Treating substance abuse in primary care: a demonstration project
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TLDR
Addressing substance abuse problems in primary care is important and Behavioral health professionals with training in substance abuse can provide a range of services that are likely to enhance the quality and quantity of care available to patients.Abstract:
Purpose : The purpose of this project was to implement the delivery of a full range of substance abuse services in a primary care setting. Implementation and logistical issues including confidentiality and communication are discussed. The delivery of services, types of patients, and contextual and policy factors that influenced project implementation are described. Context : Substance use disorders are associated with significant morbidity and mortality worldwide. Patients with alcohol/drug problems frequently present in primary care. Effective and brief treatments are available and recommended for primary care but infrequently implemented. Institutional and provider barriers to implementation have been identified. Data source : Project documentation, data from the patient tracking system, and clinical case notes were used for description and analyses. Conclusion : Addressing substance abuse problems in primary care is important. Behavioral health professionals with training in substance abuse can provide a range of services that are likely to enhance the quality and quantity of care available to patients. Although contextual factors needed to be addressed, integration of services was manageable and seemed acceptable to both providers and patients in this project.read more
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References
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Book
Motivational interviewing: preparing people for change.
TL;DR: In this article, the authors present a discussion of the effectiveness of Motivational Interviewing in the treatment of dual disorders and its adaptation in medical and public health settings, as well as a practical case example.
Journal ArticleDOI
Combined Pharmacotherapies and Behavioral Interventions for Alcohol Dependence: The COMBINE Study: A Randomized Controlled Trial
Raymond F. Anton,Stephanie S. O'Malley,Domenic A. Ciraulo,Ron A. Cisler,David Couper,Dennis M. Donovan,David R. Gastfriend,James D. Hosking,Bankole A. Johnson,Joseph S. LoCastro,Richard Longabaugh,Barbara J. Mason,Margaret E. Mattson,William R. Miller,Helen M. Pettinati,Carrie L. Randall,Robert M. Swift,Roger D. Weiss,Lauren D. Williams,Allen Zweben +19 more
TL;DR: Patients receiving medical management with naltrexone, CBI, or both fared better on drinking outcomes, whereas acamprosate showed no evidence of efficacy, with or without CBI.
Journal ArticleDOI
Brief interventions for alcohol problems: a review
TL;DR: There is encouraging evidence that the course of harmful alcohol use can be effectively altered by well-designed intervention strategies which are feasible within relatively brief-contact contexts such as primary health care settings and employee assistance programs.
Journal ArticleDOI
Brief interventions for alcohol problems: a meta‐analytic review of controlled investigations in treatment‐seeking and non‐treatment‐seeking populations
TL;DR: This review summarizes additional positive evidence for brief interventions compared to control conditions typically delivered by health-care professionals to non-treatment-seeking samples and calculated the effect sizes for multiple drinking-related outcomes at multiple follow-up points.