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Volume 4, Issue 2
In this Issue...

> Introduction to This Issue of The Bridge
> Integrating SBIRT into Primary Care: Aligning Technology with the Health Care Team
> What if?? An Idea to Promote the Integration of Physicians into the Treatment of Addiction
> Everything Primary Care Physicians Have Always Wanted to Know About Patients with SUDs But Were Afraid to Ask
> All Roads Lead to Rome: Furthering Physician Involvement in the Care of Patients with Substance Use Disorders
> Implementing SBIRT: The Need for New Resources and Approaches for Primary Care Physicians

> Physician Roles in Addressing Alcohol and Drug Use Disorders in the 21st Century

Download a PDF of this entire issue

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> Learning from Past Experience: EAP Lessons for SBIRT
By Paul Roman, PhD, University of Georgia
Editor

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.
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>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.
Read More...

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> 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...

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> 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:
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>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...

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> 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.  Read More...

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>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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Download a PDF of this entire issue


The Bridge is a semi-annual e-pub that links science and service by providing information and tools on technology transfer and implementation science strategies.


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Join us for
The Bridge Video Talk Show
May 20, 2014

1:00 PM EST / 12:00 PM CST
11:00 AM MST / 10:00 AM PST
SBIRT and Healthcare Integration
Learn more in this live discussion with researchers from The Bridge Editorial Board.
Reserve your seat today!

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Related Posts from the ATTC/NIATx Service Improvement Blog:

Integration: The Great Debate

What happens if they say "Yes"?


Inspiring Change Through SBIRT: Start with the "Why"

Coming up in June 2014:
ATTC Messenger and
Third Thursday iTraining
"Working in multidisciplinary teams to promote healthcare integration"

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Are you interested in contributing to the next issue of The Bridge?
Contact Paul Roman, Editor of The Bridge, or send an email to thebridge@attcnetwork.org.

We want to hear from you!
Email your thoughts about this issue of The Bridge to Maureen Fitzgerald at the ATTC Network Coordinating Office.

The Bridge Editorial Board

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