Primary care providers (PCPs) play a critical role in identifying and managing substance use disorders (SUDs) by treating them as chronic medical conditions that require ongoing care and support. Integrating pharmacological and behavioral interventions through a multidisciplinary approach is ideal, but even limited interventions can meaningfully improve outcomes in resource-constrained settings. Because addiction is a chronic brain disorder influenced by genetic, psychological, and social factors, PCPs should use validated screening tools and DSM-5 criteria for diagnosis and tailor treatment to individual needs. Given the high prevalence of co-occurring behavioral health (BH) conditions such as depression, anxiety, PTSD, and ADHD, comprehensive care should address both SUDs and BH concurrently. A patient-centered, nonjudgmental approach supports engagement in treatment and fosters incremental progress toward recovery.

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Treatment of Substance Use Disorders in Primary Care

  • Matthew P. Martin,
  • Corina Marshall,
  • Michelle Nanda,
  • Randi Sokol

摘要

Primary care providers (PCPs) play a critical role in identifying and managing substance use disorders (SUDs) by treating them as chronic medical conditions that require ongoing care and support. Integrating pharmacological and behavioral interventions through a multidisciplinary approach is ideal, but even limited interventions can meaningfully improve outcomes in resource-constrained settings. Because addiction is a chronic brain disorder influenced by genetic, psychological, and social factors, PCPs should use validated screening tools and DSM-5 criteria for diagnosis and tailor treatment to individual needs. Given the high prevalence of co-occurring behavioral health (BH) conditions such as depression, anxiety, PTSD, and ADHD, comprehensive care should address both SUDs and BH concurrently. A patient-centered, nonjudgmental approach supports engagement in treatment and fosters incremental progress toward recovery.