Peer-reviewed veterinary case report
Effectiveness of school-based substance use services for youth
By Maxey HL et al.·2026·Department of Family Medicine, United States·View original on Europe PMC →
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Original publication title: Evaluating School-Based Substance Use Services: Insights From a Systematic Review.
Plain-English summary
This research looked at how schools can help students who might be using substances like drugs or alcohol, which can lead to serious problems later in life. The study found that schools are already providing various services to address substance use, with screening and brief interventions being the most common. While the results of these services varied, many studies showed positive outcomes, such as improved academic performance and better attitudes toward substance use. The authors suggest that schools should develop clear plans to make these services effective and sustainable, and they emphasize the importance of having strong connections to treatment options when needed. Overall, the review suggests that schools have a valuable role in helping students with substance use issues.
Abstract
<h4>Background</h4>Substance use among youth can have lifelong consequences and therefore requires early and targeted services for those at risk. Schools possess a unique opportunity to provide substance use services to youth for both prevention and intervention. However, limited research exists on the school-based substance use services and their effectiveness.<h4>Methods</h4>Using PRISMA guidelines, online databases were searched for studies done between 2004 and 2024 on school-based substance use services, their outcomes, and the characteristics of those administering them.<h4>Findings</h4>Results showed school-based substance use services being offered in multiple settings. Screening and intervention were the most common services provided. Although specific outcomes varied by study, including academic performance, perceptions, and actions, most were positive.<h4>Implications for school health policy, practice, and equity</h4>Schools should create strategic plans for feasible and sustainable substance use services. Use of the screening, brief intervention, and referral to treatment (SBIRT) framework can be used to organize these efforts. Establishing robust referral networks is of particular importance for schools.<h4>Conclusions</h4>This review highlights opportunities for schools to focus on screening and brief intervention for in-school services while also building a strong referral network for times when treatment is necessary.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41330400