Prompt and Practical Identification of Substance Misuse in Primary Medical Care

WCU Author/Contributor (non-WCU co-authors, if there are any, appear on document)
Alexa Jane Barrett (Creator)
Western Carolina University (WCU )
Web Site:
David McCord

Abstract: Misuse of substances in the United States has serious consequences. According to a 2018 national survey, 20.3 million people had a substance use disorder and 21.2 million people needed treatment for their substance misuse (Substance Abuse and Mental Health Services Administration, 2019). As with many other health issues, routine screening in primary medical care settings can identify early indicators of problems and prompt early intervention. The goal of the Multidimensional Behavioral Health Screen (MBHS; McCord, 2020) is to provide practical and routine mental health screening, including Substance Misuse (SUB). The current SUB scale is validated against the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008/2011) Substance Use Scale. The current project involves examining two potential replacement items for improvement of the three-item SUB scale of the MBHS. The MBHS and MMPI-2-RF were administered via Qualtrics to 197 undergraduate students. Results indicate a theoretically and statistically improved scale, consisting of items that are more discriminatory in identifying maladaptive versus casual substance use. There is good convergent validity with the MMPI-2-RF Substance Abuse Scale. This project was reviewed and approved by the Western Carolina University Institutional Review Board.

Additional Information

Presentation submitted to the 2020 Research and Scholarship Conference, Western Carolina University.
Language: English
Date: 2020
substance abuse, primary medical care, mental health screening

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