Screening for alcohol and drug use disorders among adults in primary care: a review

被引:88
作者
Pilowsky, Daniel J. [1 ,2 ,3 ]
Wu, Li-Tzy [4 ]
机构
[1] Columbia Univ, Dept Epidemiol, New York, NY 10027 USA
[2] Columbia Univ, Dept Psychiat, New York, NY 10027 USA
[3] New York State Psychiat Inst & Hosp, New York, NY 10032 USA
[4] Duke Univ, Med Ctr, Sch Med, Dept Psychiat & Behav Sci, Durham, NC 27710 USA
基金
美国国家卫生研究院;
关键词
brief intervention; emergency departments;
D O I
10.2147/SAR.S30057
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: The Patient Protection and Affordable Care Act of 2010 supports integration of substance abuse interventions and treatments into the mainstream health care system. Thus, effective screening and intervention for substance use disorders in health care settings is a priority. Objective: This paper reviews the prevalence of alcohol and drug use disorders (abuse or dependence) in primary care settings and emergency departments, as well as current screening tools and brief interventions. Methods: MEDLINE was searched using the following keywords: alcohol use, alcohol use disorder, drug use, drug use disorder, screening, primary care, and emergency departments. Using the related-articles link, additional articles were screened for inclusion. This review focuses on alcohol and drug use and related disorders among adults in primary care settings. Conclusion: Screening, brief intervention, and referral for treatment are feasible and effective in primary care settings, provided that funding for screening is available, along with brief interventions and treatment facilities to which patients can be referred and treated promptly.
引用
收藏
页码:25 / 34
页数:10
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