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Introduction to Substance Abuse (Large then Small groups) - |
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November 11, 2009 1:00 PM - 3:00 PM |
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Joshua Boverman M.D. |
| Assignment Due Today: |
Fall term essay assignment due at beginning of small groups.
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| Student Readings: |
| Mengel, et al. |
689-697, 703-711 |
Ch. 31: Alcohol and Drug Abuse |
| Syllabus |
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Lecture PowerPoint |
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| Faculty Only: |
| Syllabus |
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Faculty copy of Mengel reading |
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| Internet Sites: |
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| Session Goal: |
To introduce concepts and perspectives underlying clinical understanding of substance use disorders.
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| Student Objectives: |
Describe the prevalence of substance abuse in the U.S. and its impact upon public health.
Define key terms and concepts used in substance abuse literature (e.g. "drug use behavior") and describe common patterns among addictions, including genetic, behavioral and community-linked trends.
Describe features of the behavior disorders underlying substance abuse problems.
Demonstrate methods to assess behavioral disorders in clinical practice.
Describe complications of these disorders, e.g., physical dependence, tolerance, withdrawal, substance-associated organic mental disorders.
Describe the range of community and clinical resources available for treatment of substance abuse for individuals with and without health insurance coverage.
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| Small Group Activities: |
- In discussing the lecture and reading, the group should discuss reasons a physician may fail to take a substance abuse history or fail to adequately address the issue, e.g. fear. What reasons support the stance that physicians should always address the issue of substance abuse as an integral part of patient care?
- What do students see as the extent of the physician's responsibility in addressing substance abuse problems:
1) if patients come in specifically for help with an addiction?
2) if patients present with seemingly unrelated medical problems?
- Alcoholic Anonymous and off-shoot 12-step groups such as Al-Anon, Narcotics Anonymous, Overeaters Anonymous, etc., have proven to be effective with a great many individuals. Would a physician's recommendation that a patient seek help from one of these organizations be a sufficient response to a substance abuse problem? Why or why not?
- With the time and practice pressures inherent in today's clinic environment, what might a physician do ahead of time to improve his or her response when seeing a patient with a substance abuse problem?
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