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 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,8 etc
By vgreene, 30 March, 2016 Combo tx most effective: Psychosocial tx7 + meds (in alpha order) buprenorphine/naloxone, methadone, naltrexone)
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 nonmedical 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 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