Treating substance abuse in primary care: a demonstration project.
OBJECTIVE
The purpose of this project was to implement the delivery of a full range of substance abuse services in a primary care setting. Implementation and logistical issues including confidentiality and communication are discussed. The delivery of services, types of patients, and contextual and policy factors that influenced project implementation are described.


BACKGROUND
Substance use disorders are associated with significant morbidity and mortality worldwide. Patients with alcohol/drug problems frequently present in primary care. Effective and brief treatments are available and recommended for primary care but infrequently implemented. Institutional and provider barriers to implementation have been identified.


METHODS
Project documentation, data from the patient tracking system, and clinical case notes were used for description and analyses.


CONCLUSIONS
Addressing substance abuse problems in primary care is important. Behavioral health professionals with training in substance abuse can provide a range of services that are likely to enhance the quality and quantity of care available to patients. Although contextual factors needed to be addressed, integration of services was manageable and seemed acceptable to both providers and patients in this project.
Ernst
Denise
D
Center on Alcoholism, Substance Abuse and Addiction, University of New Mexico, USA.
Miller
William R
WR
Rollnick
Stephen
S