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So, it wasn't until 2014 that something kind of clicked inside me, and I thought, I've got to investigate this, and my mother still had contact with Lien, though the rest of the Van Es family had severed contact really quite strongly, it turned out, in 1988

SBIRT with younger patients may require additional time for age-appropriate engagement strategies, screening with instruments validated for younger populations, exploration of peer and family influences on substance use, and discussion of developmental impacts of substance use

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