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Volume 15 (2)
Volume 15, Issue 2, June 1995 
J Contin Educ Health Prof 1995; 15(2):106-116
ORIGINAL ARTICLE
Brian R. Rush, PhD Todd G. Crowe, MSc Lysbeth Y. Powell, MA Kathleen S. Ellis, MSc A b s t r a c t The Ontario Substance Abuse Facilitator Model is a training strategy described in this article. A health promotion specialist (facilitator) assists family physicians in improving the identification and management of their patients who are at risk for alcohol and tobacco problems. The model, originally developed for use in Great Britain, has been adopted for demonstration within the Canadian context. Two major components of the model are outlined: (1) training and education of the physicians and other members of the primary health care team, as performed by the facilitator and (2) the detection and intervention performed by the family physician with patients. Theoretical considerations underlying the development of the model include the perspective that alcohol use may be viewed along a "risk continuum", as well as diffusion of innovation theory and social learning theory. The facilitator model provides a systematic approach to help family physicians to more effectively identify and manage their patients with substance abuse problems. Keywords: Alcohol; diffusion of innovation; dissemination; facilitator; family practice; health promotion; tobacco |
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