L., Beers, L. S., Biel, M. G., Counts, N. Z., Hudziak, J., Parade, S. H., Paris, R., Seifer, R., & Drury, S. S. (2022). The family is the patient: Promoting early childhood mental health in pediatric care. Pediatrics, 149(Suppl 5).

  • Butler, S. M., Higashi, T., & Cabello, M. (2020). Budgeting to promote social objectives—A primer on braiding and blending. Brookings.

  • Camenga, D. R., Hammer, L. D., the Committee on Substance Use and Prevention, & Committee on Child Health Financing (2022). Improving substance use prevention, assessment, and treatment financing to enhance equity and improve outcomes among children, adolescents, and young adults. Pediatrics, 150(1).

  • Carney, T., Myers, B. J., Louw, J., & Okwundu, C. I. (2016). Brief school-based interventions and behavioural outcomes for substance-using adolescents. The Cochrane Database of Systematic Reviews, 2016(1).

  • Carpenter, K. M., Foote, J., Hedrick, T., Collins, K., & Clarkin, S. (2020). Building on shared experiences: The evaluation of a phone-based parent-to-parent support program for helping parents with their child's substance misuse. Addictive Behaviors, 100.

  • Cené, C. W., Johnson, B. H., Wells, N., Baker, B., Davis, R., & Turchi, R. (2016). A narrative review of patient and family engagement: The “foundation” of the medical home. Medical Care, 54(7), 697–705.

    Article  PubMed  PubMed Central  Google Scholar 

  • Centers for Disease Control and Prevention. (2023). Underlying cause of death, 2018–2021, single race results form. Retrieved March 27, 2023, from https://wonder.cdc.gov/controller/datarequest/D158

  • Chen, Y., Haines, J., Charlton, B. M., & VanderWeele, T. J. (2019). Positive parenting improves multiple aspects of health and well-being in young adulthood. Nature Human Behaviour, 3(7), 684–691.

    Article  PubMed  PubMed Central  Google Scholar 

  • Child Welfare Information Gateway. (2020). Plans of safe care for infants with prenatal substance exposure and their families. U.S. Department of Health and Human Services, Administration for Children and Families, Children’s Bureau.

  • Chorpita, B. F., Park, A., Tsai, K., Korathu-Larson, P., Higa-McMillan, C. K., Nakamura, B. J., Weisz, J. R., Krull, J., & Research Network on Youth Mental Health. (2015). Balancing effectiveness with responsiveness: Therapist satisfaction across different treatment designs in the Child STEPs randomized effectiveness trial. Journal of Consulting and Clinical Psychology, 83(4), 709–718.

    Article  Google Scholar 

  • Colasante, T., Lin, L., De France, K., & Hollenstein, T. (2022). Any time and place? Digital emotional support for digital natives. The American Psychologist, 77(2), 186–195.

    Article  PubMed  Google Scholar 

  • Counts, N. Z., Roiland, R. A., & Halfon, N. (2021). Proposing the ideal alternative payment model for children. JAMA Pediatrics, 175(7), 669–670.

    Article  PubMed  Google Scholar 

  • Crumley, D., Matulis, R., Brykman, K., Lee, B., Smithey, A., Patel, S., & Conway, M. (2022). Advancing primary care innovation in Medicaid managed care: Conceptualizing and designing core functions. Center for Health Care Strategies.

  • Crumley, D. & Bank, A. (2023). Financing approaches to address social determinants of health vis Medicaid managed care: A 12-state review. Center for Health Care Strategies.

  • Das, J. K., Salam, R. A., Arshad, A., Finkelstein, Y., & Bhutta, Z. A. (2016). Interventions for adolescent substance abuse: An overview of systematic reviews. Journal of Adolescent Health, 59(4S), S61–S75.

    Article  Google Scholar 

  • de Biasi, A., & Ilakkuvan, V. (2018). Making braiding easier: What can federal agencies do? Urban Institute. Retrieved March 27, 2023, from https://pfs.urban.org/pay-success/pfs-perspectives/making-braiding-easier-what-can-federal-agencies-do

  • Elsharnouby, E., & Dost-Gözkan, A. (2020). Adolescents’ well-being with respect to the patterns of disclosure to and secrecy from parents and the best friend: A person-centered examination. Journal of Youth and Adolescence, 49(8), 1687–1701.

    Article  PubMed  Google Scholar 

  • Fishbein, D. H., & Sloboda, Z. (2023). A national strategy for preventing substance and opioid use disorders through evidence-based prevention programming that fosters healthy outcomes in our youth. Clinical Child and Family Psychology Review, 26(1), 1–16.

    Article  PubMed  Google Scholar 

  • Friedman, J., Godvin, M., Shover, C. L., Gone, J. P., Hansen, H., & Schriger, D. L. (2022). Trends in drug overdose deaths among US adolescents, January 2010 to June 2021. JAMA, 327(14), 1398–1400.

    Article  PubMed  PubMed Central  Google Scholar 

  • Galán, C. A., Shaw, D. S., O’Rourke, F., Reynolds, M. D., Gill, A., Bogen, D. L., & Ridenour, T. A. (2022). Substance use screening and prevention for adolescents in pediatric primary care: A randomized clinical trial using the family check-up. Research on Child and Adolescent Psychopathology, 51(2), 151–163.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gibson, E. B., Knight, J. R., Levinson, J., Sherritt, L., & Harris, S. K. (2021). Pediatric primary care provider perspectives on a computer-facilitated screening and brief intervention system for adolescent substance use. Journal of Adolescent Health, 69(1), 157–161.

    Article  Google Scholar 

  • Griffin, K. W., & Botvin, G. J. (2018). Preventing substance use among children and adolescents. In S.C. Miller, Fiellin, D. A., & Rosenthal, R. N. (eds.), The ASAM principles of addiction medicine (6th ed, pp. 1603–1609). Lippincott Williams & Wilkins.

  • Guilamo-Ramos, V., Benzekri, A., Thimm-Kaiser, M., Dittus, P., Ruiz, Y., Cleland, C. M., & McCoy, W. (2020). A triadic intervention for adolescent sexual health: A randomized clinical trial. Pediatrics, 145(5).

  • Guilamo-Ramos, V., Thimm-Kaiser, M., & Prado, G. J. (2021). Parent-based sexual health promotion and sexually transmitted infections prevention for youth. JAMA Pediatrics, 175(11), 1100–1102.

    Article  PubMed  Google Scholar 

  • Hagan, J. F., Shaw, J. S., & Duncan, P. M. (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). American Academy of Pediatrics.

  • Harris, S. K., Csémy, L., Sherritt, L., Starostova, O., Van Hook, S., Johnson, J., Boulter, S., Brooks, T., Carey, P., Kossack, R., Kulig, J. W., Van Vranken, N., & Knight, J. R. (2012). Computer-facilitated substance use screening and brief advice for teens in primary care: An international trial. Pediatrics, 129(6), 1072–1082.

    Article  PubMed  PubMed Central  Google Scholar 

  • Health Care Payment Learning & Action Network. (2022). APM measurement progress of alternative payment models: 2022 methodology and results report. Retrieved March 27, 2023, from https://hcp-lan.org/apm-measurement-effort/2022-apm/#1479737966515-d822014b-3f98

  • Health Resources and Services Administration. (2022). Pediatric Mental Health Care Access. Retrieved March 27, 2023, from https://mchb.hrsa.gov/programs-impact/programs/pediatric-mental-health-care-access

  • Hogue, A., Ozechowski, T., Robbins, M., & Waldron, H. (2013). Making fidelity an intramural game: Localizing quality assurance procedures to promote sustainability of evidence-based practices in usual care. Clinical Psychology: Science and Practice, 20, 60–77.

    Google Scholar 

  • Jacobson, N. C., Kowatsch, T., & Marsch, L. A. (2022). Introduction: A vision for the field of digital therapeutics. In N. C. Jacobson, T. Kowatsch, & L. A. Marsch (Eds.), Digital therapeutics for mental health and addiction (pp. 1–4). Academic Press.

    Google Scholar 

  • Johns Hopkins Bloomberg School of Public Health. (2021). Principles for the use of funds from opioid litigation. Retrieved March 27, 2023, from https://opioidprinciples.jhsph.edu/wp-content/uploads/2021/01/Litigation-Principles.pdf

  • Kaiser Family Foundation. (2021). Health Insurance Coverage of Children 0–18. Retrieved March 27, 2023, from https://www.kff.org/other/state-indicator/children-0-18/

  • Kelley-Quon, L. I., Kirkpatrick, M. G., Ricca, R. L., Baird, R., Harbaugh, C. M., & Brady…, & Kim, E. (2021). Guidelines for opioid prescribing in children and adolescents after surgery: An expert panel opinion. JAMA Surgery, 156(1), 76–90.

    Article  PubMed  PubMed Central  Google Scholar 

  • Knight, J., Sherritt, L., Gibson, E., Levinson, J., … & Harris, S. K. (2019). Effect of computer-based substance use screening and brief behavioral counseling vs usual care for youths in pediatric primary care: A pilot randomized clinical trial. JAMA Network Open, 2(6).

  • Köck, P., Meyer, M., Elsner, J., Dürsteler, K. M., Vogel, M., & Walter, M. (2022). Co-occurring mental disorders in transitional aged youth with substance use disorders–a narrative review. Frontiers in Psychiatry, 13.

  • Kuklinski, M. R., Oesterle, S., Briney, J. S., & Hawkins, J. D. (2021). Long-term impacts and benefit–cost analysis of the communities that care prevention system at age 23, 12 years after baseline. Prevention Science, 22(4), 452–463.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kuntsche, S., & Kuntsche, E. (2016). Parent-based interventions for preventing or reducing adolescent substance use—A systematic literature review. Clinical Psychology Review, 45, 89–101.

    Article  PubMed  Google Scholar 

  • Ladis, B., Macgowan, M., Thomlison, B., Fava, N., Huang, H., Trucco, E. M., & Martinez, M. J. (2019). Parent-focused preventive interventions for youth substance use and problem behaviors: A systematic review. Research on Social Work Practice, 29(4), 420–442.

    Article  Google Scholar 

  • Leslie, L. K., Mehus, C. J., Hawkins, J. D., Boat, T., McCabe, M. A., & Barkin, …& Beardslee, W. (2016). Primary health care: Potential home for family-focused preventive interventions. American Journal of Preventive Medicine, 51(4 Suppl 2), S106–S118.

    Article  PubMed  PubMed Central  Google Scholar 

  • Levy, S. J. (2019). Youth and the opioid epidemic. Pediatrics, 143(2).

  • Levy, S. J., Williams, J. F., & Committee on Substance Use and Prevention. (2016). Substance use screening, brief intervention, and referral to treatment. Pediatrics, 138(1).

  • Lewy, D., Vaughn, A., Yard, R. (2019). What makes an early childhood Medicaid partnership work? Insights from three cross-sector collaborations. Center for Health Care Strategies.

  • Massachusetts Child Psychiatry Access Program. (2023). MCPAP Services. Retrieved March 27, 2023, from https://www.mcpap.com/Provider/McPAPservice.aspx

  • Matson, P. A., Ridenour, T., Ialongo, N., Spoth, R., Prado, G., Hammond, C., Hawkins, J. D., & Adger, H., Jr. (2022). State of the art in substance use prevention and early intervention: Applications to pediatric primary care settings. Prevention Science, 23(2), 204–211.

    Article  PubMed  Google Scholar 

  • McLellan, A. T., Koob, G. F., & Volkow, N. D. (2022). Preaddiction—A missing concept for treating substance use disorders. JAMA Psychiatry, 79(8), 749–751.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., & McClair, V. L. (2012). Epidemiology of substance use disorders. Human Genetics, 131(6), 779–789.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.

  • Moore, B. A., Fazzino, T., Garnet, B., Cutter, C. J., & Barry, D. T. (2011). Computer-based interventions for drug use disorders: A systematic review. Journal of Substance Abuse Treatment, 40(3), 215–223.

    Article  PubMed  Google Scholar 

  • Mutschler, C., Bellamy, C., Davidson, L., Lichtenstein, S., & Kidd, S. (2022). Implementation of peer support in mental health services: A systematic review of the literature. Psychological Services, 19(2), 360–374.

    Article  PubMed  Google Scholar 

  • National Academies of Sciences, Engineering, and Medicine. (2016). Parenting matters: Supporting parents of children ages 0–8. The National Academies Press.

  • National Academies of Sciences, Engineering, and Medicine. (2021). Implementing high-quality primary care: Rebuilding the foundation of health care. The National Academies Press.

  • National Academies of Sciences, Engineering, and Medicine. (2022). Family-focused interventions to prevent substance use disorders in adolescence: Proceedings of a workshop. National Academies Press (US).

  • National Training and Technical Assistance Center. (2023). National training and technical assistance center for child, youth, and family mental health (NTTAC).

  • Njoroge, W. F., Hostutler, C. A., Schwartz, B. S., & Mautone, J. A. (2016). Integrated behavioral health in pediatric primary care. Current Psychiatry Reports, 18(12).

  • Office of the Surgeon General. (2021). Protecting youth mental health: The U.S. surgeon general’s advisory. U.S. Department of Health and Human Services.

  • Ogburn, J., Gratale, D., Counts, N. Z., & Jakab, T. (2021). Pediatric mental, emotional and behavioral health: Federal policy recommendations for congress and the executive branch. Mental Health America & Nemours Children’s Health.

  • Olson, G., De Biasi, A., Ilakkuvan, V., & Auerbach J. (2019). Addressing a crisis: Cross-sector strategies to prevent adolescent substance use and suicide. Trust for America's Health.

  • Ozechowski, T., Becker, S. J., & Hogue, A. (2016). SBIRT-A: Adapting SBIRT to maximize developmental fit for adolescents in primary care. Journal of Substance Abuse Treatment, 62, 28–37.

    Article  PubMed  Google Scholar 

  • Partnership to End Addiction. (2022). Rethinking substance use prevention: An earlier and broader approach. Retrieved March 27, 2023, from https://drugfree.org/reports/rethinking-substance-use-prevention-an-earlier-and-broader-approach/

  • Pestaina, K. (2022). Mental health parity at a crossroads. Kaiser Family Foundation. Retrieved March 27, 2023, from https://www.kff.org/private-insurance/issue-brief/mental-health-parity-at-a-crossroads/

  • Prado, G., Estrada, Y., Rojas, L. M., Bahamon, M., Pantin, H., Nagarsheth, M., … & Brown, C. H. (2019). Rationale and design for eHealth Familias Unidas Primary Care: A drug use, sexual risk behavior, and STI preventive intervention for Hispanic youth in pediatric primary care clinics. Contemporary Clinical Trials, 76, 64–71.

  • Primary Care Collaborative. (2022). State primary care investment initiatives. Retrieved March 27, 2023, from https://www.pcpcc.org/primary-care-investment/legislation/map

  • Racine, N., McArthur, B. A., Cooke, J. E., Eirich, R., Zhu, J., & Madigan, S. (2021). Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: A meta-analysis. JAMA Pediatrics, 175(11), 1142–1150.

    Article  PubMed  Google Scholar 

  • Ramanuj, P., Ferenchik, E., Docherty, M., Spaeth-Rublee, B., & Pincus, H. A. (2019). Evolving models of integrated behavioral health and primary care. Current Psychiatry Reports, 21(1).

  • Rhode Island Office of The Health Insurance Commissioner. (2022). Affordability Standards. Retrieved March 27, 2023, from https://ohic.ri.gov/policy-reform/affordability-standards

  • Satre, D. D., Ly, K., Wamsley, M., Curtis, A., & Satterfield, J. (2017). A digital tool to promote alcohol and drug use screening, brief intervention, and referral to treatment skill translation: A mobile app development and randomized controlled trial protocol. JMIR Research Protocols, 6(4).

  • Saunders, H., Guth, M., & Eckart, G. (2023). A look at strategies to address behavioral health workforce shortages: Findings from a survey of state Medicaid programs. Kaiser Family Foundation.

  • Scheuer, H., Kuklinski, M. R., Sterling, S. A., Catalano, R. F., Beck, A., Braciszewski, J., … & Yoon, T. (2022). Parent-focused prevention of adolescent health risk behavior: Study protocol for a multisite cluster-randomized trial implemented in pediatric primary care. Contemporary Clinical Trials, 112.

  • Shonkoff, J. P., & Fisher, P. A. (2013). Rethinking evidence-based practice and two-generation programs to create the future of early childhood policy. Development and Psychopathology, 25(4 pt 2), 1635–1653.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smith, S., Granja, M. R., Nguyen, U., Rajana, K. (2018). How states use Medicaid to cover key infant and early childhood mental health services: Results of a 50-state survey (2018 update). National Center for Children in Poverty & Columbia University.

  • Spencer, C. M., Topham, G. L., & King, E. L. (2020). Do online parenting programs create change?: A meta-analysis. Journal of Family Psychology, 34(3), 364–374.

    Article  PubMed  Google Scholar 

  • Steinberg, L. D. (2014). Age of opportunity: Lessons from the new science of adolescence. Houghton Mifflin Harcourt.

  • Steinberg, L. (2001). We know some things: Parent–adolescent relationships in retrospect and prospect. Journal of Research on Adolescence, 11(1), 1–19.

    Article  MathSciNet  Google Scholar 

  • Stoner, S. A., Mikko, A. T., & Carpenter, K. M. (2014). Web-based training for primary care providers on screening, brief intervention, and referral to treatment (SBIRT) for alcohol, tobacco, and other drugs. Journal of Substance Abuse Treatment, 47(5), 362–370.

    Article  PubMed  PubMed Central  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2016). Facing addiction in America: The surgeon general’s report on alcohol, drugs, and health. US Department of Health and Human Services.

  • Substance Abuse and Mental Health Services Administration. (2023). National model standards for peer support certification.

  • Texas Child Mental Health Care Consortium. (2023). Texas child health access through telemedicine (TCHATT). The University of Texas System.

  • Tzilos, G. K., Sokol, R. J., & Ondersma, S. J. (2011). A randomized phase I trial of a brief computer-delivered intervention for alcohol use during pregnancy. Journal of Women’s Health, 20(10), 1517–1524.

    Article  PubMed  PubMed Central  Google Scholar 

  • Vermont Blueprint for Health. (2023). Blueprint community health teams. Retrieved March 27, 2023, from https://blueprintforhealth.vermont.gov/about-blueprint/blueprint-community-health-teams

  • Vuolo, L., Oster, R., Hogue, A., Richter, L., O’Grady, M., & Dauber, S. (2022). Gaps in screening recommendations must be addressed to protect youth and adults from substance use-related harm. Substance Use & Misuse, 57(1), 157–160.

    Article  Google Scholar 

  • Wasserman, G., McReynolds, L., Musabegovic, H., Whited, A., Keating, J., & Huo, Y. (2009). Evaluating project connect: improving juvenile probationers’ mental health and substance use service access. Administration and Policy in Mental Health and Mental Health Services Research, 36(6), 393–405.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, … & Research Network on Youth Mental Health. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69(3), 274–282.

    Article  Google Scholar 

  • Whittle, S., Vijayakumar, N., Simmons, J. G., Dennison, M., Schwartz, O., Pantelis, C., Sheeber, L., Byrne, M. L., & Allen, N. B. (2017). Role of positive parenting in the association between neighborhood social disadvantage and brain development across adolescence. JAMA Psychiatry, 74(8), 824–832.

    Article  PubMed  PubMed Central  Google Scholar 

  • Willis, H. A., Gonzalez, J. C., Call, C. C., Quezada, D., & Scholars for Elevating Equity and Diversity (SEED), & Galán, C. A. (2022). Culturally responsive telepsychology & mHealth interventions for racial-ethnic minoritized youth: Research gaps and future directions. Journal of Clinical Child & Adolescent Psychology, 51(6), 1053–1069.

    Article  Google Scholar 

Download references

Funding

Preparation of this article was supported in part by the Family Involvement in Recovery Support and Treatment (FIRST) Research Network, which is co-funded by the National Institute on Drug Abuse and the National Institute of Neurological Disorders and Stroke (R24DA051946; PI: Hogue).

Author information

Authors and Affiliations

  1. Partnership to End Addiction, 711 Third Avenue, 5th floor, NY, NY, 10017, USA

    Aaron Hogue & Linda Richter

  2. Center for Health Care Strategies, Hamilton, NJ, USA

    Kelsey Brykman

  3. School of Nursing, Duke University, Durham, NC, USA

    Vincent Guilamo-Ramos

  4. PoP Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA

    Vinu Ilakkuvan

  5. School of Social Work, University of Washington, Seattle, WA, USA

    Margaret R. Kuklinski

  6. School of Medicine, Johns Hopkins, Baltimore, MD, USA

    Pamela Matson

  7. College of Medicine and Nationwide Children’s Hospital, The Ohio State University, Columbus, OH, USA

    Erin R. McKnight

  8. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Terrinieka W. Powell

  9. University of Washington, Seattle, WA, USA

    Leslie R. Walker-Harding

  10. Seattle Children’s Hospital, Seattle, WA, USA

    Leslie R. Walker-Harding

Authors
  1. Aaron Hogue
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kelsey Brykman
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vincent Guilamo-Ramos
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vinu Ilakkuvan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Margaret R. Kuklinski
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Pamela Matson
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Erin R. McKnight
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Terrinieka W. Powell
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Linda Richter
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Leslie R. Walker-Harding
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Aaron Hogue.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethics Approval

This article does not include human subjects.

Consent to Participate

This article does not include human subjects.

Additional information

This article expands upon ideas presented at a National Academies of Sciences, Engineering, and Medicine workshop (May 2022): “Family-Focused Interventions to Prevent Substance Use Disorders in Adolescence.” All authors, excepting the first author, are listed in alphabetical order. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Academies of Sciences, Engineering, and Medicine or the National Institutes of Health. The authors are grateful to Sean Dunnsue, Alexandra MacLean, and Mari Watkins for their editing contributions.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hogue, A., Brykman, K., Guilamo-Ramos, V. et al. Family-Focused Universal Substance Use Prevention in Primary Care: Advancing a Pragmatic National Healthcare Agenda. Prev Sci 25, 307–317 (2024). https://doi.org/10.1007/s11121-023-01584-4

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11121-023-01584-4

Keywords

Search

Navigation