TY - CHAP M1 - Book, Section TI - Substance Use Disorders A1 - Mallin, Robert A1 - Porter, Maribeth A2 - South-Paul, Jeannette E. A2 - Matheny, Samuel C. A2 - Lewis, Evelyn L. Y1 - 2015 N1 - T2 - CURRENT Diagnosis & Treatment: Family Medicine, 4e AB - The prevalence of alcohol and drug disorders in primary care outpatients is between 23% and 37%. Almost one third of US adults meet the criteria for a form of alcohol use disorder during some point in their lives. The cost to society of these disorders is staggering. Each year in the United States substance use disorders are associated with 100,000 deaths and costs of approximately $100 billion. The high prevalence of these disorders in primary care outpatients suggests that family physicians are confronted with these problems daily. However, these disorders rarely present overtly. Patients in denial about the connection between their substance use and the consequences caused by it frequently minimize the amount of their use, and they rarely seek assistance for their substance use problem. One study exploring the care provided for patients with alcohol dependence found that only 11% of patients received recommended care in the primary care setting. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) published a physician’s guide, Helping Patients Who Drink Too Much (http://www.niaaa.nih.gov/guide) to help improve this discrepancy of care. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1106853456 ER -