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Revisiting Preaddiction

  • Shannon C. Miller
  • , Sharon Levy
  • , Andrew J. Saxon
  • , Jeanette M. Tetrault
  • , Richard N. Rosenthal
  • , Sarah Wakeman
  • , Frank Vocci
  • VA Medical Center
  • Wright State University
  • Boston Children's Hospital
  • Harvard University
  • University of Washington
  • VA Puget Sound Health Care System
  • Yale University
  • Massachusetts General Hospital
  • Friends Research Institute

Research output: Contribution to journalReview articlepeer-review

Abstract

The directors of the National Institute on Drug Abuse and the National Institute on Alcohol Abuse and Alcoholism have proposed new efforts to enable earlier identification and intervention for harmful substance use and its consequences. As editors of The ASAM Principles of Addiction Medicine, we fully support this goal. The word “preaddiction” has been suggested as a diagnostic label to describe individuals who would be targeted for early intervention. In this commentary, we offer that “unhealthy substance use” would be a better descriptor than “preaddiction” and review several potential barriers to be addressed in order to maximize the impact of introducing this new paradigm.

Original languageEnglish
Pages (from-to)486-487
Number of pages2
JournalJournal of Addiction Medicine
Volume18
Issue number5
DOIs
StatePublished - Sep 1 2024

Keywords

  • early intervention
  • screening
  • substance use disorders

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