Section: Module 3: Medical Management of Substance Use Disorders | Substance Use Disorders in Primary Care | NextGenU.org

  • 86Competency covered in this module: 
    • Understand the various best practices for the medical management of tobacco, alcohol, and other substance use disorders in primary care.


     Approximate time required for the readings for this module (at 144 words/minute): 34 hours and 4 minutes.

    • Module 3: Lesson 1: Tobacco Specific Information and Approaches

      Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Discuss the effectiveness of tobacco cessation interventions.

      • Recognize quick, in-practice resources to support tobacco cessation interventions.

      • Describe the personal health disease risks (cardiovascular, respiratory, and cancer) associated with tobacco use.

      • Describe the general benefits of quitting smoking.

      • Discuss the symptoms of tobacco withdrawal and the methods of dealing with those symptoms.

      • Summarize the health consequences of involuntary (secondhand) exposure to tobacco smoke.

      • Describe the link between tobacco and Chronic Obstructive Pulmonary Disorder (COPD) and be familiar with best practices for the management of COPD.

      Required Learning Resources and Activities
    • url icon
      Tobacco: Health benefits of smoking cessation URL
      Students must
      View

      Read the entire article  (7 minutes)

      WHO - 2020

    • url icon
      Effectiveness of smoking cessation interventions among adults: an overview of systematic reviews URL
      Students must
      View

      Read the following sections "Background", "Discussion", and "Conclusions"." (63 minutes)

      BMC Systematic Reviews - 2024

    • url icon
      Clinical Cessation Tools URL
      Students must
      View

      Read the webpage and the first two PDF documents: "You Can Help Your Patients Quit Tobacco Use" and "A Practical Guide to Help Your Patients Quit Using Tobacco." (13 minutes)

      CDC - 2024

    • url icon
      What are the physical health consequences of tobacco use? URL
      Students must
      View

      Read the entire article (11 minutes)

      National Institute on Drug Abuse - 2020

    • url icon
      Health Risks of Smoking Tobacco URL
      Students must
      View

      Read the entire article. (49 minutes)

      ACS - 2024

    • url icon
      Benefits of Quitting URL
      Students must
      View

      Watch the video and read the entire webpage. (22 minutes)

      CDC - 2024

    • url icon
      Handling Nicotine Withdrawal and Triggers When You Decide To Quit Tobacco URL
      Students must
      View

      Read the entire webpage. (1 hour 32 minutes)

      NIH- 2022

    • url icon
      Health Problems Caused by Secondhand Smoke URL
      Students must
      View

      Read this resource to learn more about the effects of secondhand smoke on the health of children. (19 minutes)

      CDC - 2025

    • url icon
      Tobacco and COPD: presenting the World Health Organization (WHO) Tobacco Knowledge Summary URL
      Students must
      View

      Read the entire article. (1 hour 54 minutes)

      BBMC - 2024

    • Recommended Additional Readings
    • url icon
      Tobacco Cessation Tools & Resources URL

      This webpage lists various smoking cessation tools and resources. In the section "Physician Resources and Tools," read the first document, "Tobacco and Nicotine Cessation Toolkit," and watch the video "Video: Mental Health Conditions and Cigarettes."
      Although not required, you can read any other resource from this webpage. (27 minutes)

      The American Academy of Family Physicians Foundation - 2020

    • Module 3: Lesson 2: General Approaches to Address Alcohol and Other Substance Use Disorders in Primary Care

      Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Describe the general approaches to address alcohol, tobacco, and other substance use in primary care.

      • Recognize the symptoms of acute intoxication for a substance and treat or refer accordingly.

      • Demonstrate how to take a thorough medical history, including the history of the presenting complaint(s), past history, and family history (as relevant), and know the red flags for substance use disorders.

      • Summarize the evidence-based model of brief intervention in primary care for other psychoactive substances.
      Required Learning Resources and Activities
    • url icon
      Primary Healthcare Approach to Substance Abuse Management URL
      Students must
      View

      Read the entire article. (13 minutes)

      South African Family Practice - 2021

    • url icon
      Identification of and Treatment for Unhealthy Alcohol Use in Primary Care Settings URL
      Students must
      View

      Read the entire article. (8 minutes)

      American Academy of Family Physicians - 2019

    • url icon
      mhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-specialized Health settings: mental health Gap Action Programme (mhGAP) Version 2.0 URL
      Students must
      View

      In the "mhGAP Intervention Guide," review the section entitled "Disorders due to substance use" on pages 105 to 130. (51 minutes)

      WHO - 2015

    • url icon
      TIP 45 Detoxification and Substance Abuse Treatment URL
      Students must
      View

      Read the entire web page. (35 minutes)

      Substance Abuse and Mental Health Services Administration - 2015

    • url icon
      Treatment of Substance Use Disorders URL
      Students must
      View

      Read the entire article plus (15 minutes)

      CDC- 2024

    • url icon
      Medical History URL
      Students must
      View

      Read the entire article. (47 minutes)

      StatPearls - 2024

    • url icon
      Gathering Information About Substance Use URL
      Students must
      View

      Read the entire webpage.. (5 minutes)

      Substance Abuse and Mental Health Services Administration - 2021

    • url icon
      Red and Yellow Flag Behaviors for Substance Use Disorders URL
      Students must
      View

      Download the PDF and read the entire document.. (1 minute)

      UMass Chan Medical School - 2019

    • url icon
      The Asam Criteria Assessment Interview Guide URL
      Students must
      View

      Read the entire document. (35 minutes)

      American Society of Addiction Medicine - 2020

    • url icon
      Brief Interventions for Substance Use Disorders URL
      Students must
      View

      Read the sections on "Efficacy Of Brief Interventions In Various Substance Use Disorders" and "Special Populations And Newer Delivery Formats". (50 minutes)

      Wolters Kluwer -- Medknow Publications - 2020

    • url icon
      Screening and Brief Intervention in Substance Use Disorders: Its Clinical Utility and Feasibility Update from Available Literatures URL
      Students must
      View

      Read the following sections: 1.4, 1.5, 2.2-2.7. (1 hour 20 minutes)

      Intechopen - 2020

    • Recommended Additional Readings
    • url icon
      What Is a Psychiatric Evaluation? URL

      Read the entire post. (26 minutes)

      Verywell Mind's - 2024

    • Module 3: Lesson 3: Alcohol Use Disorder Specific Information

      Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Describe the specific effects of alcohol on the overall health.

      • Describe the specific effects of alcohol on the liver.

      • Demonstrate how to assess the person for alcohol withdrawal symptoms and treat or refer accordingly.

      Required Learning Resources and Activities
    • url icon
      Alcohol Use and Your Health URL
      Students must
      View

      Read the entire webpage. (13 minutes)

      CDC - 2025

    • url icon
      What are the effects of alcohol? URL
      Students must
      View

      Read the entire webpage. (20 minutes)

      Australian Government Department of Health - 2024

    • url icon
      Alcohol-related liver disease URL
      Students must
      View

      Read the entire webpage and the video titled: "Video: liver disease" (20 minutes)

      NHS - 2025

    • url icon
      Alcohol-associated liver disease: A review on its pathophysiology, diagnosis and drug therapy URL
      Students must
      View

      Read the "Introduction" and "Alcohol consumption and ALD" sections. (8 minutes)

      Elsevier B.V. - 2021

    • url icon
      Clinical Practice Guideline on Alcohol Withdrawal Management URL
      Students must
      View

      Read the summary of recommendations (pp. 4-15), stop at the Introduction. (55 minutes)

      The American Society of Addiction Medicine - 2020

    • url icon
      Clinical Institute Withdrawal Assessment of Alcohol Scale - Revised (CIWA-Ar) URL
      Students must
      View

      Download the document and read the entire scale. (5 minutes)

      Insight - 2024

    • url icon
      Evaluation of the course and treatment of Alcohol Withdrawal Syndrome with the Clinical Institute Withdrawal Assessment for Alcohol – Revised: A systematic review-based meta-analysis URL
      Students must
      View

      Read the abstract and the introduction (pages 1 and 2). (10 minutes)

      Drug and Alcohol Dependence - 2021

    • Recommended Additional Readings
    • url icon
      Effects of Alcohol Consumption on Various Systems of the Human Body: A Systematic Review URL

      Read the entire article. (60 minutes)

      Cureus Inc. - 2022

    • forum icon
      Module 3: Medical Management of Substance Use Disorders Forum

      SLOs:

      • Discuss effective tobacco cessation interventions and resources

      • Describe health risks associated with tobacco use and benefits of quitting

      • Describe approaches to address various substance use disorders in primary care

      • Recognize symptoms of intoxication and withdrawal

      • Demonstrate assessment and intervention skills for substance use disorders

      General Instructions:

      In this activity, you will demonstrate your understanding of evidence-based approaches to the medical management of substance use disorders in primary care.

      Step 1: Select and Reflect

      • Review clinical practice guidelines for tobacco cessation interventions

      • Study the pharmacological and behavioral treatments for alcohol use disorder

      • Examine the assessment and management of withdrawal syndromes

      • Research the integration of substance use disorder treatment in primary care settings

      Step 2: Respond

      Create a detailed post (400-600 words) addressing:

      • Evidence-based approaches to tobacco cessation appropriate for primary care settings

      • Pharmacological and non-pharmacological interventions for alcohol use disorder

      • Assessment and management strategies for substance intoxication and withdrawal

      • Implementation challenges and solutions for substance use disorder treatment in primary care

      • Comparative effectiveness of different intervention approaches

      Step 3: Share

      To share your work, click on the "Add a new discussion topic" button under this post and paste your work into the "Message" box. Make sure to reference others' intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B.: references are excluded from word counts).

    • quiz icon
      Quiz: Module 3

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.


      Not available unless: The activity Quiz: Module 2 is marked complete
    • Required Learning Resources
    • resource icon
      Lesson Summary: Module 3: Medical Management of Substance Use Disorders File
      Students must
      Mark as done

      The lesson summary includes key information needed to meet the objectives of this module. You are encouraged to review it carefully. At the end of the lesson summary, you'll also find a list of references with clickable links, you can explore them if you'd like to learn more or dive deeper into the topic.

      681.7 KB
    •  
      Supplementary Learning Resources (Not Required)
    • resource icon
      Study Guide: Module 3: Medical Management of Substance Use Disorders File

      In this document, we summarized key topics of the module to help you study. Please note that these notes do not cover all of the material in its entirety; you are still encouraged to read and study all of the required learning resources.

      798.7 KB
    • page icon
      Flashcards Module 3: Medical Management of Substance Use Disorders Page

      Here are specialized flashcards designed to reinforce and test your knowledge throughout this course.

    • scorm icon
      Microlearning Module 3: Medical Management of Substance Use Disorders SCORM package