Resource Center: Diagnosis

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TIP 43: Chapter 12. Treatment of Co-Occurring Disorders
Description: 
This chapter of TIP 43 discusses the prevalence, etiology, screening, diagnosis, and treatment of psychiatric disorders that co-occur with opioid addiction.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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TIP 40: Appendix C. DSM-IV-TR Material
Description: 
Outlines the criteria for substance abuse and dependence.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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TIP 31: Screening and Assessment of Adolescents for Substance Use Disorders
Description: 
Offers recommendations for screening and assessment of adolescents as and discusses referrals, legal issues, and the juvenile justice system.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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Detecting Substance Abuse and Dependence: Red Flags, and Risk Factors

Description: 
Lists the psychosocial and physical indications of substance abuse in general as well as the specific physical symptoms of opioid use (Source: Clinical Tools, Inc., 2004).

Symptoms, Red Flags, and Risk Factors

Implementing screening instruments is not the only way to identify drug-using patients.

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Patient Assessment Checklist

Description: 
Before starting office-based buprenorphine treatment, the following Patient Assessment Questions should be answered for each patient. Topics addressed in these questions include: Diagnosis, Medications, Drugs/Alcohol, Psychiatric and Medical Comorbidities, Psychosocial Issues, Treatment, Patient Management, and Resources.

Diagnosis

Does the patient have a diagnosis of opioid dependence?

  • Approximately how long has the patient been dependent?
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DSM-IV Diagnostic Codes Related to Substance Abuse

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DSM-IV Diagnostic Codes Related to Substance Abuse

This is a table listing the diagnostic codes for substance abuse.

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DSM IV Criteria for Opioid Withdrawal

Description: 
Lists DSM-IV Criteria for Opioid Withdrawal

A. Either of the following:

  1. cessation of (or reduction in) opioid use that has been heavy and prolonged (several weeks or longer)

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DSM-IV Criteria for Opioid Withdrawal

Description: 
Lists the clinical criteria for opioid withdrawal.

DSM-IV Criteria for Opioid Withdrawal

A. Either of the following:

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DSM-IV Criteria for Substance Dependence
Description: 
The diagnostic criteria for substance dependence.
Source: 
Dawnfarm.org
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PCSS-B Guidance: Treatment of Opioid Dependent Adolescents and Young Adults Using Sublingual Buprenorphine 
Description: 
This document discusses the evidence for buprenorphine treatment of opioid dependent adolescents and young adults. It provides treatment recommendations, and highlights special issues that should be considered when treating this special population.
Source: 
Physician Clinical Support System (PCSS)
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