title: Assessment of family history of substance abuse for preventive interventions with patients experiencing chronic pain: A quality improvement project.
abstract: This quality improvement project demonstrates that RN Care Managers, in a chronic pain programme, can assess for a family history of substance abuse in 5-10 min. Information informs treatment based on specific high risk criteria. Benefits include heightened awareness of the genetic and environmental risks associated with a family history of substance abuse, an opportunity to participate in motivational interventions to prevent or minimize consequences of substance use disorders, and likely substantial overall health-care cost savings.
authors.affiliation: Department of Psychiatry, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Pestka
authors.affiliation: Department of Psychiatry, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Virginia
authors.initials: V
authors.lastname: Nash
authors.affiliation: Department of Psychiatry, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Michele
authors.initials: M
authors.lastname: Evans
authors.affiliation: Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Joan
authors.initials: J
authors.lastname: Cronin
authors.affiliation: Department of Psychiatry, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Bee
authors.affiliation: Department of Nursing, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: King
authors.affiliation: Department of Nursing, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Kristine
authors.initials: K
authors.lastname: Osborn
authors.affiliation: Department of Nursing, Mayo Clinic, Jacksonville, Florida, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Gehin
authors.affiliation: Department of Psychiatry, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Weis
authors.affiliation: Department of Psychiatry, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Larissa
authors.initials: L
authors.lastname: Loukianova
mesh_terms: D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use; D001364:Awareness; D059350:Chronic Pain / Q000188:drug therapy*; D005192:Family Health; D020022:Genetic Predisposition to Disease; D017048:Health Care Costs; D006801:Humans; D008487:Medical History Taking; D059408:Pain Management / Q000009:adverse effects* / Q000379:methods; D011785:Quality Assurance, Health Care; D018570:Risk Assessment; D019966:Substance-Related Disorders / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000701:Analgesics, Opioid
keywords: chronic pain; family history; preventive interventions; substance abuse; substance use disorders