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Substance Use Disorder is a chronic condition affecting 10% of the population. Harnett Health Family Medicine Residency identified high screening rates for alcohol and tobacco, but low rates for non-medical prescription drug use and illicit drug use, highlighting the need for standardized screening. The NIDA Quick Screen was chosen for its simplicity and was administered during annual exams. Screening rates improved significantly for non-medical prescription drug use (p=0.02) and illicit drug use (p=0.007). Barriers included inconsistent use and lack of EMR integration. Future efforts will focus on this as well as expanding screening to adolescents and improving treatment follow-up.
