title: Addiction disorders.
abstract: Substance use disorders are common in primary care settings, but detection, assessment, and management are seldom undertaken. Substantial evidence supports alcohol screening and brief intervention for risky drinking, and pharmacotherapy is effective for alcohol use disorders. Substance use disorders can complicate the management of chronic noncancer pain, making routine monitoring and assessment for substance use disorders an important aspect of long-term opioid prescribing. Patients with opioid use disorders can be effectively treated with methadone in opioid treatment programs or with buprenorphine in the primary care setting.
authors.affiliation: Department of Medicine, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Avenue, Box 359780, Seattle, WA 98104, USA. Electronic address: joem@uw.edu.
authors.forename: Joseph O
authors.initials: JO
authors.lastname: Merrill
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Washington, 1959 Northeast Pacific Street, Box 356560, Seattle, WA 98195-6560, USA.
authors.forename: Mark H
authors.initials: MH
authors.lastname: Duncan
mesh_terms: D000427:Alcohol Deterrents / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000009:adverse effects; D002047:Buprenorphine / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy; D015897:Comorbidity; D040261:Harm Reduction; D006801:Humans; D008403:Mass Screening; D008691:Methadone / Q000627:therapeutic use; D062405:Motivational Interviewing; D009292:Narcotic Antagonists / Q000627:therapeutic use; D009294:Narcotics / Q000627:therapeutic use; D058850:Opiate Substitution Treatment; D010817:Physician-Patient Relations; D011320:Primary Health Care; D055502:Secondary Prevention; D012657:Self-Help Groups; D015813:Substance Abuse Detection; D013375:Substance Withdrawal Syndrome / Q000628:therapy; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000628:therapy*; D011795:Surveys and Questionnaires
chemical_list: D000427:Alcohol Deterrents; D000701:Analgesics, Opioid; D009292:Narcotic Antagonists; D009294:Narcotics; D002047:Buprenorphine; D008691:Methadone
keywords: Addiction; Alcohol screening; Brief intervention; Chemical dependency; Chronic pain management; Opioids; Substance use disorder