By vgreene, 24 October, 2017 Look for windows of opportunity to engage pt in additional tx f u during future visits as indicated
By vgreene, 24 October, 2017 Provide OD ed and naloxone to reverse unintended overdose. Pt ed brochures and videos available through VA Academic Detailing
By vgreene, 24 October, 2017 Encourage pt to abstain from illicit opioids and other addictive substances
By vgreene, 24 October, 2017 Offer optional psychosocial intervention: individual counseling and/or Contingency Management,10 considering pt preferences and provider training/competence11 [NA]
By vgreene, 24 October, 2017 Use addiction-focused medical mgmt:9 Monitor w/ random urine testing and self-reporting; f/u closely and discuss test results; educate about opioid-use health risks, incl fetal/maternal OD death; encourage abstinence from alcohol and other drugs, group mu
By vgreene, 24 October, 2017 Assess tx response6 periodically & systematically: Use standardized, valid instruments7 [W]; assess and address barriers to recovery, incl adjusting/initiating meds; encourage ongoing relapse prevention efforts, individualized on basis of tx response [S];
