Introduction and Overview

The following resources are widely used in clinical settings to screen and assess, design treatment protocol, prescribe medication and provide referrals for children and adolescents with substance use disorders.

HRSA has engaged experts from the UCLA Integrated Substance Abuse Programs and the Pacific Southwest Addiction Technology Transfer Center to provide an informative and exciting presentation on emerging and important issues pertaining to adolescent mental health and substance use disorder treatment.

Pediatric and Adolescent Mental Health and Substance Use
Watch the recording of Part 1 and the recording of Part 2.

Screening & Assessment

Substance Use Concern?

Flowchart to guide the process of considering diagnosis, safety check, and comorbidity.


CRAFFT Interview (Version 2.1)

Popular screening instrument for adolescents.



Quick questionnaire to help determine if an alcohol assessment is needed.



Popular screener used in primary care settings to screen for harmful alcohol consumption.



Evidence-Based Treatments for Substance Use Disorders

Referral and Co-Management



  • Can code two per visit
  • Code pays $7.91 (at well visit and at E+M visit)
    • Examples: Bright Futures Adolescent Supplemental Questionnaire, GAPS, HEADSSS

  • Can code two per visit
  • Code pays $4.10 (at well visit and at E+M visit)
    • Examples: PSC, SCARED, CDI, CES-DEC, PHQ-9 Modified for Adolescents, Vanderbilt, Conners

  • May be reported in addition to E/M or Health Check
  • Code pays $30.73 (only code if screen is positive & counseling is documented from 3-15 minutes)
    • Examples: CRAFFT for Substance Use/Abuse

Additional Resources for Families

A Parent’s Guide to Preventing Underage Marijuana Use

Partnership for Drug-Free Kids

Parent-Teen Driving Agreement

Washington Recovery Helpline (866-789-1511)

Start Talking Now

National Institute on Drug Abuse for Parents

RecoveryHub: Is an online search tool to find treatment resources

Prescription Drug Dropbox locations in Montana

Substance use disorders: Mayo Clinic provides information about symptoms, signs of intoxication, diagnosis and treatment, and prevention efforts.

Substance Abuse in Rural Areas: Rural Health Information Hub overviews common questions, signs of SUD, the impact of SUD on rural communities, and rural treatment options.

Harm Reduction Guide: American Addiction Center reviews the harm reduction model as a model for treatment with examples of utilization with various substances.

Advice on Establishing Rules Around Marijuana Use for Your Teen

What You Should Know About Drugs

Drug Impacted Babies/Children Part 1: In this episode Marshelle Lambert, a Supervisor Social Worker at the Bureau of Indian Affairs shares some of her knowledge from over 30 years of working with children and families in Montana.

Drug Impacted Babies/Children Part 2: In part two of this series, Dr. Bonnie Stephens the Medical Director of the Neonatal Intensive Care Unit at Community Medical Center in Missoula shares her expertise on the effects that drug use has on babies in the womb. She also describes the developmental effects this exposure has on children as they grow.

NPR Life Kit explores six ways to support children who have parents with substance use disorder.

Hazelden Betty Ford Foundation podcast about the impact substance use disorder has on children.

I Want To Know More Podcast from Features episodes on Montana Marijuana Laws, Why Teen Shouldn’t Use Marijuana, and What Marijuana Does to the Teenage Brain.

Sober Grid: sober social network app for people to interact, support, and engage with other people also in recover.

SoberTool: sobriety tracking tool

The Impact of Covid-19 on Patients with Alcohol or Substance Use Disorder: Psychiatric Times explores substance use disorder during a pandemic.

Substance Use in Montana: A summary of state-level initiatives for the Department of Justice. Statewide report on substance use enforcement, monitoring, treatment, and prevention.


Beyond Addiction: How Science and Kindness Help People Change (2014) by Jeffrey Foote, PhD, Carrie Wilkens, PhD, and Nicole Kosanke, PhD, with Stephanie Higgs

Clean: Overcoming Addiction and Ending America’s Greatest Tragedy (2014) and Beautiful Boy: A Father’s Journey Through His Son’s Addiction (2009), both by David Sheff


Beyond Labels: Substance Use Disorder Stigma Stories