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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...
People with addictive disorders commonly do not receive efficacious medications. Chronic care management (CCM) is designed to facilitate delivery of effective therapies. Using data from the CCM group in a trial testing its effectiveness for addiction (N=282), we examined factors associated with the prescription of addiction medications. Among participants with alcohol dependence, 17% (95% CI 12.0–22...
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