Addressing Unhealthy Alcohol Use in Primary Care

1. Front Matter

   Pages 1-1

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2. Unhealthy Alcohol Use: What is it? What Can and Should We be Doing About it in Primary Care Settings?

   • Richard Saitz

   Pages 1-5

3. Screening for Unhealthy Alcohol Use

   • Katharine Bradley, Douglas Berger

   Pages 7-27

4. Assessment of Unhealthy Alcohol Use in Primary Care

   • Hillary Kunins, Chinazo Cunningham

   Pages 29-40

5. Brief Intervention for Unhealthy Alcohol Use

   • Richard Saitz

   Pages 41-48

6. Alcohol Pharmacotherapies

   • Dylan Brock, Babak Tofighi, Joshua D. Lee, Judd Fastenberg

   Pages 49-61

7. Making Effective Referrals to Specialty Care

   • Darius A. Rastegar

   Pages 63-71

8. Making Effective Referrals to Alcoholics Anonymous and Other 12-step Programs

   • Maryann Amodeo, Luz Marilis López

   Pages 73-83

9. Management of Patients with Alcohol Dependence in Recovery: Options for Maintenance and Anticipating and Managing Relapse in Primary Care

   • Thomas J. Doyle, Peter D. Friedmann, William H. Zywiak

   Pages 85-92

10. Managing Pain in the Context of Unhealthy Alcohol Use

    • Erik W. Gunderson, Daniel P. Alford

    Pages 93-105

11. Medical Consequences of Unhealthy Alcohol

    • Adam J. Gordon, Joanne M. Gordon, Lauren Matukaitis Broyles

    Pages 107-118

12. Psychiatric Comorbidity

    • Amy Harrington

    Pages 119-128

13. Other Drug Use

    • Jennifer McNeely, Joshua D Lee, Ellie Grossman

    Pages 129-145

14. To Drink or Not to Drink? “Moderate” Alcohol Consumption in a Clinical Context

    • Timothy S. Naimi

    Pages 147-156

15. Electronic and Other Self-Help Materials for Unhealthy Alcohol Use in Primary Care

    • Steven J. Ondersma, Golfo K. Tzilos

    Pages 157-169

16. Screening and Brief Intervention Practice Systems and Implementation

    • John Muench

    Pages 171-188

17. Confidentiality

    • Richard Saitz

    Pages 189-193

18. Choices for Patients and Clinicians: Ethics and Legal Issues

    • Michael Weaver

    Pages 195-205

19. Hospital Management

    • Richard D. Blondell, Mohammadreza Azadfard

    Pages 207-219

20. Perioperative Management

    • Daniel P. Alford

    Pages 221-232

While there is a wealth of published information on addiction medicine, the psychological aspects of alcohol abuse, and behavioral medicine with regard to addiction, virtually none of these resources were written with the primary care provider in mind. Addressing Unhealthy Alcohol Use in Primary Care is a resource for primary care clinicians who are confronted by patients with these problems daily, and who wish to successfully address these issues in their practice. It would focus on the literature and science relevant to primary care practice and cover the range of interventions appropriate for this setting. Topics include assessment, brief counseling interventions, pharmacotherapy, referrals to both specialty care and Alcoholics Anonymous (and other self-help programs), psychiatric co-morbidity and other drug use, and other information specific to the needs of the primary care provider.

• Addiction
• Alcohol
• Alcoholism
• Internal Medicine
• Primary Care

From the reviews:

“This book aims to provide clinicians with a guide to managing alcohol use in the primary care setting. … this work gives a useful overview of the area … .” (Dominique Florin, Alcohol and Alcoholism, Vol. 48 (6), November-December, 2013)

• , Section of General Internal Medicine, Boston Medical Center, Boston, USA

  Richard Saitz

Policies and ethics