Related Experiment Video
Updated: Jun 25, 2025
10:17
High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
Published on: April 23, 2019
9.6K
Substance Misuse in Adults: A Primary Care Approach
Alicia Kowalchuk1, Sandra J Gonzalez1, Roger J Zoorob1
1Baylor College of Medicine, Houston, Texas.
American Family Physician
|May 28, 2024
Summary
Family physicians can combat substance misuse by screening patients for alcohol and drug use. Evidence-based interventions and medications can improve patient outcomes and community health.
Area of Science:
- Family Medicine
- Public Health
- Addiction Medicine
Background:
- Substance misuse and substance use disorders are significant public health issues, causing widespread morbidity and mortality.
- A substantial percentage of the population engages in risky alcohol consumption and uses nonprescribed controlled substances.
Purpose of the Study:
- To highlight the crucial role of family physicians in addressing substance misuse.
- To emphasize evidence-based prevention and management strategies for substance use disorders within primary care settings.
Main Methods:
- Integrating standardized screening and brief intervention for alcohol and substance use into routine adult care.
- Utilizing person-first, nonstigmatizing language in patient interactions.
- Leveraging office-based treatments, including FDA-approved medications for alcohol use disorder.
- Employing buprenorphine for opioid use disorder treatment following the elimination of the X-waiver.
- Implementing opioid overdose education and naloxone co-prescribing.
Main Results:
- Alcohol screening and brief intervention can reduce excessive drinking by up to 40% at six months.
- Office-based treatment for alcohol use disorder remains underutilized.
- The removal of the X-waiver expands capacity for office-based opioid use disorder treatment.
Conclusions:
- Family physicians are pivotal in managing substance use disorders through screening, intervention, and treatment.
- Expanding access to evidence-based treatments like medications for alcohol and opioid use disorders can improve patient and community health.
- Adopting nonstigmatizing language enhances care for individuals with substance use disorders.
More Related Videos
Related Concept Videos
01:24Substance Use Disorders Affecting Sleep
164
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
164
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:17Drug Dependence
1.0K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.0K
01:15Drug Abuse and Addiction: Pharmacological Phenomena
465
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
465
01:24Treatment Strategies for Psychological Disorders
114
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
114
01:02Prescription, Nonprescription and Orphan Drugs
721
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
721