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Substance use and specific healthcare settings 

Substance use and specific healthcare settings
Chapter:
Substance use and specific healthcare settings
DOI:
10.1093/med/9780198714750.003.0025
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date: 24 June 2019

Chapter 25 of Addiction Medicine provides an overarching account of the various settings in which people with substance use disorders may be seen. There are comprehensive sections on primary healthcare, consulting rooms practice, specialist addiction services, the emergency department, consultation-liaison services, and public venues. For each of these settings the advantages and constraints on practice and patient management are described. Primary healthcare offers a longitudinal perspective of the patient and often an understanding of the person in his or her family and social context; however, limited time is often the key barrier. In the emergency department the emphasis is on rapid assessment, resuscitation, and stabilization of the patient. Information on managing emergency situations, such as the agitated patient, the person with reduced conscious level, and the delirious patient, is provided. The scope and approaches in consulting rooms practice, specialist addiction services, and in consultation-liaison practice are outlined. The common substance-related presentations in public venues are summarized.

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