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Author: United States. Department of Health and Human Services. Public Health Service. Substance abuse and mental health services administration. Center for substance abuse treatment
Publisher:
ISBN: 9780788173462
Category :
Languages : en
Pages : 168
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Book Description
This Treatment Improvement Protocol (TIP) contains best practice guidelines for the treatment of substance abuse. Contents: substance abuse and primary care; screening for substance use disorders (instruments, techniques, responding to screens); brief intervention; assessment; specialized substance abuse treatment programs (directories, techniques, goals); implementation and recommendation summary; pharmacotherapy (opioids, nicotine, cocaine); legal and ethical issues (privacy, patient autonomy); screening and assessment instruments (AUDIT, MAST, SMAST); and substance abuse resources for the primary care setting. Extensive bibliography.
Author: United States. Department of Health and Human Services. Public Health Service. Substance abuse and mental health services administration. Center for substance abuse treatment
Publisher:
ISBN: 9780788173462
Category :
Languages : en
Pages : 168
Get Book
Book Description
This Treatment Improvement Protocol (TIP) contains best practice guidelines for the treatment of substance abuse. Contents: substance abuse and primary care; screening for substance use disorders (instruments, techniques, responding to screens); brief intervention; assessment; specialized substance abuse treatment programs (directories, techniques, goals); implementation and recommendation summary; pharmacotherapy (opioids, nicotine, cocaine); legal and ethical issues (privacy, patient autonomy); screening and assessment instruments (AUDIT, MAST, SMAST); and substance abuse resources for the primary care setting. Extensive bibliography.
Author: Eleanor J. Sullivan
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 192
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Book Description
EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 168
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Book Description
Author: Eleanor J. Sullivan
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 0
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Book Description
Author: Saul M. Levin
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 32
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Book Description
Author: H. Thomas Milhorn
Publisher: Springer
ISBN: 3319630407
Category : Medical
Languages : en
Pages : 354
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Book Description
This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies—alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors.
Author: Bonnie Baird Wilford
Publisher:
ISBN:
Category : Psychology
Languages : en
Pages : 352
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Book Description
Author: Coimbra M. Sirica
Publisher:
ISBN:
Category : Alcoholism
Languages : en
Pages : 296
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Book Description
Author: Joseph Westermeyer
Publisher: Praeger
ISBN: 027592162X
Category : Health & Fitness
Languages : en
Pages : 0
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Book Description
This book is written specifically for family or primary care physicians who encounter substance abuse in their daily practice. A Clinical Guide to Drug and Alcohol Problems provides a comprehensive overview to help diagnose and treat these problems. The first five chapters provide basic information on historical and cultural issues, plus the pharmacology of all abused drugs the physician is likely to come into contact with and the epidemiology and etiology of substance abuse problems. The author then addresses the clinical manifestions and course of addiction; diagnostic techniques; principles of clinical management, treatment, and rehabilitation of addictive and other associated medical disorders; and guidelines for public health approaches to the problem.
Author: David E. Smith
Publisher: McGraw Hill Professional
ISBN: 0071381295
Category : Medical
Languages : en
Pages : 361
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Book Description
A clear, concise introduction to substance abuse treatment for non-specialist physicians. Provides information on the nature of addiction, brain chemistry, pharmacology, current treatment protocols, and specific populations such as women, adolescents, and the aged.
