CSAC 890 Advanced Addiction Treatment
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Alcohol Use Disorder
Section: A B C D E Resources References Alcohol Use Disorder (AUD) Tool This tool is designed to support primary care providers (family physicians and primary care nurse practitioners) in screening, diagnosing and implementing pharmacotherapy treatments for adult patients (>18 years) with Alcohol Use Disorder (AUD). Primary care providers should routinely offer medication for moderate and severe AUD. Pharmacotherapy alone to treat AUD is better than no therapy at all.1 Pharmacotherapy is most effective when combined with non-pharmacotherapy, including behavioural therapy, community reinforcement, motivational enhancement, counselling and/or support groups. 2,3 TABLE OF CONTENTS pg. 1 Section A: Screening for AUD pg. 7 Section D: Non-Pharmacotherapy Options pg. 4 Section B: Diagnosing AUD pg. 8 Section E: Alcohol Withdrawal pg. 5 Section C: Pharmacotherapy Options pg. 9 Resources SECTION A: Screening for AUD All patients should be screened routinely (e.g. annually or when indicators are observed) with a recommended tool like the AUDIT. 2,3 It is important to screen all patients and not just patients eliciting an index of suspicion for AUD, since most persons with AUD are not recognized. 4 Consider screening for AUD when any of the following indicators are observed: • After a recent motor vehicle accident • High blood pressure • Liver disease • Frequent work avoidance (off work slips) • Cardiac arrhythmia • Chronic pain • Rosacea • Insomnia • Social problems • Rhinophyma • Exacerbation of sleep apnea • Legal problems Special Patient Populations A few studies have reviewed AUD in specific patient populations, including youth, older adults and pregnant or breastfeeding patients. The AUDIT screening tool considered these populations in determining the sensitivity of the tool. -
Texas Children's Health Plan Provider Manual
Texas Children’s Health Plan Provider Manual STAR/Medicaid Children’s Health Insurance Program (CHIP) Austin Hardin Matagorda San Jacinto Austin Hardin Matagorda San Jacinto Brazoria Harris Montgomery Tyler Brazoria Harris Montgomery Tyler Chambers Jasper Newton Walker Chambers Jasper Newton Walker Fort Bend Jefferson Orange Waller Fort Bend Jefferson Orange Waller Galveston Liberty Polk Wharton Galveston Liberty Polk Wharton ND-0113-074 03-2015 Texas Children’s Health Plan Provider and Care Coordination | 832-828-1008 | TexasChildrensHealthPlan.org Table of Contents I. QUICK REFERENCE PHONE LIST ................................................. 10 Texas Children’s Health Plan Phone Numbers ..............................................................................10 Telephone Numbers for Other Organizations ............................................................................... 11 II. INTRODUCTION ...............................................................................12 Texas Children’s Health Plan Overview ........................................................................................12 Products .......................................................................................................................................12 Using the Provider Manual ...........................................................................................................12 Health Insurance Portability and Accountability Act of 1996 .......................................................13 Standards for Medical Records -
Cage Questionnaire Stand For
Cage Questionnaire Stand For Cachectical Georges misgiven matrilineally, he interflows his akaryotes very outstandingly. Shelden remains unlockable after Jud outeating compendiously or outdrove any conclusions. Bryon often abating ava when painted Anatollo foozle closest and pickaxes her borecole. Kelly et al, sign that process is as it was also identified by pdg can lead to report provides cues for informational purposes was as interruptthe flow of questionnaire stand for perception of information that Warning Signs of Alcoholism What this Look For QuitAlcohol. ADOLESCENT ALCOHOL AND heal USE high ABUSE. He served as the founding director of the Bowles Center for Alcohol Studies where he developed the lace questionnaire and view Dr John A Ewing's. What questions are asked in between CAGE questionnaire? Appendix H AUDIT USAlcohol Use Disorders Identification Test. How to run and Score with FAST Alcohol Screening Test. SBIRT SAMHSA. Who created the nutrition questionnaire? Format A 10-item screening questionnaire with 3 questions on. Demonstrated to celebrate better screening properties than CAGE CRAFFT or. CAGE the is a widely used and an extensively validated method of screening for alcoholism Two yes responses indicate below the possibility of. Tribal Healing to Wellness Courts. PDF Screening for Alcohol Abuse Using the CAGE. CAGE Questionnaire Maelstrom research. Behavioral Health Screeners. However their performance as standalone tools is uncertain and further. Yes 1 No 0 I need to need with my hands to stand separate from a chair who is poor sign of weak leg muscles. The member a principal brief screen is probably lost most widely used and promoted for. -
Clinical Guidelines on Identification and Brief Interventions
_final_1.FH10 Wed Nov 30 08:27:10 2005 Page 1 C M Y CM MY CY CMY K Alcohol and Primary Health Care Clinical Guidelines on Identification and Brief Interventions Composite _final_1.FH10 Wed Nov 30 08:27:10 2005 Page 2 C M Y CM MY CY CMY K This document has been prepared by Peter Anderson, Antoni Gual and Joan Colom on behalf of the Primary Health Care European Project on Alcohol (PHEPA) network and is a result of the PHEPA project. The Phepa project has been co-financed by the European Commission and the Department of Health of the Government of Catalonia (Spain). The project has the participation of representatives of 17 European countries. The responsibility of the content of this document lies with the authors, and the content does not represent the views of the European Commission; nor is the Commission responsible for any use that may be made of the information contained herein. For more information and the electronic version of the document, see: http:www.phepa.net. This document should be quoted: Anderson, P., Gual, A., Colom, J. (2005). Alcohol and Primary Health Care: Clinical Guidelines on Identification and Brief Interventions. Department of Health of the Government of Catalonia: Barcelona. Health Department of the Government of Catalonia Barcelona, Layout and cover design by Xavier Cañadell Printed in Spain Composite _final_1.FH10 Wed Nov 30 08:27:10 2005 Page 3 C M Y CM MY CY CMY K INDEX Summary I. Introduction 11 II. Methods to prepare the guidelines 15 III. Describing alcohol consumption and alcohol related harm 17 IV. -
Systematic Review of Alcohol Screening Tools for Use in the Emergency Department Lucy a Jones1,2
Downloaded from http://emj.bmj.com/ on April 11, 2015 - Published by group.bmj.com Review Systematic review of alcohol screening tools for use in the emergency department Lucy A Jones1,2 1Emergency Department, ABSTRACT Department of Health was given £32 million to Northern General Hospital, To ascertain which alcohol screening tool is most spend on these new initiatives.8 Sheffield, UK With this in mind, Patton et al9 surveyed emer- 2Medical Care Research Unit, accurate in identifying alcohol misuse in patients in the School of Health and Related emergency department a systematic review of diagnostic gency departments in England in 2006 to assess the Research, University of cohort studies of appropriate alcohol screening tools was extent to which these recommendations had been Sheffield, Sheffield, UK performed. A thorough search of medical databases and adopted. They had a 98.9% response rate to their relevant peer journals was conducted. Citation and questionnaire. Their results showed that 73.9% Correspondence to Dr Lucy A Jones, Emergency author tracking was also utilised due to an initial paucity offered advice on alcohol and 44.4% offered treat- Department, Northern General of relevant literature. Seven relevant papers were ment for alcohol problems, but only 16.9% had Hospital, Herries Road, Sheffield identified from this search, which allowed a review of the access to an alcohol health worker. However, only S5 7AU, UK; quality of the following alcohol screening tools: the fast four departments were using a formal screening [email protected] alcohol screening tool (FAST), the Paddington alcohol tool to identify these patients (2.1%).9 Accepted 26 April 2010 test (PAT), the rapid alcohol problem screen (RAPS-4) At present there does not appear to be a gold Published Online First and the TWEAK (where TWEAK is an acronym of the first standard tool for screening for alcohol misuse 14 October 2010 letter of the key words in the questions of this screening within the emergency setting. -
Alcohol Dependence and Harmful Alcohol Use: Consultation Tables with Developer's Responses
National Institute for Health and Clinical Excellence Alcohol dependence and harmful alcohol use Guideline Consultation Comments Table 24 June 2010 – 19 August 2010 No Typ Stakeholder Or Doc Sec. Page Comments Developer’s Response e der No No Please insert each new comment in a new row. Please respond to each comment No 236 SH Association for Family 21. All General General AFT welcomes the recognition of the role of close Thank you for your comment. Therapy and Systemic 01 relationships and addressed in this guideline for adults, Practice (AFT) children and adolescents who are dependent on alcohol or have harmful drinking, including the children of parents with alcohol problems. Systemic couple and family therapy training in the UK provides different levels of training for people to learn how to address complex relationship and issues associated with alcohol dependence and harmful use, by helping close relatives / support networks to build on their strengths, provide support, and find ways to change the problems so that they understand the needs of partners, parents and their children and begin to find ways to deal with these. Information can be found on the AFT website: Training framework for family and relationship focused practice'. The site also provides access to Current Practice, Future Possibilities as well as Report on the evidence base of systemic family therapy: www.aft.org.uk . 520 SH Public Health Wales 1.0 All General General This organisation responded with no comments to make. Thank you. NHS Trust 1 539 SH RCP & BSG 35. All General general Emphasis. The emphasis is on diagnosis and management Thank you. -
Concordance of ICD-10 Y90 and Y91 Codes C Cherpitel, J Bond, Y Ye, R Room, V Poznyak, J Rehm, M Peden
689 Emerg Med J: first published as 10.1136/emj.2004.022244 on 27 September 2005. Downloaded from ORIGINAL ARTICLE Clinical assessment compared with breathalyser readings in the emergency room: concordance of ICD-10 Y90 and Y91 codes C Cherpitel, J Bond, Y Ye, R Room, V Poznyak, J Rehm, M Peden ............................................................................................................................... Emerg Med J 2005;22:689–695. doi: 10.1136/emj.2004.016865 Objectives: The purpose of this study was to analyse the validity of clinical assessment of alcohol intoxication (ICD-10 Y91) compared with estimated blood alcohol concentration (BAC) using a breath analyser (ICD-10 Y90) among patients in the emergency room (ER). Methods: Representative samples of ER patients reporting within six hours of injury (n = 4798) from 12 countries comprising the WHO Collaborative Study on Alcohol and Injuries were breath analysed and assessed blindly for alcohol intoxication at the time of ER admission. Data were analysed using Kendall’s See end of article for Tau-B to measure concordance of clinical assessment and BAC, and meta analysis to determine authors’ affiliations ....................... heterogeneity of effect size. Results: Raw agreement between the two measures was 86% (Tau-B 0.68), but was lower among those Correspondence to: reporting drinking in the six hours prior to injury (raw agreement 39%; Tau-B 0.32). No difference was Cheryl J Cherpitel, Alcohol found by gender or for timing of clinical assessment in relation to breath analysis. Patients positive for Research Group, 2000 Hearst Avenue, Berkeley, tolerance or dependence were more likely to be assessed as intoxicated at low levels of BAC. -
2019 FMX Pediatrics Handouts
2019 FMX Pediatrics Handouts Adolescent Opioid Misuse (CME187‐188) Advanced Concepts: Diabetes, Pumps and Monitors ‐ Oh My! (CME179‐180) Collaborative Care: Adolescent Depression Management and Bullying Mitigation ‐ Tackling Tough Topics in Your Office (CME189‐190) Collaborative Care: Adolescent Depression Management and Bullying Mitigation ‐ Tackling Tough Topics in Your Office (Workshop) (CME191‐192) Juvenile Arthritis (CME185‐186) Neonatal Hypoglycemia (CME175‐176) Pediatric Hypertension: Never Too Early to Start (CME177‐178) Practical Pediatric and Adolescent Immunization in the Office Update (CME183‐184) Smoking Cessation and Tobacco Use Prevention in Adolescents: How to Snuff Out the Smoking (CME193‐194) Type 1 Diabetes: Where Does the Family Doc Fit in? (CME181‐182) Adolescent Opioid Misuse Peter Ziemkowski, MD, FAAFP ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical information is constantly changing; the information contained in this activity was accurate at the time of publication. This material is not intended to represent the only, nor necessarily best, methods or procedures appropriate for the medical situations discussed. Rather, it is intended to present an approach, view, statement, or opinion of the faculty, which may be helpful to others who face similar situations. The AAFP disclaims any and all liability for injury or other damages resulting to any individual using this material and for all claims that might arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person. Physicians may care to check specific details such as drug doses and contraindications, etc., in standard sources prior to clinical application. -
Commissioning Alcohol Identification and Brief Advice Get Started > Contents
Workforce Ensuring quality Foreword Why a toolkit? Alcohol in the UK What is Alcohol IBA? Commissioning AIBA Settings Return on investment Appendices development of delivery Commissioning Alcohol Identification and Brief Advice Get started > Contents Pg3 Foreword Pg4 Why a toolkit? Pg7 Alcohol in the UK Pg11 What is Alcohol IBA? Pg16 Commissioning AIBA Pg23 Settings Pg40 Workforce development Pg45 Ensuring quality of delivery Pg57 Return on investment Pg62 Appendices Workforce Ensuring quality Foreword Why a toolkit? Alcohol in the UK What is Alcohol IBA? Commissioning AIBA Settings Return on investment Appendices development of delivery 2 Alcohol Identification and Brief Advice Toolkit The Health Innovation Network is one of 15 Academic Health Science Networks (AHSN) across England. We are a membership organisation focused on spread and adoption of lasting system-wide improvements in patient and population health, strengthening relationships and capitalising on teaching and research strengths across South London. As the AHSN for South London, our work prioritises health challenges for local communities across a number of clinical areas; including diabetes, dementia, musculoskeletal and alcohol. Our work incorporates cross-cutting innovation themes Foreword to generate wealth and increase the quality of care in our communities. Our Alcohol Identification and Brief Advice (IBA) Commissioning Toolkit brings together the evidence base and guidance for alcohol IBA, including tips for commissioning across a range of different settings, a framework -
Models of Care for Alcohol Misusers (Mocam)
Models of care for alcohol misusers (MoCAM) Models of care for alcohol misusers (MoCAM) DH INFORMATION READER BOX Policy HR/Workforce Performance Management IM & T Planning Finance Clinical Partnership Working Document Purpose Best Practice Guidance ROCR Ref: Gateway Ref: 5899 Title Models of care for alcohol misusers Author DH/National Treatment Agency for Substance Misuse Publication Date June 2006 Target Audience PCT CEs, NHS Trust CEs, SHA CEs, Directors of PH, Alcohol Treatment Providers, Local Authority CEs, GOR RDsPH Circulation List Description Best practice guidance on a framework for commissioning and providing interventions and treatment for adults affected by alcohol misuse. It describes a four tier system of stepped care for alcohol misusers. Cross Ref Alcohol Misuse interventions: Guidance on developing a local programme of improvement (DH 2005) Alcohol Needs Assessment Research project (ANARP) (DH 2005) Superseded Docs N/A Action Required N/A Timing N/A Contact Details Alcohol Policy Team HID-NPD-Substance misuse Room 628 Wellington House 135–155 Waterloo Road London SE1 8UG 020 7972 4793 For recipient’s use © Crown copyright 2006 First published June 2006 Produced by COI for the Department of Health The text of this document may be reproduced without formal permission or charge for personal or in-house use. www.dh.gov.uk/publications Contents Foreword 5 Executive summary 7 1 Setting the scene 9 1.1 Purpose of Models of care for alcohol misusers 9 1.2 The basis for policy on reducing alcohol-related harm and encouraging -
Read the Full Report
lpsosJob number MORI ; Title of document : Draft status 1 Social Research Institute lpsos July 2015 Drinkaware Monitor 2014: Young people's and their parents' drinking behaviour and attitudes in the UK An lpsos MORI report for Drinkaware drinkaware.co.uk This work was earned out In accordance with the requirements of the 1nternat1onal aual1tv standard for Market Research, ISO 20252 2012, and with the lpsos MORI Terms and Cond1t1ons which can be found at http 11w,vw Ipsos-rnon corn,terrns <s: lpsos MORI 2015 Young people's and their parents' drinking behaviour and attitudes in the UK: An lpsos MORI report for Drinkaware - Contents 1 Executive summary .................................................................................................. 4 2 Introduction ............................................................................................................ 1 2 3 Consumption patterns ........................................................................................... 20 4 Motivations for drinking ......................................................................................... 32 5 Drunkenness ........................................................................................................... 39 6 Harmful drinking ..................................................................................................... 46 7 Risk awarenessJ moderation and information sources ................................................................................................................... 53 8 Appendix ............................................................................................................... -
Commissioning Interventions to Reduce Alcohol-Related Harm DH Information Reader Box
Signs for improvement – commissioning interventions to reduce alcohol-related harm DH INFORMATION READER BOX Policy Estates HR/Workforce Commissioning Management IM & T Planning/Performance Finance Clinical Social Care/Partnership Working Document purpose Best Practice Guidance Gateway reference 11753 Title Signs for Improvement: Commissioning interventions to reduce alcohol- related harm Author Department of Health Publication date July 2009 Target audience PCT CEs, NHS Trust CEs, SHA CEs, Care Trust CEs, Foundation Trust CEs, Medical Directors, Directors of PH, Directors of Nursing, Local Authority CEs, Directors of Adults SSs, PCT Chairs, NHS Trust Board Chairs, Directors of Finance, communications Leads, Emergency Care Leads, PCT Directors of Commissioning Circulation list Description This guidance is designed to direct commissioners in areas where tackling alcohol harm is an identified priority, to the resources and guidance, which will assist them in commissioning interventions to reduce alcohol-related harm in their local community. It offers ways to improve commissioning, looking at each World Class Commissioning competency and all stages in the commissioning cycle. Cross reference N/A Superseded documents Alcohol Misuse Interventions: Guidance on developing a local programme of improvement (DH 2005) Action required N/A Timing N/A Contact details Department of Health Alcohol Policy Delivery Team Wellington House 135-155 Waterloo Road London SE1 8UG for recipient’s use Signs for improvement – commissioning interventions to reduce alcohol-related harm Signs for improvement – commissioning interventions to reduce alcohol-related harm Contents executive Summary 6 1. About this guidance 13 2. Background 14 3. Why a focus on alcohol-related harm? 15 3.1 The case for change 15 3.2 Trends in alcohol-related hospital admissions in England 18 3.3 The cost of alcohol-related harm to the NHS 19 4.