[PDF] A Guide For Physician Training In Substance Abuse eBook

Author : David E. Smith
Publisher : McGraw Hill Professional
Page : 361 pages
File Size : 37,96 MB
Release : 2001-05-21
Category : Medical
ISBN : 0071381295

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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.

Author : Eleanor J. Sullivan
Publisher :
Page : 194 pages
File Size : 46,59 MB
Release : 1997
Category : Primary care (Medicine)
ISBN :

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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 : Jonathan D. Avery
Publisher : Springer Nature
Page : 137 pages
File Size : 46,32 MB
Release : 2021-11-21
Category : Medical
ISBN : 3030864308

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This book provides an accessible, up-to-date understanding of how to treat patients with substance and non-substance-related addiction. It covers all the typical substance and non-substance use disorders and presents evidence in a case-based format. Concise and comprehensive, opening chapters relay a preliminary assessment of addiction disorders and their neurobiology. Subsequent chapters then offer specific treatment options, challenges, and cases relating to the abuse of distinct substances. The substances mentioned earlier include alcohol, opioids, stimulants, hallucinogens, and sedatives. Additionally, one chapter covers the unique issues associated with treating behavioral addictions, such as sex and gambling. Each chapter will outline cases in a fashion that will optimize the reader's experience. In closing, the book examines co-occurring substance use disorders and mental illness. An invaluable addition to the Psychiatry Update Series, Addiction Medicine is an essential reference for mental health clinicians, as well as primary care and family medicine clinicians.

Author : Marc A. Schuckit
Publisher : Springer Science & Business Media
Page : 284 pages
File Size : 44,80 MB
Release : 2012-12-06
Category : Medical
ISBN : 1468411764

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When this series was conceived, a book on substance abuse, including alcohol and alcoholism, was to be of the highest priority. This priority was a reflection of my view that the subject is often inadequately or insufficient ly taught in many training programs. Few clinicians have had comprehen sive didactic education in this area, despite the frequency with which these problems are encountered in practice. All too often these encounters are in situations in which accurate diagnosis and rapid treatment are of critical im portance. We wanted a book that would be concise and easily readable but also comprehensive in its presentation of the basic principles underlying clinical manifestations, diagnosis, and management. It was of particular im portance that the book also serve as an easy reference guide in emergency situations. Marc Schuckit, a man with impeccable credentials as a scholar and an experienced clinician in this field, produced just such a book with his critically acclaimed first edition. That volume rapidly became a resource of great significance for psychiatrists, psychotherapists, and physicians in general. It has been adopted as a text in medical schools and residency train ing, as well as for courses in psychology, emergency medicine, social work, and nursing. The entire volume has been revised and updated to reflect changes in knowledge and clinical practice since the publication of the first edition and in order to keep the comprehensive references current. There is a new chapter on phencyclidine and another on caffeine and nicotine.

Author : Centre for Addiction and Mental Health
Publisher : Centre for Addiction and Mental Health
Page : 248 pages
File Size : 42,54 MB
Release : 2002
Category : Medical
ISBN : 9780888684134

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Advice and treatment by physicians and nurses can substantially reduce substance use and its associated disease and health care costs, yet physicians are often hampered by lack of training and knowledge in this area. Managing Alcohol, Tobacco and Other Drug Problems: A Pocket Guide for Physicians and Nurses is a quick reference for the busy physician or nurse. It summarizes the simplest, most effective and best researched protocols for identifying and treating substance use and its complications. The Pocket Guide helps medical and nursing students, physicians and nurses recognize that substance use problems are medically treatable. This guide will not only demistify the treatment of patients with substance use issues, but will also lead to better treatment outcomes. The Pocket Guide is an invaluable, practical resource with answers for most substance use problems.