Download Addressing Unhealthy Alcohol Use in Primary Care by Richard Saitz MD, MPH, FACP, FASAM (auth.), Richard Saitz PDF

By Richard Saitz MD, MPH, FACP, FASAM (auth.), Richard Saitz (eds.)

While there's a wealth of released details on habit medication, the mental elements of alcohol abuse, and behavioral medication with reference to habit, nearly none of those assets have been written with the first care supplier in brain. Addressing bad Alcohol Use in fundamental Care is a source for fundamental care clinicians who're faced by means of sufferers with those difficulties day-by-day, and who desire to effectively handle those concerns of their perform. it will specialize in the literature and technological know-how proper to fundamental care perform and canopy the diversity of interventions acceptable for this environment. issues contain evaluation, short counseling interventions, pharmacotherapy, referrals to either area of expertise care and Alcoholics nameless (and different self-help programs), psychiatric co-morbidity and different drug use, and different details particular to the wishes of the first care provider.

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Extra resources for Addressing Unhealthy Alcohol Use in Primary Care

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I’m not just thinking about changing my drinking, I’m already doing something about it 9. I have already changed my drinking, and I am looking for ways to keep from slipping back to my old pattern 10. I have serious problems with drinking 11. Sometimes I wonder if I am in control of my drinking 12. My drinking is causing a lot of harm 13. I am actively doing things now to cut down or stop drinking 14. I want help to keep from going back to the drinking problems that I had before 15. I know that I have a drinking problem 16.

58. Seale JP, Boltri JM, Shellenberger S, et al. Primary care validation of a single screening question for drinkers. J Stud Alcohol. 2006;67(5):778–784. 59. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158(16):1789–1795. 60. Bradley KA, De Benedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR.

Similarly, the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), developed as a screening tool, can also provide information relevant to assessing a patient’s severity of illness. Developed by the World Health Organization (WHO), the ASSIST has good test characteristics to categorize the severity of use, including dependence, in primary care settings [6]. 1 Assessing patients for alcohol abuse or dependence. (From: Helping Patients who Drink Too Much: A Clinician’s Guide. pdf) Determine whether, in the past 12 months, your patient’s drinking has repeatedly caused or contributed to: Risk of bodily harm (drinking and driving, operating machinery, swimming) Relationship trouble (family or friends) Role failure (interference with home, work, or school obligations) Run-ins with the law (arrests or other legal problems) If yes to One or more your patient has Alcohol abuse In either case, proceed to assess for dependence symptoms Determine whether, in the past 12 months, your patient has Not been able to stick to drinking limits (repeatedly gone over them) Not been able to cut down or stop (repeated failed attempts) Shown tolerance (needed to drink a lot more to get the same effect) Shown signs of withdrawal (tremors, sweating, nausea, or insomnia when trying to quit or cut down) Kept drinking despite problems (recurrent physical or psychological problems) Spent a lot of time drinking (or anticipating or recovering from drinking) Spent less time on other matters (activities that had been important or pleasurable) If yes to Three or more your patient has Alcohol dependence is its ability to distinguish among substance use that is low risk, moderate risk (problem use/abuse) and high risk (dependence).

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