Procedures for Medication-Assisted Treatment of Alcohol or Opioid Dependence in Primary Care

Published Nov 22, 2016

by Keith G. Heinzerling, Allison J. Ober, Karen Lamp, David De Vries, Katherine E. Watkins

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Medical providers in primary care settings can play an important role in treating patients who have a substance use problem. FDA-approved medications are now available for primary care doctors in their offices to treat appropriate patients. The addition of these medications to a standard drug or alcohol counseling program or self-help program may improve outcomes over counseling or support alone. This guide is divided into three parts: Part I reviews the approach that primary care providers should take in discussing alcohol or opioid dependence with their patients. Part II is a step-by-step guide to treating alcohol-dependent patients with extended-release, injectable naltrexone in primary care settings. Part III is a reference guide for primary care practitioners administering buprenorphine/naloxone to patients with opioid dependence.

The research described in this report was sponsored by the National Institute on Drug Abuse and conducted by RAND Health.

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