Gay teens and substance use disorders: Assessment and treatment

2000 ◽  
Vol 3 (3) ◽  
pp. 69-80
Author(s):  
Eva Olson
Author(s):  
Alan A. Wartenberg

The central premise of this chapter on providing integrated care for both pain and addiction is that all patients presenting with pain are at risk for development of substance use disorders. Assessment and treatment of the complex interplay between pain syndromes and substance use disorders proceed most productively by employing an integrated model, with a multidisciplinary approach and with employment of multiple diagnostic instruments. The author describes an integrated care model as it applies to each of the common substances of use: opioids, tobacco, alcohol, benzodiazepines, cannabinoids, barbiturates, and stimulants. The basis for a decision to refer for evaluation or treatment is described. The chapter concludes with an argument for collaboration between disciplines, notably pain medicine and addiction medicine, as being the current standard of acceptable care for patients whose illnesses dwell in both camps. A separate text box provides additional information and resources bearing on this chapter’s topics.


Author(s):  
Frederick Muench ◽  
Rachel P. Vitale ◽  
Marc N. Potenza

Digital health technologies (DHTs) are coming of age in improving the assessment, treatment, and continuing care of individuals struggling with problem substance use and impulsive behavior. While many of these methods are still being tested and continue to evolve, DHTs constitute a powerful new way of enhancing traditional treatment models and offer the opportunity to meet individuals in their natural environments to combat reductions in self-regulation with just-in-time tailored interventions. This chapter provides readers with a general overview of DHTs in the context of the treatment of substance use disorders, detailing a brief history of computer-based interventions for substance use, the core mechanisms of mobile and wireless technologies, a review of how specific technology components (e.g., video chat, text messaging) can be used to assess and treat substance use disorders and self-regulation failures, and potential concerns surrounding the integration of DHTs into addiction care.


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