Many pain and substance abuse experts feel the situation demands a change of emphasis in the various guidelines that exist for opioid use, particularly for chronic noncancer pain, such as those ... Contracts are useful because they communicate the
Are we to blame for the heroin epidemic? During my training in the 70s, heroin use dominated our substance abuse horizon. ... For the next 30+ years, we rarely heard about heroin. Over the past 10 years we have seen increasing opiate abuse, but the
Mark S. Gold, MD, knows how difficult it is to identify and treat substance abuse in primary care. ... Once you've identified the patient with a substance abuse problem, the question is how to treat.
Q: I read about the new codes for smoking cessation counseling and substance abuse screening and brief intervention services in the February 2008 ACP Internist. ... Physician documentation should reflect both the work associated with the smoking
A history of previous substance abuse raises the risk for prescription opiate abuse, Dr. ... care setting to prescribe chronic opiates to patients who have ongoing substance abuse, even if they have a clear source of somatic pain, Dr.
medications; transporting and accompanying patients to appointments; and linking patients to community primary care, substance abuse, and mental health treatment offices. ... Often, these diagnoses are accompanied by substance abuse. For example, in
Alcoholism and substance abuse increase the chances, as well, since PTSD sufferers often self-medicate with alcohol or drugs, Dr. ... Kroenke. “If you find that the patient isn't cutting down after you've told them this, they may need to get into some
Mental illnesses like depression, anxiety, post-traumatic stress disorder, substance abuse and suicide have also been associated with IPV, experts said. ... This kind of abuse is damaging on its own, and can eventually lead to physical abuse.
GLBT patients may also be more likely to engage in substance abuse, from smoking and overuse of alcohol to illegal drugs. ... When people come in for an STI check, I ask, ‘What raised the concern?’” It's almost always related to substance abuse,
Health Aff (Millwood). 2016;35:1324-32. [PMID: 27335101] doi:10.1377/hlthaff.2015.1496. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. ... Rockville, MD: Substance Abuse and Mental Health