Substance Abuse Screening in Rural Adolescent Populations: Overcoming Barriers and Resource Limitations
Chloe Ackerman, PsyD, postdoctoral resident in clinical psychology with Oregon Health and Science University (OHSU) Family Medicine, Scappoose, OR & Joe Skariah, DO, Medical Director of the OHSU Family Medicine Clinic. 

We will present our process of unfolding substance abuse screening in a rural health center.  We will discuss clinician concerns, unique barriers faced by a rural clinic, and provider training on effective and timely office-based interventions.  At the conclusion of the presentation, learners will be able to identify workflow challenges and solutions with implementing CRAFFT screening, begin problem-solving issues unique to rural adolescent substance abuse screening, and become familiar with motivational interviewing as a brief office-based intervention for positive screens.

Learning Objectives:

  1. Identify workflow challenges and solutions for implementing CRAFFT screening.
  2. Problem-solve issues unique to rural adolescent substance abuse screening, including resource limitations, confidentiality issues, risky behaviors, and safety.
  3. Outline motivational interviewing as a brief office-based intervention for positive screens.

 

Chloe Ackerman received her doctorate in clinical psychology at George Fox University and completed her internship with Providence Medical Group.  She is a postdoctoral resident in clinical psychology with OHSU Family Medicine at Scappoose.  She has a passion for team-based patient care, and particularly enjoys working with patients to manage chronic conditions and increase motivation to engage in healthy lifestyles.  In clinical practice, she finds the positive relationship between provider and patient to be the most powerful tool in improving health outcomes.  In her free time, she enjoys writing, cycling, and discovering new trails with her dogs. 

Joe Skariah received his medical degree from the Chicago College of Osteopathic Medicine. He currently serves as the Medical Director of the OHSU Family Medicine Clinic at Scappoose, which is a rural health center located in Scappoose, Oregon.  Dr. Skariah’s medical interests are varied and include full spectrum primary care, population health, cancer prevention, medical school curriculum and disease prevention.  Above all, he is interested in his patients.  He joined OHSU family medicine at Scappoose in 2012 after some time in private practice because he was looking for rural practice and academic pursuits.  His patients and the Scappoose staff make it a joy for him to come to work.