Substance abuse is a major problem in consultation-liaison (CL) psychiatry, disproportionate to the degree of substance abuse in the community. Twenty to thirty percent of consultations in a general hospital have been reported to involve a substance abuse diagnosis, and this has been consistent over time (Alaja et al., 1998; Bourgeois et al., 2005).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Alaja R, Seppa K, Sillanaukee P, et al. Physical and mental comorbidity of substance use disorders in psychiatric consultations. Alcohol Clin Exp Res 1998;22:1820–1824.
Baberg HT, Nelesen RA, Dimsdale JE. Amphetamine use: return of an old scourge in a consultation psychiatry setting. Am J Psychiatry 1996;153:789–793.
Baer JS, Kivlahan DR, Donovan DM. Integrating skills training and motivational therapies. Implications for the treatment of substance dependence. J Subst Abuse Treat 1999;17:15–23.
Bialer PA. Designer drugs in the general hospital. Psychiatr Clin North Am 2002;25:231–243.
Bostwick JM, Lapid MI. False positives on the clinical institute withdrawal assessment for alcohol-revised: is this scale appropriate for use in the medically ill? Psychosomatics 2004;45:256–261.
Bourgeois JA, Wegelin JA, Servis ME, Hales RE. Psychiatric diagnoses of 901 inpatients seen by consultation-liaison psychiatrists at an academic medical center in a managed care environment. Psychosomatics 2005;46:47–57.
Gowing L, Ali R, White J. Buprenorphine for the management of opioid withdrawal. Cochrane Database Syst Rev 2006;2:CD002025.
Jackson JG. The hazards of smokable methamphetamine. N Engl J Med 1989;321:907.
Kotorii T, Nakazawa Y, Yokoyama T, et al. Terminal sleep following delirium tremens in chronic alcoholics—polysomnographic and behavioral study. Drug Alcohol Depend 1982;10:125–134.
Leo RJ, Baer D. Delirium associated with baclofen withdrawal: a review of common presentations and management strategies. Psychosomatics 2005;46:503–507.
Ling W, Amass L, Shoptaw S, et al. A multi-center randomized trial of buprenorphine-naloxone versus clonidine for opioid detoxification: findings from the National Institute on Drug Abuse Clinical Trials Network. Addiction 2005;100:1090–1100.
Moss JH, Lanctot KL. Iatrogenic benzodiazepine withdrawal delirium in hospitalized older patients. J Am Geriatr Soc 1998;46:1020–1022.
Neyman KM, Gourin C, Terris D. Alcohol withdrawal prophylaxis in patients undergoing surgical treatment of head and neck squamous cell carcinoma. Laryngoscope 2005;115:786–790.
Reeves RR, Carter OS, Pinkofsky HB, Struve FA, Bennett DM. Carisoprodol (soma): abuse potential and physician unawareness. J Addict Dis 1999;18:51–56.
Silver BA, Sporty LD. Behavioral correlates and staff recognition of alcohol use in a university hospital trauma service. Psychosomatics 1990;31:420–425.
Stanley KM, Worrall CL, Lunsford SL, Simpson KN, Miller JG, Spencer AP. Experience with an adult alcohol withdrawal syndrome practice guideline in internal medicine patients. Pharmacotherapy 2005;25:1073–1083.
Streltzer J, Eliashof BA, Kline AE, Goebert D. Chronic pain disorder following physical injury. Psychosomatics 2000;41:227–234.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Streltzer, J. (2007). Substance Use Problems. In: Handbook of Consultation-Liaison Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-69255-5_12
Download citation
DOI: https://doi.org/10.1007/978-0-387-69255-5_12
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-387-69253-1
Online ISBN: 978-0-387-69255-5
eBook Packages: MedicineMedicine (R0)