Addictive Disorders in Medical Populations

Addictive Disorders in Medical Populations

Addictive Disorders in Medical Populations

Addictive Disorders in Medical Populations

Synopsis

This book has a much wider focus than traditional books written about drug and alcohol addictions. This unique book is written by medical specialists who diagnose, treat and research addictive disorders in their specialities. Thus, it meets the needs of the typical medical practitioner who wants to learn about and treat patients with addictive disorders in their practices. Because alcohol and drug problems are so prevalent and affect medical conditions profoundly, the medical specialist will improve their knowledge and skill to diagnose and treat addictive disorders in their specialties.

Drug and alcohol addictions occur commonly in medical populations; 25-50% of patients seen by primary care physicians have alcohol and drug disorders, with even higher prevalence in certain medical specialty populations. Drug use (including illicit drug use and actual or perceived misuse of prescribed medications), alcohol use, and what has been called unhealthy drinking are even more common in trauma centers and our society. Currently, there are no authoritative addiction texts that focus on the identification, intervention and management of either "addictive disorders in medical populations" or "medical complications in addiction populations".

Neurobiological progress in the field of addiction has been amazing and evidence-based treatments have developed at a phenomenal pace, with bench to office applications for tobacco, alcohol and drugs. Pharmacological and psychosocial treatments are described here in detail and in practical terms. The medical and mental complications of addiction are explained comprehensively throughout the text. Clinical considerations are the predominant theme, with the standards of clinical practice grounded in the most current research. The chapters include practical presentations of both clinical and research materials, with instruments for screening and assessment and treatment.

It will be useful for all those seeking information to help a patient or family with a tobacco, alcohol or drug problem. We hope this book can give answers and direction to the identification and management of addictions and their medical complications in patient populations.

Excerpt

The role of physician in the prevention and treatment of addictive disorders is growing in importance and magnitude. The public and managed care organizations are increasingly looking to physicians for leadership and advocacy for patients who have drug and alcohol addictions. The political climate and enormous need combine to make the role of physicians essential to prevention and treatment strategies for addictive disorders. Efforts by physicians in the past have been slow and obstructionist, partly because of moral views and lack of training in addiction problems and disorders. Physicians who were not prepared to confront patients about their addictions and nonphysicians who could treat, but not communicate with the physicians, competed for the overall care of the patients. Frequently, patients had to bridge the gap at the expensive cost of delay in prevention and diagnosis of problematic use of alcohol and drugs.

Heretofore, physicians played a supporting role, or no role at all, in fostering and developing effective prevention and treatment methods for addictive disorders. The attitude of “see no evil, hear no evil, do no evil” no longer allows physicians to ignore common alcohol and drug problems in their patients. Increasingly, generalists are called upon to screen, detect, prevent, and treat alcohol and drug disorders in their populations.

The challenge to medical schools and resident training programs to provide education and clinical experience in addiction has never been greater or more pressing. In the past, despite the presence and affects of alcohol and drug-related disorders, medical schools and residency programs failed to competently teach screening, diagnosis and treatment of such disorders to students. Increasingly, medical students and residents became aware of the need and demonstrated interest in becoming knowledgeable and skilled in the prevention and treatment of alcohol and drug addiction. Both residency directors and curriculum deans affirmatively endorsed that assessment of deficiencies in training and . . .

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