By vgreene, 30 March, 2016 Assess addiction status: Assess effects, pt’s understanding, readiness to change, support system, etc
By vgreene, 30 March, 2016 Scope multiple substances:2 Any tobacco, any illegal drugs, prescriptions for non-medical reasons, alcohol (# drinks differs for men vs women)2
By vgreene, 30 March, 2016 Assess addiction severity:1 Mild (2-3 sx), mod (4-5 sx), severe (6+ sx). Scope multiple substance types, assess coexisting psych dz, offer brief intervention
By vgreene, 30 March, 2016 Assess addiction severity:1 Mild (2-3 sx), mod (4-5 sx), severe (6+ sx). Scope multiple substance types, assess co-existing psych dz, offer brief intervention
By vgreene, 30 March, 2016 Follow-up in 2-4 wks to assess mood/status, problem-solve. Engage MAs, social workers, etc, to f/u & address social issues. Use tx “contracts,” esp if controlled substances are prescribed. Consider state pharmacy tracking programs, urine tox tests
By vgreene, 30 March, 2016 Refer to specialist: Psych comorbidities, polysubstance use, w/d, severe addiction, unmanageable chronic pain, need for structured tx programs,11 etc
By vgreene, 30 March, 2016 Explore psychosocial tx7 (meds available only for tobacco,8 alcohol,9 opioids10)
By vgreene, 30 March, 2016 Assess addiction status: Assess effects, pt’s understanding, readiness to change, support system, etc