Smoking/Substance Abuse

C5. Smoking/Substance Cessation
C5.1. Describe use of appropriate tools for asking about substance and alcohol abuse
C5.2. Initiate a discussion around substance abuse using motivational interviewing or assessing for readiness for change
C5.3. Describe target organ damage due to substance abuse (i.e. Alcohol)
C5.4. List some community resources and other health care professionals who could be part of the care-team in the patient suffering from substance abuse.
C5.5. List the evidence based interventions one should address for all smokers
C5.6. Assess the patient for readiness to quit
C5.7. Advise patients on quitting or benefits of quitting
C5.8. Assist patients in quitting by giving them options:

  1. Describe the various nicotine replacement forms, how they are used and how to advise patients on how much to use
  2. Explain the use of prescription medications, effectiveness and side effects
  3. Describe the long term follow up of these patients

Articles

Substance Addictions Clinical Card

Taylor RC, Tink W. Keegan DA. Substance Addictions. Canadian Family Medicine Clinical Card. 2014. Available at: https://sites.google.com/site/sharcfm/

Alcoholism

Munroe S, Clarkson B. Alcoholism One-Page Primer. DFCM Open. 2011. Available at: http://dfcmopen.com. Attribution CC BY-NC-ND

Canada’s Low-Risk Alcohol Drinking Guidelines

Canadian Centre on Substance Abuse. Canada’s Low-Risk Alcohol Drinking Guidelines. 2013. Available at: http://www.ccsa.ca/

Alcohol-Related Problems_ Recognition and Intervention - American Family Physician

Burge SK, Schneider FD. Alcohol-related problems: Recognition and intervention. Am Fam Physician. 1999;59(2):361-70, 372.

Canadian Smoking Cessation Clinical Practice Guideline

CAN-ADAPTT. (2011). Canadian Smoking Cessation Clinical Practice Guideline: Summary Statements. Toronto, Canada: Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment, Centre for Addiction and Mental Health.

Resources for Smokers

CAN-ADAPTT. (2011). Canadian Smoking Cessation Clinical Practice Guideline: Summary Statements. Toronto, Canada: Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment, Centre for Addiction and Mental Health.

Tobacco Algorithm updated May 2016

Centre for Addiction and Mental Health Nicotine Dependence Service. Algorithm for Tailoring Pharmacotherapy in Primary Care Settings. Created March 2012. Updated. May 2016