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Electronic health records: essential tools in integrating substance abuse treatment with primary care.

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Date
2012
Authors
Tai, Betty
Wu, Li-Tzy
Clark, H Westley
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428
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Abstract
While substance use problems are considered to be common in medical settings, they are not systematically assessed and diagnosed for treatment management. Research data suggest that the majority of individuals with a substance use disorder either do not use treatment or delay treatment-seeking for over a decade. The separation of substance abuse services from mainstream medical care and a lack of preventive services for substance abuse in primary care can contribute to under-detection of substance use problems. When fully enacted in 2014, the Patient Protection and Affordable Care Act 2010 will address these barriers by supporting preventive services for substance abuse (screening, counseling) and integration of substance abuse care with primary care. One key factor that can help to achieve this goal is to incorporate the standardized screeners or common data elements for substance use and related disorders into the electronic health records (EHR) system in the health care setting. Incentives for care providers to adopt an EHR system for meaningful use are part of the Health Information Technology for Economic and Clinical Health Act 2009. This commentary focuses on recent evidence about routine screening and intervention for alcohol/drug use and related disorders in primary care. Federal efforts in developing common data elements for use as screeners for substance use and related disorders are described. A pressing need for empirical data on screening, brief intervention, and referral to treatment (SBIRT) for drug-related disorders to inform SBIRT and related EHR efforts is highlighted.
Type
Journal article
Subject
Patient Protection and Affordable Care Act 2010
brief intervention
electronic health records
primary care
screening
substance abuse treatment
substance use disorders
Permalink
https://hdl.handle.net/10161/12086
Published Version (Please cite this version)
10.2147/SAR.S22575
Publication Info
Tai, Betty; Wu, Li-Tzy; & Clark, H Westley (2012). Electronic health records: essential tools in integrating substance abuse treatment with primary care. Subst Abuse Rehabil, 3. pp. 1-8. 10.2147/SAR.S22575. Retrieved from https://hdl.handle.net/10161/12086.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Wu

Li-Tzy Wu

Professor in Psychiatry and Behavioral Sciences
Education/Training: Pre- and post-doctoral training in mental health service research, psychiatric epidemiology (NIMH T32), and addiction epidemiology (NIDA T32) from Johns Hopkins University School of Public Health (Maryland); Fellow of the NIH Summer Institute on the Design and Conduct of Randomized Clinical Trials.Director: Duke Community Based Substance Use Disorder Research Program.Research interests: COVID-19, Opioid misuse, Opioid overdose, Opioid use disorder
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