title: [Current Practice of Dealing with Comorbid Problematic Substance Use in Non-Specialized Rehabilitation Settings: A Survey in German Somatic and Psychosomatic Rehabilitation Centres].
abstract: OBJECTIVE
  The current practice of dealing with comorbid problematic substance use in non-specialized somatic and psychosomatic rehabilitation centres is described.
  
  
  METHODS
  A nationwide survey of rehabilitation centres across all indications was conducted.
  
  
  RESULTS
  Incidents related to substance use within the past 12 months were reported by every centre participating in the survey. Even though these incidents occurred rather infrequently, 85% of the respondents stated that the opportunity should be used to address the topic of problematic substance use with all patients. At the same time the issue is discussed controversially by staff members in 42% of the centres, and 29% of the respondents state that there is a need to change the way this issue is dealt with.
  
  
  CONCLUSIONS
  It seems necessary to strengthen the awareness of the problem as well as the professional confidence in dealing with it. In order to support identification of and dealing with problematic substance use, appropriate practice guidelines for the somatic and psychosomatic rehabilitation settings are needed. The present survey constitutes a basis for developing such practice guidelines.
authors.affiliation: Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
authors.forename: M
authors.initials: M
authors.lastname: Schlöffel
authors.affiliation: Kliniken Wied GmbH & Co. KG.
authors.forename: W
authors.initials: W
authors.lastname: Funke
authors.affiliation: Klinik Niederrhein der Deutschen Rentenversicherung Rheinland, Bad Neuenahr-Ahrweiler.
authors.forename: H
authors.initials: H
authors.lastname: Pollmann
authors.affiliation: Deutsche Rentenversicherung Bund, Berlin.
authors.forename: J
authors.initials: J
authors.lastname: Köhler
authors.affiliation: Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
authors.forename: S
authors.initials: S
authors.lastname: Sellmer
authors.affiliation: Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
authors.forename: O
authors.initials: O
authors.lastname: Mittag
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy / Q000706:statistics & numerical data*; D015897:Comorbidity; D005260:Female; D005858:Germany / Q000453:epidemiology; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D015995:Prevalence; D000067250:Psychiatric Rehabilitation / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D055815:Young Adult