Special Populations and Topics in Adolescent Substance Use

  • Brittany L. Carney
  • Sarah M. BagleyEmail author


Youth who use substances face increased risks and require additional treatment considerations. This chapter examines special issues affecting youth who use substances including injection drug use, pregnancy, homelessness, incarceration, and sexual identity. Youth who inject drugs require a multidisciplinary and patient-centered approach which may include pharmacologic or behavioral health treatment, harm reduction, and overdose education/prevention. Pregnant adolescents who use substances face acute and chronic effects for mother and baby that need to be addressed during pregnancy and the postpartum period. Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth face high rates of substance use and may have difficulty accessing adequate care. Incarcerated and homeless youth also face unique barriers to accessing care. General considerations that can be tailored to each individual’s needs will be highlighted by examining the prevalence of use, adverse consequences, and clinical recommendations for providers through these special populations.


Opioids Pregnancy Injection drug use Overdose Homeless LGBTQ 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Graduate School of NursingUniversity of Massachusetts Medical School, University of Massachusetts WorcesterWorcesterUSA
  2. 2.Section of General Internal Medicine, Department of MedicineBoston University School of Medicine/Boston Medical CenterBostonUSA
  3. 3.Division of General Pediatrics, Department of PediatricsBoston University School of Medicine/Boston Medical CenterBostonUSA

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