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Screening and interventions for substance use in primary care.

Michelle Marie Knapp¹, Donna E McCabe

¹Michelle Marie Knapp is a clinical associate professor and Substance Use Sequence program director at New York University Rory Meyers College of Nursing and a psychiatric NP at Greenwich House Methadone Maintenance Treatment Program, Inc., New York, NY. Donna E. McCabe is a clinical assistant professor at New York University Rory Meyers College of Nursing, New York, NY.

The Nurse Practitioner

|July 24, 2019

Summary

Nurse practitioners (NPs) in primary care can effectively manage substance use disorders (SUDs) using screening, brief interventions, and pharmacologic treatments. Guidelines are provided for NP-led SUD care within primary care settings.

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Area of Science:

Primary care medicine
Psychiatry
Addiction medicine

Background:

Substance use disorders (SUDs) affect diverse patient populations.
Primary care settings offer opportunities for SUD diagnosis and management.
Nurse practitioners (NPs) are integral to primary care delivery.

Purpose of the Study:

To provide guidelines for NPs on managing SUDs in primary care.
To outline screening, brief intervention, and pharmacologic therapy approaches for SUDs.
To support NP-led treatment of patients with SUDs.

Main Methods:

Review of current literature and clinical guidelines for SUD management.
Development of evidence-based recommendations for screening tools.
Guidance on pharmacologic treatment options and referral pathways.

Main Results:

NPs can implement validated screening tools for SUDs.
Brief interventions are effective in primary care settings.
Pharmacologic therapies can be safely managed by NPs for certain SUDs.

Conclusions:

NPs are well-positioned to address the SUD epidemic in primary care.
Implementing these guidelines can improve access to SUD treatment.
Integrated primary care and SUD management enhances patient outcomes.