> Learning from Past Experience: EAP Lessons for SBIRT
By Paul Roman, PhD, University of Georgia
Increasing the involvement of physicians in the treatment of SUDs is the topic of this issue of The Bridge. This of course is directly linked to the question of greater integration of SUD treatment into the medical care system that we are considering across several issues of this publication.
>Integrating SBIRT into Primary Care: Aligning Technology with the Health Care Team
Hannah Knudsen, PhD
University of Kentucky
When considering the question posed by Dr. Roman for this issue of The Bridge--"What could each of us do to enhance physician involement in identifying and assisting individuals with substance use disorders?"--I was initially pessimistic about my ability to make any useful suggestions. But then I found myself re-visiting a failed grant application that we submitted a couple of years ago that sought to implement SBIRT in our academic medical center's internal medicine clinics.
> What if?? An Idea to Promote the Integration of Physicians into the Treatment of Addiction
Louise Haynes, MSW
Medical University of South Carolina
Have you ever heard the term "goomer" (Get out of my emergency room): That was the 1970s term for a person who would later be called a "frequent flyer"--someone who was seen repeatedly in hospital emergency departments. This person often had a mental illness, substance abuse, or both. "Goomers" were reviled by medical residents working in emergency rooms because they required lots of time and attention, and visit after visit, they never seemed to get any better. Read More...
> Everything Primary Care Physicians Have Always Wanted to Know about Patients with SUDs But Were Afraid to Ask
Elizabeth A. Wells, PhD
University of Washington
I don't work on a day-to-day basis with primary care physicians (PCSs). Setting about to compose this column, my main point of reference is my own PCP. She is a family practice doc who works on a primary care time in a large HMO. Each time I go to see her, she spends between 10 and 20 minutes with me, so I imagined that she does not have a lot to time to read pages and pages. I decided to give her a bulleted list rather than a lengthy diatribe. Here are the top 8 messages I think she should hear:
>All Roads Lead to Rome: Furthering Physician Involvement in the Care of Patients with Substance Use Disorders
John Sellinger, PhD
Steve Martino, PhD
Yale University School of Medicine
Department of Psychiatry
Getting physicians to embrace direct involvement in the assessment and management of their patients' substance use disorders remains a challenge to the field. It is widely acknowledged that most patients with active substance use disorders do not receive treatment for these conditions, and they are more likely to present to medical settings than they are to specialty substance abuse treatment programs.Read More...
> Implementing SBIRT: The Need for New Resources and Approaches for Primary Care Physicians
Michael Boyle, MA
University of Wisconsin
Paul Roman challenged the editorial board of The Bridge to explore what each of us could do in our professional roles to encourage the addressing of substance use by the medical profession. In recent years, I have been involved in the design and implementation of a clinical trial utilizing smartphones for recovery support, a NIATx project to assist state and provider partnerships to implement medication-assisted treatment, and the design of a NIDA study combining computer-delivered treatment and recovery supports.
>Physician Roles in Addressing Alcohol and Drug Use Disorders in the 21st Century
Dennis McCarty, PhD
Oregon Health & Science University
Addiction treatment in the 21st century must be more fully integrated with health care to assure that patients and their families receive treatment for co-morbid medical conditions and have access to medications that support recovery. Read More...
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