By vgreene, 23 October, 2017 Use addiction-focused medical mgmt [S]:9 Monitor w/ random urine testing and self-reporting; f/u closely and discuss test results; educate about opioid-use health risks, incl OD death; encourage abstinence from alcohol and other drugs, group mutual-help p
By vgreene, 23 October, 2017 Assess tx response6 periodically & systematically: Use standardized, valid instruments [W];7 assess and address barriers to recovery, incl adjusting/initiating meds; encourage ongoing relapse prevention efforts, individualize based on tx response [S]; don
By vgreene, 23 October, 2017 Start recommended opioid-agonist maintenance regimen: buprenorphine/naloxone4,5 [S]
By vgreene, 23 October, 2017 Assess pt stability need for in pt w d tx tx any w d sx initiate maintenance tx use addiction focused medical mgmt offer optional psychosocial intervention1
By vgreene, 23 October, 2017 If w/d sx: ✓indications for in-pt tx: unstable medical/mental health condition, incl suicide/OD risk; co-occurring alcohol/sedative-hypnotic use disorder. Treat w/d sx by starting maintenance agonist tx, as psychosocial intervention alone not recom
By vgreene, 23 October, 2017 Assess hx PE mental status exam med hx incl OTC lab tests as indicated COWS for severity of w d sx
