TY - JOUR KW - Alcoholism/drug therapy KW - Drug Monitoring KW - Drug Overdose/prevention & control KW - Humans KW - Opioid-Related Disorders/drug therapy KW - Prescription Drugs/therapeutic use KW - Primary Health Care AU - J. Lee AU - T. F. Kresina AU - M. Campopiano AU - R. Lubran AU - H. W. Clark A1 - AB - Substance-related and addictive disorders are chronic relapsing conditions that substantially impact public health. Effective treatments for these disorders require addressing substance use/dependence comprehensively as well as other associated comorbidities. Comprehensive addressing of substance use in a medical setting involves screening for substance use, addressing substance use directly with the patient, and formulating an appropriate intervention. For alcohol dependence and opioid dependence, pharmacotherapies are available that are safe and effective when utilized in a comprehensive treatment paradigm, such as medication assisted treatment. In primary care, substance use disorders involving alcohol, illicit opioids, and prescription opioid abuse are common among patients who seek primary care services. Primary care providers report low levels of preparedness and confidence in identifying substance-related and addictive disorders and providing appropriate care and treatment. However, new models of service delivery in primary care for individuals with substance-related and addictive disorders are being developed to promote screening, care and treatment, and relapse prevention. The education and training of primary care providers utilizing approved medications for the treatment of alcohol use disorders and opioid dependence in a primary care setting would have important public health impact and reduce the burden of alcohol abuse and opioid dependence. BT - BioMed research international C5 - Opioids & Substance Use; Education & Workforce CY - United States DO - 10.1155/2015/137020 JF - BioMed research international N2 - Substance-related and addictive disorders are chronic relapsing conditions that substantially impact public health. Effective treatments for these disorders require addressing substance use/dependence comprehensively as well as other associated comorbidities. Comprehensive addressing of substance use in a medical setting involves screening for substance use, addressing substance use directly with the patient, and formulating an appropriate intervention. For alcohol dependence and opioid dependence, pharmacotherapies are available that are safe and effective when utilized in a comprehensive treatment paradigm, such as medication assisted treatment. In primary care, substance use disorders involving alcohol, illicit opioids, and prescription opioid abuse are common among patients who seek primary care services. Primary care providers report low levels of preparedness and confidence in identifying substance-related and addictive disorders and providing appropriate care and treatment. However, new models of service delivery in primary care for individuals with substance-related and addictive disorders are being developed to promote screening, care and treatment, and relapse prevention. The education and training of primary care providers utilizing approved medications for the treatment of alcohol use disorders and opioid dependence in a primary care setting would have important public health impact and reduce the burden of alcohol abuse and opioid dependence. PP - United States PY - 2015 SN - 2314-6141 SP - 137020 T1 - Use of pharmacotherapies in the treatment of alcohol use disorders and opioid dependence in primary care T2 - BioMed research international TI - Use of pharmacotherapies in the treatment of alcohol use disorders and opioid dependence in primary care U1 - Opioids & Substance Use; Education & Workforce U2 - 25629034 U3 - 10.1155/2015/137020 VL - 2015 VO - 2314-6141 Y1 - 2015 ER -