By vgreene, 16 September, 2016 Use standardized measures to assess withdrawal severity determine appropriate setting for mgmt treat w BZDs in most cases as either predetermined fixed tapering schedule or sx triggered tx
By vgreene, 16 September, 2016 If mild mod withdrawal and risks of BZDs outweigh benefits 2 Consider carbamazepine gabapentin or valproic acid W
By vgreene, 16 September, 2016 For mod severe withdrawal Use BZD w adequate monitoring S Use either predetermined fixed tapering schedule w additional medication prn or sx triggered tx med given only when s sx of withdrawal
By vgreene, 16 September, 2016 If moderate withdrawal CIWA Ar 10 and any of recurrent failures at ambulatory withdrawal unlikely to complete ambulatory withdrawal e g due to homelessness active psychosis severe cognitive impairment In pt medically supervised withdrawal mgmt strongly su
By vgreene, 16 September, 2016 If hx of DTs withdrawal seizures inability to tolerate PO meds concomitant medical conditions severe withdrawal CIWA Ar 20 or risk of withdrawal from other substances e g sedative hypnotics In pt medically supervised withdrawal mgmt strongly supported by
By vgreene, 16 September, 2016 Assess withdrawal severity using clinical judgment and standardized measure e g CIWA Ar 1
By vgreene, 16 September, 2016 Provide appropriate intervention determine tx setting treat w psychosocial and pharmacotherapy interventions
By vgreene, 16 September, 2016 Coordinate evidence based addiction focused psychosocial psychopharmacologic intervention s to address concurrent biopsychosocial problems consistent w pt priorities
By vgreene, 16 September, 2016 Prioritize other needs through shared decision-making that identifies/considers biopsychosocial problems; arrange services to address needs or other recovery-relevant factors (ie, related mental health conditions, housing, supportive recovery environment,
By vgreene, 16 September, 2016 Promote active involvement in group mutual help programs9 for pts in early recovery or following relapse consider pt preference and availability S
