Book ChapterDOI
Other Drug Use
Jennifer McNeely,Joshua D. Lee,Ellie Grossman +2 more
- pp 129-145
TLDR
This chapter gives an overview of what clinicians need to know about recognizing other drug use and its attendant comorbidities, and providing preventive care and substance use interventions.Abstract:
Unhealthy alcohol users are much more likely than the general population to have concurrent tobacco and illicit drug use. This chapter gives an overview of what clinicians need to know about recognizing other drug use and its attendant comorbidities, and providing preventive care and substance use interventions. Substance use is most likely to be uncovered through routine screening, which should be followed by an assessment that determines the degree and severity of use. Medical providers should be aware of common medical and psychiatric problems among tobacco and other drug users. They should be prepared to provide focused preventive care, and to educate patients on harm reduction strategies, including use of sterile injection equipment and overdose prevention. Importantly, medical providers can intervene directly to help patients reduce or stop using tobacco and other drugs, through pharmacotherapy coupled with counseling. Addressing tobacco and other drug use among patients with unhealthy alcohol use can enhance the success of alcohol interventions, and improve overall patient care by helping the provider to identify and treat associated medical conditions, avoid potentially harmful drug interactions, understand and improve adherence to treatment, and build trust.read more
Citations
More filters
Journal ArticleDOI
A Brief Patient Self-administered Substance Use Screening Tool for Primary Care: Two-site Validation Study of the Substance Use Brief Screen (SUBS)
Jennifer McNeely,Shiela M. Strauss,Richard Saitz,Charles M. Cleland,Joseph J. Palamar,John Rotrosen,Marc N. Gourevitch +6 more
TL;DR: The Substance Use Brief Screen (SUBS) was developed as a brief, self-administered instrument to identify unhealthy use of tobacco, alcohol, illicit drugs, and prescription drugs as mentioned in this paper.
Journal ArticleDOI
Test–retest reliability of a self-administered Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in primary care patients
Jennifer McNeely,Shiela M. Strauss,Shana Wright,John Rotrosen,Rubina Khan,Joshua D. Lee,Marc N. Gourevitch +6 more
TL;DR: The ACASI ASSIST has good test-retest reliability, and warrants additional study to evaluate its validity for detecting unhealthy substance use, in an adult primary care population.
Journal ArticleDOI
Deploying a Fotonovela to Combat Methamphetamine Abuse among South Africans with Varying Levels of Health Literacy.
TL;DR: In the first part of a two-part study, the authors compared a health-related fotonovela about methamphetamines to an existing brochure group and a control group.
References
More filters
Journal ArticleDOI
Actual causes of death in the United States, 2000.
TL;DR: These analyses show that smoking remains the leading cause of mortality in the United States, however, poor diet and physical inactivity may soon overtake tobacco as the lead cause of death.
Treating Tobacco Use and Dependence: 2008 Update
TL;DR: The Panel recognized that variations in study inclusion criteria sometimes were warranted and made recommendations based on evidence, which occurred with topics such as tobacco dependence treatment in specific populations, tailoring interventions, and cost-effectiveness of Tobacco dependence treatment.
Journal ArticleDOI
Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Alcohol Abuse and Dependence in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions
TL;DR: Comorbidity of alcohol dependence with other substance disorders appears due in part to unique factors underlying etiology for each pair of disorders studied while comorbidities of alcohol addiction with mood, anxiety, and personality disorders appears more attributable to factors shared among these other disorders.