The prevalence of the alcohol and drugs abuse is notably more than cancer and heart disease collectively in the US cost $328billion a year (2005) Research has observed that despite additions treatment, most addicts do not seek medical attention. Two main factors are attributed to this fact; Limited access Uncoordinated system of care. Causing relapse after detoxification

1. Primary Medical Care and
Reduction in Addiction Severity
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2. Introduction
 The prevalence of the alcohol and drugs abuse is notably more than cancer and heart
disease collectively in the US cost $328billion a year (2005)
 Research has observed that despite additions treatment, most addicts do not seek
medical attention.
 Two main factors are attributed to this fact;
 Limited access
 Uncoordinated system of care. Causing relapse after detoxification
 Further studies have concluded that an effective intervention program such as
screening, relapse prevention and referral service would go along way in mitigating the
problem
 A distributive medical care would provide a interlinkage with primary medical care
 Currently the clinical impacts on the problem are not conclusive.
 Therefore, a call for insightful assessment of the influence of primary medical care on
the receipts on the addiction severity and substance use.

3. Research objectives and design
Aim
 Assess the influence of primary medical care on the treatment of adults with
addictions problems
 To determine linkage between substance severity and primary medical care
Design
 Study a prospective cohort of adults subjected randomly

4. Focus of the study
Drug severity
Alcohol
Other substance use

5. Methods
 Subjecting a randomized participants with no primary medical care to multi-
disciplinary assessment and the brief motivational intervention.
 Subjecting the participants to a 4 bi-annual follow-up over the period of 2 years
 Conditions for study
 Reported use of cocaine, heroin or alcohol as the first substance of choice
 Showed the acute symptoms of withdrawal
 No communication barrier e.g spoke Spanish or English
 Proximity or access to primary medical facility
 No primary medical conditions (such as dementia) or medication they opt to continue
taking.
 Participants 400 but 9 disqualified

6. Assessment
 Participants assessed through the use of;
Demographics
Substance problems
Substance used and addiction severity,
Readiness to change and treatment eagerness scale
Health-related quality of life
Self-report of attendance at mutual help such as alcoholics
anonymous.

7. Analysis
 The obtained were evaluated and analysed using such
methods as
 SAS/STAT software: restricted to the scope of the study
 Descriptive analysis to characterize the samples with estimate
of occurrence (6-24 months)
 PROC GENMOD for generalized estimates of dichotomous,
 While PROC MIXED deployed for continuous outcome
variables

8. Cont.
 Due to possibility of higher-order effect, it necessitate for the
following;
Use of alcohol and drug severity at study entry,
readiness to change,
mutual help,
randomized assignment,
physical health-related quality of life
 substance abuse treatment utilization

9. Findings
 In the study, the primary care receipts were linked to lower odds of alcohol
intoxication and drug use.
 Out of the 391-subjected participants
 49.6% (198), ≥ 2 visited primary medical care,
 36.8% (144) receiving no medical care during the study period.
 13.5% (53) receiving a total of 1 visits
 The alcohol severity was lower for the 248 participants who reported alcohol as the
substance of choice.

10. Cont.
 For cocaine and heroin as the drug of choice
 The same results (lower drug severity) observed for the 300
participants.
 Through Addiction Severity Index with 0.13, 0.15, and 0.01 for
the primary medical care visits of more than 2 , 1 or 0
respectively during the course of the study.

11. Limitation of the study
 Confounding association between the primarily care receipt and the substance
severity could influence the study.
 The question of the severity could be linked to the medical conscious rather than
attention and care.
 Lastly, the individual may decide independently to take care of the problem after
realizing the influence on their lives.

12. Conclusion
 The participants with alcohol and drug who received primary medical care over the
period of two years had a reduced problems and severity of addictions over the
same period.
 This notably reflected more on the patients with physical health conditions.
 Additionally, the participants receiving on site medical, psychiatric, employment
and family services had less drug and alcohol use and improved health and social
life during the same period.

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