title: Screening for addictive disorders within a workers' compensation clinic: an exploratory study.
abstract: We conducted a cross-sectional study investigating the extent of addictive disorders within a workers' compensation (WC) clinic. We also examined the feasibility of substance abuse screening within the same clinic. In  2009 , 100 patients were asked to complete the World Health Organization's Alcohol, Smoking, Substance Involvement Screening Test (WHO-ASSIST) and the Current Opioid Misuse Measure (COMM). According to the WHO-ASSIST, we found that 46% of WC patients required intervention for at least one substance-related disorder (25% tobacco, 23% sedatives, 8% opioids), and according to the COMM, 46% screened positive for prescription opioid misuse. Importantly, the addition of this screening was brief, economical, and well accepted by patients. Further research should analyze the costs and benefits of detection and intervention of substance-related disorders in this setting.
authors: Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, California 90095, USA. iparhami@mednet.ucla.edu
authors: Iman
authors: I
authors: Parhami
authors: Mark
authors: M
authors: Hyman
authors: Aaron
authors: A
authors: Siani
authors: Stephanie
authors: S
authors: Lin
authors: Michael
authors: M
authors: Collard
authors: Johnny
authors: J
authors: Garcia
authors: Laurie
authors: L
authors: Casaus
authors: John
authors: J
authors: Tsuang
authors: Timothy W
authors: TW
authors: Fong
mesh_terms: D000554:Ambulatory Care Facilities; D000701:Analgesics, Opioid / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009293:Opioid-Related Disorders / Q000175:diagnosis / Q000453:epidemiology; D010146:Pain / Q000188:drug therapy*; D015813:Substance Abuse Detection / Q000379:methods*; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000175:diagnosis / Q000453:epidemiology; D014942:Workers' Compensation
chemical_list: D000701:Analgesics, Opioid