[Primary and secondary preventions of addictions in general practice]

PRIMARY AND SECONDARY PREVENTIONS OF ADDICTIONS IN GENERAL PRACTICE. General practitioners are key primary care providers when it comes to taking action to prevent addiction. This proactive approach rarely responds to a reason for consultation and requires overcoming the reluctance and representations of the caregiver. Before the first use, it is essential to identify individual, socio-familial and environmental vulnerabilities. Family physicians mobilize their communication skills to identify risk situations without judgment, to motivate change, to appreciate protective factors, and to encourage people to postpone their first experiences. In the case of first use or in the case of life's trials and tribulations, the aim is to assess the function taken over by the product, the ways in which control is lost, to clarify the demands of third parties, and then to intervene using the methods of brief intervention and motivational interviewing.