2024 Addiction Medicine Board Certification Review Course-2024

Video Transcription

Video Summary

Julie Kmic, an addiction psychiatrist from the University of Pittsburgh, discusses substance use disorder prevention as a key public health measure. The presentation covers primary, secondary, and tertiary prevention strategies, which aim to prevent disease, halt progression, and manage long-term effects, respectively. Primary prevention includes legislative measures like the Controlled Substances Act, mandating safe practices, and public education. Secondary prevention targets early disease detection and treatment, while tertiary prevention minimizes negative consequences in affected individuals.<br /><br />Julie emphasizes the importance of addressing individual, environmental, and social risk factors through public health interventions illustrated by a "Health Impact Pyramid." She highlights effective strategies such as educational programs, clinical interventions, and socioeconomic improvements.<br /><br />Data from national surveys underscore the substance use issue, with notable risk factors ranging from family history to socioeconomic conditions. Effective prevention programs like school, family, and community-based interventions are tailored to different ages and risk groups. Julie advocates for a mix of universal, selective, and indicated interventions.<br /><br />Evidence-based policies, including higher alcohol taxes, reduced alcohol outlet density, and comprehensive DUI laws, are outlined to combat substance misuse. Educational and outreach activities, combined with economic assessments of prevention programs, further reinforce the need for robust prevention frameworks in public health.

Keywords

substance use disorder

prevention strategies

public health

risk factors

prevention programs

evidence-based policies

Health Impact Pyramid