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Screening rates for substance use are high but linkage to care is vey limited.

Substance-related emergency department visits among youth rose nearly 48 percent between 2016 and 2021.

Lower-income ZIP codes generate fewer pediatric opioid EMS calls but higher rates of naloxone use.

A 16-year-old comes into the emergency department after a night that went sideways. Maybe it's a car crash. Maybe it's a panic attack that won't stop, or a friend who called 911 because someone wasn't breathing right. The chief complaint rarely says "substance use." It says something else. Somewhere in that visit, a screening question gets asked, and the answer changes what should happen next.

In our ED,........

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