Intervening through Primary Health Care

Rollnick, Stephen; Boycott, Michelle

doi:10.1007/978-1-4615-0669-0_4

Cited by 1 publication

(1 citation statement)

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“…Brief advice, medication management, case management, and certain brief treatments can be effectively delivered by generalist practitioners within a primary care structure. Indeed, it has been argued [ 38 ] that a strength of primary care is in the use of generalist skills to address the broad range of health care issues related to substance abuse. More intensive outpatient services include detoxification treatment provided by addiction specialists.…”

Section: Introductionmentioning

confidence: 99%

Treating substance abuse in primary care: a demonstration project

Ernst

Miller²,

Rollnick³

2007

Int J Integr Care

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Purpose: The purpose of this project was to implement the delivery of a full range of substance abuse services in a primary care setting. Implementation and logistical issues including confidentiality and communication are discussed. The delivery of services, types of patients, and contextual and policy factors that influenced project implementation are described.Context: Substance use disorders are associated with significant morbidity and mortality worldwide. Patients with alcoholydrug problems frequently present in primary care. Effective and brief treatments are available and recommended for primary care but infrequently implemented. Institutional and provider barriers to implementation have been identified. Data source:Project documentation, data from the patient tracking system, and clinical case notes were used for description and analyses. Conclusion:Addressing substance abuse problems in primary care is important. Behavioral health professionals with training in substance abuse can provide a range of services that are likely to enhance the quality and quantity of care available to patients. Although contextual factors needed to be addressed, integration of services was manageable and seemed acceptable to both providers and patients in this project.

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Section: Introductionmentioning

confidence: 99%