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This report demonstrates a novel methodology for estimating what substance abuse practitioners regard to be clinically important differences.
Psychiatric treatment, including psychotherapy, may be more life-saving for substance abusers than drug-abuse services.
These findings suggest that welfare administrators might usefully work with substance abuse providers to identify and serve welfare recipients with substance abuse problems.
The present study adds to the growing substance abuse and employment literature.
These results may be utilized when developing a program to better involve surgeons and nurses in detection and intervention of surgical patients' substance abuse.
However, it may be beneficial to refer patients with substance abuse related medical conditions to a provider also trained in addiction medicine.
These findings are relevant given the high prevalence and cost of medical conditions among substance abuse patients, new developments in medications for addiction, and recent legislation on parity of substance abuse with other medical benefits.