Facing Addiction in America: The Surgeon General's Report on Alcohol Drugs and Health.
HHS Publication No. (SMA) 16-4991
United States Public Health Service. Office of the Surgeon General.
1 v. (various pagings)
Published: November 2016
Office of the Surgeon General
U.S. Department of Health and Human Services 200 Independence Ave SW Humphrey Bldg. Suite 701H
Washington, DC 20201
This report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment to address a person’s overall health and provides suggestions and recommendations for preventing substance misuse and reducing its consequences. The report begins with a discussion on the prevalence of substance use, misuse, and disorders, the costs and impact of substance misuse, vulnerability to substance misuse, the separation of substance use treatment and general health care, recent changes in health care policy and law, and marijuana legalization. Chapter 2 focuses on the neurobiology of substance use, misuse, and addiction, risk factors, the use of multiple substances and co-occurring mental health conditions, and biological factors contributing to population-based differences in substance misuse and substance use disorders. Chapter 3 considers prevention programs and policies, and highlights evidence-based prevention programs, evidence-based community coalition-based prevention models, and evidence-based prevention policies. Prevention interventions for as specific populations are discussed, as well as strategies for improving the dissemination and implementation of evidence-based programs. Early intervention, treatment, and management of substance use disorders are discussed in Chapter 4, and Chapter 5 describes the many paths to recovery and wellness. Recovery-oriented systems of care and recovery supports are explained, as well as social and recreational recovery instruments using social media. Chapter 6 examines key components of health care systems and the growing impetus for the integration of substance abuse treatment and general health care. Financing systems for substance use disorder services is discussed, as well as integration challenges and promising innovations. The final chapter provides specific suggestions for key stakeholders for adopting a public health approach to substance use, misuse, and addiction. Numerous references.
substance abuse treatment; drug abuse; public health services; risk factors; incidence; mental disorders; prevention programs; evidence based practice; community based services; service integration; health services; funding