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Adolescent Substance Use — RACP Paediatrics MCQ

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ModerateAdolescent MedicineAdolescent Substance UseRACP Paediatrics

During a HEADSS assessment of a 15-year-old boy, he discloses that he has been using cannabis weekly for the past 6 months. He reports difficulty concentrating at school. What is the most appropriate response?

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Correct answer: E — Provide non-judgemental education about health risks and assess readiness to change using motivational interviewing

The HEADSS psychosocial assessment framework provides a structure for adolescent consultations. When substance use is disclosed, the clinician should provide non-judgemental, harm-reduction focused counselling, assess the pattern and impact of use, use motivational interviewing techniques to explore readiness to change, and maintain confidentiality (unless there is an immediate safety concern).

Reference: RACP – 2024 – Paediatric Curriculum: Adolescent Health