Screening in primary care settings for illicit drug use: assessment of screening instruments a supplemental evidence update for the U.S. Preventive Services Task Force

Two approaches have been proposed for identifying illicit drug use and drug abuse among patients seen in routine clinical encounters: toxicologic tests of blood or urine, and standardized screening questionnaires. This report focuses only on the second approach. To be of benefit in primary care sett...

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Bibliographic Details
Main Authors: Lanier, David, Ko, Stephen (Author)
Corporate Authors: U.S. Preventive Services Task Force, United States Agency for Healthcare Research and Quality
Format: eBook
Language:English
Published: Rockville, MD Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services 2008, 2008
Series:Evidence syntheses
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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100 1 |a Lanier, David 
245 0 0 |a Screening in primary care settings for illicit drug use: assessment of screening instruments  |h Elektronische Ressource  |b a supplemental evidence update for the U.S. Preventive Services Task Force  |c investigators, David Lanier and Stephen Ko 
260 |a Rockville, MD  |b Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services  |c 2008, 2008 
300 |a 1 online resource 
505 0 |a Includes bibliographical references 
653 |a Primary Health Care 
653 |a Mass Screening 
653 |a Surveys and Questionnaires 
653 |a Substance-Related Disorders / diagnosis 
653 |a Process Assessment, Health Care 
700 1 |a Ko, Stephen  |e [author] 
710 2 |a U.S. Preventive Services Task Force 
710 2 |a United States  |b Agency for Healthcare Research and Quality 
041 0 7 |a eng  |2 ISO 639-2 
989 |b NCBI  |a National Center for Biotechnology Information 
490 0 |a Evidence syntheses 
500 |a Title form home page. - "January 2008." 
856 4 0 |u https://www.ncbi.nlm.nih.gov/books/NBK43363  |3 Volltext  |n NLM Bookshelf Books  |3 Volltext 
082 0 |a 610 
520 |a Two approaches have been proposed for identifying illicit drug use and drug abuse among patients seen in routine clinical encounters: toxicologic tests of blood or urine, and standardized screening questionnaires. This report focuses only on the second approach. To be of benefit in primary care settings, a standardized screening instrument must not only be accurate and reliable in detecting patients with a potential problem: it must also be short and easy to administer so that an undue burden is not placed on the patient or practice staff when it is applied in the busy practice setting. The goals of this review were (1) to identify standardized instruments described in the medical literature that have been designed for detecting use/abuse of illicit drugs; (2) to select those instruments reasonably short enough to have the potential for routine use in a busy primary care practice setting; (3) to determine the extent of published evidence about the accuracy (sensitivity and specificity) and the reliability of potentially useful instruments, and rate the quality of that evidence; and (4) to determine the extent to which validated instruments have been assessed for feasibility and utility when applied in primary care practice settings and among various patient populations