TY - JOUR
AU - A. Ball
AU - C. M. Lee
AU - P. Tripp
AU - B. Sarvet
AU - J. Congdon
A1 - 
AB - PURPOSE: As a potential model for expanding youth access to substance use care, we examined substance use resources provided by child psychiatry access programs (CPAPs)-statewide or regional services offering behavioral health consultation and education to pediatric primary care providers. METHODS: We assessed US and Canadian CPAP websites for available substance use resources (screening tools, educational materials, clinical pathways; n = 58) in 2025. We compared to resources for depression using McNemar's test. RESULTS: Thirty-four (58.6%) CPAPs offered any substance use resource; 13 (22.4%) provided substance use clinical pathways. In contrast, 43 (74.1%) CPAPs provided depression resources; 26 (44.8%) included depression clinical pathways (χ(2) = 9.00, p = .003 and χ(2) = 13.00, p = .000, respectively). DISCUSSION: Over half of CPAPs provided resources for managing substance use, although most emphasized screening and provided limited treatment guidance. The quality of resources was limited compared to depression, suggesting an opportunity to expand guidance to primary care providers managing adolescent substance use.
AD - Department of Pediatrics, University of Washington, Seattle Children's Research Institute, Seattle, Washington. Electronic address: aball775@uw.edu.; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California; Affiliated Scholar, Clinical Excellence Research Center, Stanford University School of Medicine, Palo Alto, California.; Department of General Internal Medicine, University of California, San Francisco, San Francisco, California.; Department of Psychiatry, University of Massachusetts Medical School, Springfield, Massachusetts.; Department of Pediatrics and Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California.
AN - 42142090
BT - J Adolesc Health
C5 - Opioids & Substance Use; Healthcare Disparities
CP - 2
DA - 08/2026
DO - 10.1016/j.jadohealth.2026.03.003
DP - NLM
ET - 20260516
IS - 2
JF - J Adolesc Health
LA - eng
N2 - PURPOSE: As a potential model for expanding youth access to substance use care, we examined substance use resources provided by child psychiatry access programs (CPAPs)-statewide or regional services offering behavioral health consultation and education to pediatric primary care providers. METHODS: We assessed US and Canadian CPAP websites for available substance use resources (screening tools, educational materials, clinical pathways; n = 58) in 2025. We compared to resources for depression using McNemar's test. RESULTS: Thirty-four (58.6%) CPAPs offered any substance use resource; 13 (22.4%) provided substance use clinical pathways. In contrast, 43 (74.1%) CPAPs provided depression resources; 26 (44.8%) included depression clinical pathways (χ(2) = 9.00, p = .003 and χ(2) = 13.00, p = .000, respectively). DISCUSSION: Over half of CPAPs provided resources for managing substance use, although most emphasized screening and provided limited treatment guidance. The quality of resources was limited compared to depression, suggesting an opportunity to expand guidance to primary care providers managing adolescent substance use.
PY - 2026
SN - 1054-139X (Print); 1054-139x
SP - 282
EP - 285+
ST - Substance Use Services at Child Psychiatry Access Programs
T1 - Substance Use Services at Child Psychiatry Access Programs
T2 - J Adolesc Health
TI - Substance Use Services at Child Psychiatry Access Programs
U1 - Opioids & Substance Use; Healthcare Disparities
U3 - 10.1016/j.jadohealth.2026.03.003
VL - 79
VO - 1054-139X (Print); 1054-139x
Y1 - 2026
ER -