Substance Misuse In Primary Care
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Substance Misuse In Primary Care
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Author : Rosie Winyard
language : en
Publisher: CRC Press
Release Date : 2018-10-08
Substance Misuse In Primary Care written by Rosie Winyard and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-10-08 with Medical categories.
This excellent book is long overdue. It will be of benefit to anyone with an interest in general practitioner education, and anyone considering applying for the post of course organiser should read the opening chapters to prepare them for interview. This is a thoughtful book, written in a clear and witty style and it deserves a wide readership. It provides an educational framework on which general practitioner teaching can be based.' British Journal of General Practice This book is excellent because it deals not only with the nuts and bolts' of being a course organizer, but also addresses the difficulties, frustrations and emotions involved in a witty and entertaining manner. Anyone with an interest in postgraduate medical education, at any level, would benefit from reading this book.' Update Paddy McEvoy's book has rapidly and deservedly established itself as invaluable to anyone responsible for any form of postgraduate medical education.' Education for General Practice 'As well as updating and revising the book throughout. Paddy McEvoy has managed to include sections about the wider context of training without making the book overly long or losing any of the delightful flavour of the first edition. I have no doubt that you will find it both useful and enjoyable.''
A Guide To Substance Abuse Services For Primary Care Clinicians
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Author : Eleanor J. Sullivan
language : en
Publisher:
Release Date : 1997
A Guide To Substance Abuse Services For Primary Care Clinicians written by Eleanor J. Sullivan and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Primary care (Medicine) categories.
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.
Alcohol And Drug Misuse
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Author : G. HUSSEIN. RASSOOL
language : en
Publisher: Routledge
Release Date : 2024-10-29
Alcohol And Drug Misuse written by G. HUSSEIN. RASSOOL and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-10-29 with Medical categories.
This comprehensive textbook provides an accessible and skills-oriented introduction to alcohol and substance misuse for healthcare students and practitioners new to the field. Divided into five parts, this text explores: - the context of alcohol and drug misuse, and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society. - an overview of psychoactive substances and the problems associated with them. - an exploration of the impact of psychoactive substances on groups such as culturally and linguistically diverse communities, young people, women, older people and the homeless. - an understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, the community and hospitals. - a framework for assessment, care planning, harm reduction approaches, dealing with overdose, intoxication and withdrawals, and psychological and pharmacological interventions. This new edition is fully updated and includes expanded coverage of performance enhancing drugs, e-cigarettes, cannabis use, gender disparities in substance use and treatment, public health approaches to substance use and screening tools for alcohol misuse. Alcohol and Drug Misuse is enhanced with activities and learning outcomes throughout. It is essential reading for nursing, healthcare and social work students taking substance misuse modules, as well as related post-registration/qualification courses for health and social care professionals.
Rcgp Guide To The Management Of Substance Misuse In Primary Care
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Author : Clare Gerada
language : en
Publisher:
Release Date : 2005
Rcgp Guide To The Management Of Substance Misuse In Primary Care written by Clare Gerada and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Primary care (Medicine) categories.
Substance Use Disorders
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Author : H. Thomas Milhorn
language : en
Publisher: Springer
Release Date : 2017-10-17
Substance Use Disorders written by H. Thomas Milhorn and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-17 with Medical categories.
This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies—alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors.
Care Of Drug Users In General Practice
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Author : Berry Beaumont
language : en
Publisher: CRC Press
Release Date : 2021-04-05
Care Of Drug Users In General Practice written by Berry Beaumont and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-04-05 with Medical categories.
The National Primary Care Research and Development Centre series provides policy makers, commissioners, managers, primary care professionals and user organizations with up-to-date multi-disciplinary research on important issues that inform future decision making for primary care development. This book examines the key factors shaping the relationship between demand for, and use of, primary care. It provides a detailed picture with which to inform the planning of appropriate, acceptable and responsive primary care services. Patients' perceptions are important, not only because they are a barometer of the appropriateness and effectiveness of services, but because they are a unique source of knowledge about the way in which people use services when they do, for the reasons that they do. This book concisely presents empirical findings and summarizes key policy and conceptual issues.
Caring For People With Mental Health And Substance Use Disorders In Primary Care Settings
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2021-01-30
Caring For People With Mental Health And Substance Use Disorders In Primary Care Settings written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-01-30 with Medical categories.
Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
Addressing Unhealthy Alcohol Use In Primary Care
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Author : Richard Saitz
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-22
Addressing Unhealthy Alcohol Use In Primary Care written by Richard Saitz and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-22 with Medical categories.
While there is a wealth of published information on addiction medicine, the psychological aspects of alcohol abuse, and behavioral medicine with regard to addiction, virtually none of these resources were written with the primary care provider in mind. Addressing Unhealthy Alcohol Use in Primary Care is a resource for primary care clinicians who are confronted by patients with these problems daily, and who wish to successfully address these issues in their practice. It would focus on the literature and science relevant to primary care practice and cover the range of interventions appropriate for this setting. Topics include assessment, brief counseling interventions, pharmacotherapy, referrals to both specialty care and Alcoholics Anonymous (and other self-help programs), psychiatric co-morbidity and other drug use, and other information specific to the needs of the primary care provider.
Alcohol And Drug Misuse
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Author : G. Hussein Rassool
language : en
Publisher: Routledge
Release Date : 2009-06-02
Alcohol And Drug Misuse written by G. Hussein Rassool and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-06-02 with Medical categories.
Written by an experienced author and lecturer, this five part text presents an introduction to drug and alcohol misuse and provides: the context of alcohol and drug misuse, and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society an overview of the problems associated with psychoactive substances and their impact on groups such as black and minority ethnic people, young people, women, older people and the homeless an understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, community and hospitals a framework for assessment, care planning, harm reduction approach, dealing with overdose, intoxication and withdrawals, psychological and pharmacological interventions an accessible and skills-oriented approach to assist students and practitioners in dealing with drug and alcohol misuse. Alcohol and Drug Misuse takes into account current policy initiatives and practice for substance use and misuse and includes a range of pedagogical features to enhance learning. It is essential reading for nursing and health students taking substance misuse modules, as well as related CPD courses for health care professionals.
The National Treatment Improvement Evaluation Study Nties
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Author :
language : en
Publisher:
Release Date : 1997
The National Treatment Improvement Evaluation Study Nties written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Drug abuse categories.
