TY - CHAP M1 - Book, Section TI - Chapter 95. Substance Dependence and Abuse in Anesthesia Care Providers A1 - Brock, Margaret F. A1 - Roy, Raymond C. A2 - Longnecker, David E. A2 - Brown, David L. A2 - Newman, Mark F. A2 - Zapol, Warren M. PY - 2012 T2 - Anesthesiology, 2e AB - The incidence of opioid abuse among anesthesia providers is 1%.Addiction is a treatable chronic, relapsing disease with a genetic predisposition.Seventy-five percent of addicts declare themselves by age 27 years.Drugs change the brain. The brain changes associated with addiction are independent of drug of abuse.Addiction among anesthesia providers is most commonly detected through observed behavioral changes.Interventions should be based on concern over wellness. Substance abuse is only one of several potential diagnoses that threaten wellness.Intervention at an early stage of addiction is associated with greater treatment success than intervention at later stages.Evidence-based treatment of addiction reduces relapse rates.Most addicts have psychiatric comorbidities that must be treated concurrently to prevent relapse.Reentry requires a contract between the abstinent colleague and his employer. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/03 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=56659715 ER -