TY - JOUR
KW - Alcohol and drug abuse
KW - primary care
KW - integrated behavioral health
AU - C. B. Wolk
AU - C. A. Doubeni
AU - H. A. Klusaritz
AU - A. Bilger
AU - E. Paterson
AU - D. W. Oslin
A1 - 
AB - OBJECTIVE: Little research has focused on the treatment of adults with substance use disorders in primary care despite the high occurrence, morbidity, and mortality associated with these disorders. METHODS: An electronic survey was administered to primary care providers in a large health system to assess screening and treatment practices and comfort managing opioid use, alcohol use, and depressive disorders. A total of 146 providers completed the survey (32%). RESULTS: Providers were significantly less likely to screen for or treat opioid use disorders and alcohol use disorders, compared with depression. Providers reported feeling significantly less confident, less prepared, less expected to treat, less sure of the appropriateness of treating, and less able to navigate community resources in the treatment of opioid and alcohol use disorders, compared with depression. CONCLUSIONS: Given the preponderance of substance use disorders in primary care, increased attention to equipping primary care providers to treat these conditions is warranted.
AD - Department of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).; Department of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).; Department of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).; Department of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).; Department of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Ce(TRUNCATED)
BT - Psychiatric services (Washington, D.C.)
C5 - Education & Workforce; Opioids & Substance Use
CP - 10
CY - United States
DO - 10.1176/appi.ps.201800378
IS - 10
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: Little research has focused on the treatment of adults with substance use disorders in primary care despite the high occurrence, morbidity, and mortality associated with these disorders. METHODS: An electronic survey was administered to primary care providers in a large health system to assess screening and treatment practices and comfort managing opioid use, alcohol use, and depressive disorders. A total of 146 providers completed the survey (32%). RESULTS: Providers were significantly less likely to screen for or treat opioid use disorders and alcohol use disorders, compared with depression. Providers reported feeling significantly less confident, less prepared, less expected to treat, less sure of the appropriateness of treating, and less able to navigate community resources in the treatment of opioid and alcohol use disorders, compared with depression. CONCLUSIONS: Given the preponderance of substance use disorders in primary care, increased attention to equipping primary care providers to treat these conditions is warranted.
PP - United States
PY - 2019
SN - 1557-9700; 1075-2730
SP - 940
EP - 943
EP - 
T1 - Perspectives and Practice in the Identification and Treatment of Opioid Use, Alcohol Use, and Depressive Disorders
T2 - Psychiatric services (Washington, D.C.)
TI - Perspectives and Practice in the Identification and Treatment of Opioid Use, Alcohol Use, and Depressive Disorders
U1 - Education & Workforce; Opioids & Substance Use
U2 - 31185852
U3 - 10.1176/appi.ps.201800378
VL - 70
VO - 1557-9700; 1075-2730
Y1 - 2019
Y2 - Oct 1
ER -