ABSTRACT
This chapter explores the importance of screening and assessment of Substance use disorders (SUD) in primary care. It addresses three types of SUD: alcohol misuse; illicit drug use such as heroin, cocaine, and marijuana; and prescription drug use. The chapter reviews the epidemiological and population-based foundation for establishing these healthcare screenings. It identifies which screening and assessment tools are reliable and valid for a primary care setting for adolescents and adult populations in primary care. The chapter addresses the barriers for incorporating these standardized tools and assessments into primary care. It describes how screening tools are used in a clinical setting by defining roles and responsibilities for team members, identifying practice management and financial considerations, and relevant opportunities for quality improvement. The strength of screening and assessment for substance misuse in primary care has been well documented. With more integrated screening and assessment in primary care settings, primary care providers can successfully implement treatment options such as buprenorphine and naltrexone.
