Abstract
The last 20 years have brought two major changes in the field of addiction. First, the US Institute of Medicine (IOM) encouraged recognition of a spectrum of alcohol and other drug use that affects health and is not limited to those with the highest severity [1]. Unhealthy use (the spectrum from use that risks consequences through addiction [2]) among those without addiction is much more common than addiction itself. The second major shift also began in the 1990s with an emphasis on addiction as a chronic illness [3,4] and on unhealthy use as a health condition.
Highlights
Why Addiction Science & Clinical Practice? The last 20 years have brought two major changes in the field of addiction
Responding to that report is a major impetus for the establishment of Addiction Science & Clinical Practice (ASCP)
We aim to take the steps in this thematic direction: to serve as a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviors across a spectrum of clinical settings–from emergency departments to prisons, from primary-care offices to the Internet, and from general hospitals to specialty care programs
Summary
Why Addiction Science & Clinical Practice? The last 20 years have brought two major changes in the field of addiction. Drug and excessive alcohol use clearly have social and other environmental determinants and consequences, there is little doubt that health care should play a major role in addressing them. In 2006, the IOM urged improvements in the quality of care for substance use conditions [5].
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