Integrating substance use disorder screening in primary healthcare in Georgia: online survey of providers’ attitudes, knowledge, practice, and perceived barriers

About one in five believed that family doctors need not systematically screen patients for risky or problematic use of any psychoactive substances. Only 1%–4% reported feeling fully ready to identify patients with illegal substance use concerns. Attitudes and practices varied depending on the type of substance being assessed, with the majority of respondents stating that illegal substance use is not a priority area and falls outside of their responsibilities. The most cited barrier for SUD screening was providers’ belief that patients do not truthfully disclose their substance use. Almost a third believed that people who use drugs were criminals.