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Developing and Using a Referral Network

Developing and Using a Referral Network. Methods for negotiating change Provider expectations: setting realistic goals for change in a chronic disease http://findtreatment.samhsa.gov. For the non-dependent high risk drinker….

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Developing and Using a Referral Network

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  1. Developing and Using a Referral Network • Methods for negotiating change • Provider expectations: setting realistic goals for change in a chronic disease • http://findtreatment.samhsa.gov

  2. For the non-dependent high risk drinker…. • You have the opportunity to address an acute problem and have a big effect on health outcomes • Sobell: Many high risk drinkers will cut back and quit on their own • Provider feedback can play an influential role

  3. For the dependent drinker….

  4. Alcohol abuse resembles other chronic illnesses… • <30% of patients with asthma, HTN, diabetes adhere to prescribed diet and/or behavioral changes and 50% experience yearly recurrence requiring medical care • 50-60% of patients discharged from substance abuse treatment are abstinent at 1 year • As in other chronic diseases, poor adherence and relapse is predicted by low SES, co-morbid psych conditions and lack of family and social supports • Substance abuse should be insured, monitored, treated and evaluated like other chronic diseases McClellan AT, Lewis DC, et al. JAMA 2000; 284:1689-1695.

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