0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Appropriate Screening for Substance Use vs Disorder

Jennifer McNeely, MD, MS1; Richard Saitz, MD, MPH2,3
[+] Author Affiliations
1Department of Population Health, New York University School of Medicine, New York, New York
2Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts
3Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, Massachusetts
JAMA Intern Med. 2015;175(12):1997-1998. doi:10.1001/jamainternmed.2015.6517.
Text Size: A A A
Published online

Extract

To the Editor We appreciated the rigorous validation study of a new drug screening instrument by Tiet et al.1 However, the Screen of Drug Use (SoDU) may not be the appropriate tool for primary care. The SoDU performed well for detection of drug use disorders (Diagnostic and Statistical Manual of Mental Disorders [Fourth Edition, Text Revision] abuse or dependence) and negative consequences of drug use. Yet primary care clinicians need to also be concerned with drug use that does not rise to this level of severity but still poses significant health risks. These risks include drug-medication interactions, overdose, drug use–associated risk behavior (eg, driving under the influence, sexual exposures), and progression to more frequent use. Furthermore, knowing about drug use is critical for proper diagnosis and management of myriad symptoms common in primary care settings (ie, chronic pain, anxiety, insomnia, and hypertension) that may occur even with occasional use.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

December 1, 2015
Mitchell H. Katz, MD
JAMA Intern Med. 2015;175(12):1999. doi:10.1001/jamainternmed.2015.6616.
December 1, 2015
Quyen Q. Tiet, PhD; Rudolf H. Moos, PhD; Susan M. Frayne, MD, MPH
1Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California2National Center for PTSD, Dissemination and Training Division, Veterans Affairs Palo Alto Health Care System, Menlo Park, California3Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California4Clinical Psychology PhD Program, California School of Professional Psychology Alliant International University, San Francisco
1Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California3Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California
1Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California5Department of Medicine, Stanford University School of Medicine, Stanford, California
JAMA Intern Med. 2015;175(12):1998-1999. doi:10.1001/jamainternmed.2015.6550.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

265 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();