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CME
We invite readers to earn Category I Continuing Medical Education (CME) credit each month throughthe Journal of the American Academy of Child and Adolescent Psychiatry.
This opportunity is supported by Elsevier and the American Academy of Child and AdolescentPsychiatry at no cost to the participant. The participant must obtain a score of 70% or greater to earnCME credit.
The American Academy of Child and Adolescent Psychiatry is accredited by the Accreditation Councilfor Continuing Medical Education to sponsor continuing medical education for physicians.
The CME questions for the July 2010 issue of the Journal refer to “Access to Treatment for AdolescentsWith Substance Use and Co-Occurring Disorders: Challenges and Opportunities,” by Sterling et al. Thecomplete article can be found on page 637 of the July 2010 issue. Subscribers and AACAP membershave full-text online access to the article by Sterling et al. Nonsubscribers will need to purchase the
article at www.jaacap.org to complete the online assessment examination.2
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Learning ObjectivesUpon reading this article, readers should beable to:1. Identify financial and/or payer barriers to
accessing treatment by adolescents with alco-hol and drug problems, including those withco-occurring problems.
2. Recognize the clinical and organizational bar-riers to accessing treatment by adolescentswith alcohol and drug problems, includingthose with co-occurring problems.
3. List considerations in analyzing the costbenefits of alcohol and drug services foradolescents.
4. Identify the possible opportunities to improveaccess for adolescents with alcohol and drugproblems in the ongoing reform of health care.
CME Questions1. Which of the following are financial barriers to
accessing treatment by adolescents with alco-hol and drug problems?a. Burden of increased patient share of costs
via high deductibles and co-paymentsb. Exclusion of emergency and acute care for
adolescents by insurance plansc. Failure of integrated health plans to con-
tract with outside agencies for alcohol anddrug services
d. High-cost treatment by physicians, ratherthan less expensive care by social workers,psychologists, and other counselors
e. Premature treatment of adolescents at earlystages of a disorder followed by reducedresources for treatment when disorder is
more deleteriousJOURNAL OF THE AMERICAN ACADEMY OF CHILD & ADOLESCENT PSYCHIATRY
VOLUME 49 NUMBER 7 JULY 2010
. Which of the following is an organizational ora clinical barrier to accessing treatment byadolescents with alcohol and drug problems?a. Burden of obtaining specialized referral for
mental health treatment versus substanceuse disorder treatment
b. Decreased referrals for appropriate alcoholand drug treatment because of pediatri-cians’ preference to treat adolescent pa-tients in primary care
c. Exclusion of co-occurring diagnoses fromtreatment in both mental health and alcoholand drug programs
d. Greater concern by physicians about ado-lescents’ alcohol and marijuana use versusother drugs
e. Lack of adequate screening of adolescentsfor alcohol and drug problems in mentalhealth and primary care settings
. Which of the following is a consideration inanalyzing cost benefits of treating adolescentswith alcohol and drug problems?a. The ability to adapt adult cost-effectiveness
treatment methods to adolescent treatmentb. The importance of looking only at the cost
effects of treatment on the patientc. The lack of a reliable cost analysis programd. The importance of not including costs
to the family as part of costs to the adolescentin attending treatment
e. The optimal timing of the cost analysis tobest reflect the economic benefits
. Which of the following could potentially be anopportunity to improve coordinated care foradolescents with alcohol and drug problems?a. Adoption of more restrictive regulations gov-
erning the sharing of confidential personal
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health information between programs, to re-assure patients concerned about stigma
b. Adoption of “pay-for-performance” con-tracting arrangements that focus strictly onpatient outcomes
c. Elimination of contracted or “carved-out”specialty behavioral health treatment pro-
gramsJOURN
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d. Evaluation of performance measures thatreflect how well health plans identify andrefer adolescents with co-occurring sub-stance and mental health problems
e. Inclusion of universal coverage of mentalhealth and alcohol and drug treatmentservices in current health care reform
legislationAL OF THE AMERICAN ACADEMY OF CHILD & ADOLESCENT PSYCHIATRY
VOLUME 49 NUMBER 7 JULY 2010
