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We describe primary care practice and how the care of people with drug and alcohol use fits into it. The detection, evaluation, and short or long-term management of chronic behavioral problems are core functions of primary care that may be profoundly enhanced by the therapeutic relationship of primary care provider with patient. We describe screening for risky, unhealthy or problematic use of substances...
Pain has been associated with increased risk for mortality in some studies. We analyzed data from a cohort study [HIV-longitudinal interrelationships of viruses and ethanol (HIV-LIVE)] of HIV-infected persons with alcohol use disorders enrolled 2001–2003 to explore whether reporting moderate or greater pain interference was associated with mortality. The main independent variable was pain that at...
This study examined characteristics associated with prescription drug use disorder (PDUD) in primary-care patients with chronic pain from a cross-sectional survey conducted at an urban academically affiliated safety-net hospital. Participants were 18 to 60 years old, had pain for >3 months, took prescription or nonprescription analgesics, and spoke English. Measurements included the Composite International...
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