Resource Center: Risk factors

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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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DAST-10

Description: 
The Drug Abuse Screening Test, or DAST, is a self-administered test designed to provide a brief screening for drug abuse, followed by further assessment by a health care professional if necessary.

The 28-item, self-reporting Drug Abuse Screening Test (DAST) was created to screen for substance use in a clinical or treatment evaluation setting (Skinner 1982).

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Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse, Treatment Improvement Protocol (TIP) Series 9
Description: 
Developed by a consensus panel, these guidelines provide treatment recommendations for patients with dual disorders.
Source: 
U.S. Department of Health and Human Services, SAMHSA
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Identification and Management of the Drug-Seeking Patient
Description: 
This article describes how to identify drug-seeking patients, and explains risk management measures.
Source: 
American Family Physician, 2000
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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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Risk and Protective Factors in Drug Abuse Prevention
Description: 
This is a brief list of risk and protective factors to look for when evaluating patients for substance abuse.
Source: 
National Institute on Drug Abuse (NIDA)
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Diagnosis and Treatment of Drug Abuse in Family Practice
Description: 
This article provides guidance on the treatment of alcohol and drug abuse, and discusses various treatment plans.
Source: 
National Institute on Drug Abuse (NIDA)
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Self-Administered Addiction Severity Index (ASI-Self Report)
Description: 
The ASI Self-Report Form asks questions about the following topics: your background and employment, your health and family relationships, your legal situation, and your drug and alcohol use.
Source: 
Center for Health Care Evaluation (CHCE)
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Risk Factors: How can health professionals mitigate these risks?

Description: 
This is a brief list of risk factors to look for when evaluating patients for substance abuse. There is also guidance on how health professionals can mitigate adolescent risk for substance abuse.

Risk can foreshadow potential substance abuse; thus, a physician noticing such factors is able to practice prevention.

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Diversion and Abuse of Buprenorphine: A Brief Assessment of Emerging Indicators
Description: 
This report by SAMHSA addresses the issues of buprenorphine diversion and abuse of which have developed in recent years. The report gives a summary of the findings on diversion and abuse and recommendations for the future.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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Your rating: None Average: 4.3 (3 votes)
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