By vgreene, 22 November, 2016 Do not automatically discharge pts from care who do not respond to tx or who relapse13 [S]
By vgreene, 22 November, 2016 Offer and encourage ongoing systematic relapse prevention efforts or recovery support individualized on basis of tx response [S]
By vgreene, 22 November, 2016 Assess tx response11 periodically and systematically; use standardized valid instruments12 wherever possible [W]
By vgreene, 22 November, 2016 Psychosocial intervention: If OTP setting, offer individual counseling and/or Contingency Management9 [W]; if office-based tx setting, no specific psychosocial intervention recommended [NA]
By vgreene, 22 November, 2016 Alternative: naltrexone ER injectable,7,8 after period of abstinence [S]
By vgreene, 22 November, 2016 Recommended regimen:2 methadone3 in opioid tx program,4 or buprenorphine/naloxone5,6 in individualized choice of tx setting [S]
