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Substance Abuse rehabilitation

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21. A Guideline for the Clinical Management of Opioid Use Disorder

A Guideline for the Clinical Management of Opioid Use Disorder 1 A Guideline for the Clinical Management of2 THIS IS A BLANK PAGE3 About the British Columbia Centre on Substance Use & the Canadian Research Initiative in Substance Misuse The BC Centre on Substance Use ( BCCSU) is a new provincially networked resource with a mandate to develop, implement and evaluate evidence-based approaches to substance use and addiction. The BCCSU’s focus is on three strategic areas including research (...) and evaluation, education and training, and clinical care guidance. With the support of the province of British Columbia, the BCCSU aims to help establish world leading educational, research and public health, and clinical practices across the spectrum of substance use. Although physically located in Vancouver, the BCCSU is a provincially networked resource for researchers, educators and care providers as well as people who use substances, family advocates, support groups and the recovery community. The CIHR

2017 Clinical Practice Guidelines and Protocols in British Columbia

22. Guidelines for Psychological Practice With Older Adults

, family, geropsy- chology, health, industrial/organizational, neuropsychol- ogy, rehabilitation, and others. The 2008 APA Survey of Psychology Health Service Providers found that 4.2% of respondents viewed older adults as their primary focus and 39% reported that they provided some type of psy- chological services to older adults (APA, Center for Workforce Studies, 2008). Relatively few psychologists, however, have received formal training in the psychol- ogy of aging. Fewer than one third of APA

2014 American Psychological Association

23. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

Guidelines comprises dynamic, nested systems that transact over time (see Figure 1). Psychologists are informed by an understanding of such transactions among individuals, microsystems, exosystems, and macrosystems. At the intrapersonal system level, psychologists who are clinicians treat an individual client’s anxiety, trauma, depression, suicidal ideation, family problems, employment insecurities, alcohol and other substance abuse, aggression, and disruptions in the achievement and trajectory

2002 American Psychological Association

24. Guidelines for Psychological Evaluations in Child Protection Matters

risk factors such as substance abuse or chemical dependency, domestic violence, health status of family members, and the entire family context. In addition, psychologists review information from other sources, in- cluding assessments of cultural, educational, religious, and community factors (APA Ethics Code, Standard 9.06). Particular competencies and knowledge are necessary to perform psychological evaluations in child protection matters so that adequate and appropriate psychological services can (...) Guidelines for Psychological Evaluations in Child Protection Matters Guidelines for Psychological Evaluations in Child Protection Matters American Psychological Association The problems of abused and neglected children are epi- demic in our society (U.S. Department of Health and Hu- man Services, Administration on Children, Youth, and Families, 2008) and create issues that psychologists may be called upon to address. Psychologists are positioned to contribute signi?cantly to decision making

2013 American Psychological Association

25. Integrating collaborative TB and HIV services within a comprehensive package of care for people who inject drugs

for damages arising from its use. Design by North Creative, Geneva. WHO/HTM/TB/2016.02 WHO Library Cataloguing-in-Publication Data Integrating collaborative TB and HIV services within a comprehensive package of care for people who inject drugs: consolidated guidelines. 1.HIV Infections. 2.Tuberculosis. 3.Drug Users. 4.Substance Abuse, Intravenous – complications. 5.Delivery of Health Care, Integrated. 6.Guideline. I.World Health Organization. II.The End TB Strategy. ISBN 978 92 4 151022 6 (NLM (...) focuses primarily on injecting drug use, it also recognizes the importance of harm reduction interventions for PWUD but who do not inject and are in need of the Integrating collaborative TB and HIV services within a comprehensive package of care for people who inject drugs | Consolidated Guidelines Steering Group WHO Annabel Baddeley (Global TB Programme), Rachel Baggaley (Department of HIV and Global Hepatitis Programme), Nicolas Clark (Department of Mental Health and Substance Abuse

2016 World Health Organisation HIV Guidelines

26. WHO guidelines on the management of health complications from female genital mutilation

these guidelines to include a focus on human rights and gender inequality (13) . In December 2012, the Member States of the United Nations (UN) agreed in UN General Assembly resolution 67/146 to intensify efforts to eliminate FGM, as a practice that is “an irreparable, irreversible abuse that impacts negatively on the human rights of women and girls” (14) . For the past several decades, a diverse group of scholars, advocates, legislators and health-care practitioners have offered differing views and ideas

2016 World Health Organisation Guidelines

27. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

Guideline From the American College of Physicians Substance abuse Monitor and treat for cardiotoxicity and withdrawal, educate on cardiotoxicity, refer for substance abuse rehabilitation. Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper Tobacco abuse Smoking cessation counseling. Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults (...) , including pregnant women: U.S. Preventive Services Task Force recommendation statement 2018 ACC Expert Consensus Decision Pathway on Tobacco Cessation Treatment Alcohol abuse Monitor and treat for withdrawal, educate on cardiotoxicity, refer for rehabilitation. Guidelines for biological treatment of substance use and related disorders, part 1: Alcoholism, ?rst revision Inadequate social support Assess for self-neglect, barriers to care, ability and necessary support systems for self-care. Referral

2019 American College of Cardiology

28. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

Health and Substance Abuse), Tarun Dua (WHO Department of Mental Health and Substance Abuse), Maria De Las Nieves Garcia Casal (WHO Department of Nutrition for Health and Development), Zee A Han (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Dena Javadi (WHO Department of Alliance for Health Policy and Systems Research), Silvio Paolo Mariotti (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention (...) to prevent falls. 3 93 Generic care pathway Person-centered assessment and pathways in primary care Social care and support plan Remove barriers to social participation Environmental adaptation Community-level interventions to manage declines in intrinsic capacity Understand the older person's life, values, priorities and social context Integrated management of diseases Rehabilitation Palliative and end-of-life care Reinforce generic health and lifestyle advice or usual care FOR CONDITIONS ASSOCIATED

2019 World Health Organisation Guidelines

29. Integrated care for older people (?ICOPE)? implementation framework: guidance for systems and services

of Mental Health and Substance Abuse), Maria De Las Nieves Garcia Casal (WHO Department of Nutrition for Health and Development), Manfred Huber (WHO Regional Office for Europe), Ramez Mahaini (WHO Regional Office for the Eastern Mediterranean), Silvio Paolo Mariotti (WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Alana Margaret Officer (WHO Department of Ageing and Life Course), Taiwo Adedemola Oyelade (WHO Regional Office for Africa), Juan Pablo (...) Peña-Rosas (WHO Department of Nutrition for Health and Development), Neena Raina (WHO Regional Office for South- East Asia), Katherine Silburn (WHO Regional Office for the West Pacific), Mark Humphrey Van Ommeren (WHO Department of Mental Health and Substance Abuse), Enrique Vega Garcia (WHO Regional Office for the Americas/Pan-American Health Organization). The WHO Department of Ageing and Life Course acknowledges the financial support of the Government of Japan and Kanagawa Prefectural Government

2019 World Health Organisation Guidelines

30. Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients

prominently at the front of the document: Reproduced (translated) with permission of AACC, Washington, DC. This document (PID 11774) was approved by the AACC Board of Directors in November 2017.LABORATORY MEDICINE PRACTICE GUIDELINES Executive Summary 5 Preamble 34 Introduction 38 Chapter 1: Testing for common classes of relevant over-the-counter, prescribed, and non-prescribed drugs and illicit substances abused by pain management patients 47 Chapter 2: Specimen types and detection times 52 Chapter 3 (...) be experiencing toxicity from them. Tier III tests can also be examined when they are clin- ically indicated, either by history of use, medication list, or very high probability of misuse/abuse, in a specific patient rather than for every patient. Frequency of laboratory testing CONSENSUS-BASED EXPERT OPINION #1: Based on level II evidence, baseline drug testing should be performed prior to initiation of acute or chronic controlled substance therapy. In addition, random drug testing should be performed

2018 American Academy of Pain Medicine

31. Acute Pain Medicine in the United States: A Status Report (Full text)

to empower patients and to address their wants , needs, and rights . These trends have relevance to the area of acute pain medicine (APM). The practice of APM involves the practice of medicine at multiple levels of inpatient healthcare, rehabilitation, and recovery of the patient at home. Specialists in APM diagnose variants of and conditions related to acute pain, offer medical, interventional, and complementary and integrative medicine therapies, and provide for primary and secondary prevention (...) and effective acute pain care at the patient-population level. For example, it is no longer sufficient to simply perform a nerve block or place an indwelling catheter: APM teams must consider how these interventions affect patient safety, rehabilitation, and disposition; the training of healthcare providers in multiple disciplines; the logistics of supply chain management and financing; and optimal healthcare delivery. Although acute pain management occurs in a variety of patient care settings (e.g

2015 American Academy of Pain Medicine PubMed abstract

32. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report (Full text)

. Pharmacoepidemiol Drug Saf 2018 ; 27 ( 5 ): 541 – 9 . 54 Substance Abuse and Mental Health Services Administration . Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health (HHS Publication No. SMA 17-5044, NSDUH Series H-52). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration; 2017 . Available at: . 55 Han B , Compton WM , Blanco C , et al. . Prescription opioid (...) decisions after evaluating patient factors that predict a higher risk of opioid-related death, overdose, and other injuries. Such factors for evaluation include pain etiology, response to therapy, medical comorbidities, co-occurring psychological disorders, past or previous substance use problems, history of opioid misuse, and concomitant benzodiazepine use [ ]. The panel agreed that any legislative, regulatory, or payer policies enacted should make provisions for appropriately selected and monitored

2019 American Academy of Pain Medicine PubMed abstract

33. Assessment and Management of Patients at Risk for Suicide

] There was a roughly 25% increase in Veteran deaths by suicide over the shorter period from 2005 to 2015.[12] A. Epidemiology and Impact in the General Population The most recent National Survey on Drug Use and Health (calendar year [CY] 2017), conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), provides an estimation of the occurrence of suicide and suicide-related behavior in the U.S. population.[13] This survey of 67,500 U.S. residents, ages 12 and older, includes Veterans (...) episodes and chronic substance use disorder (SUD).[13] Recently released data from the U.S. Centers for Disease Control and Prevention (CDC), which include Service Members and Veterans as well as the remainder of the general population, continue to identify suicide as one of the top 10 causes of death among U.S. residents, accounting for 44,965 deaths in CY 2016 alone.[14] Among those between 10 and 34 years old, suicide is the second most common cause of death, with only unintentional injuries

2019 VA/DoD Clinical Practice Guidelines

34. Early Management of Head Injury in Adults

trauma • alcohol intoxication, psychotropic drugs or substance abuse • seizure 5. PRE-HOSPITAL CARE (PHC) PHC is defined as an immediate assistance a patient receives from PHC providers before arriving at hospital. Mortality and morbidity due to head injury may be reduced by adequate pre-hospital trauma care. The first responder who recognises the emergency situation is encouraged to rapidly activate emergency response system by dialling 999 and provide basic first aid measures. Most deaths (...) guidelines to those involved in the early management of head injury in primary and secondary/tertiary care CLINICAL QUESTIONS Refer to Appendix 2 TARGET POPULATION Inclusion Criteria Adult patients presenting with head injury (18 years old and above) Exclusion Criteria The guidelines do not cover definitive management of head injury: • all surgeries pertaining to neurosurgery and post-operative care • rehabilitation • management of multisystem injuries TARGET GROUP/USERS This document is intended

2015 Ministry of Health, Malaysia

35. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

difficulties with conversation, are generally capable of meaningful communication and will often appreciate the opportunity to 11 First published in Australian and New Zealand Journal of Psychiatry 2016, Vol. 50(5) 1-117. express their point of view and participate in clinical decision-making (Galletly and Crichton, 2011). Comorbid substance abuse, which is very common among people with schizophrenia, can complicate the presentation and worsen outcomes (see Section 2. Comorbid substance use). Table 2 (...) of schizophrenia and related disorders. This guideline includes the management of ultra-high risk syndromes, first-episode psychoses and prolonged psychoses, including psychoses associated with substance use. It takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function. Methods: The writing group planned the scope and individual members drafted sections according

2016 Royal Australian and New Zealand College of Psychiatrists

36. Guidance on the clinical management of deliberate self-harm (DSH) and on the organisation and delivery of services

Institute, Melbourne, VIC, Australia 25 Tauranga Hospital, Bay of Plenty, New Zealand 26 Mental Health & Substance Use Service, Hunter New England, NSW Health, Waratah, NSW, Australia 27 Awabakal Aboriginal Medical Service, Hamilton, NSW, Australia 28 Pital Tarkin, Aboriginal Medical Student Mentoring Program, The Wollotuka Institute, The University of Newcastle, Callaghan, NSW, Australia 29 Specialist Outreach NT, Darwin, Northern Territory, Australia 30 Black Dog Institute, The University of New South (...) empathy and respect for patients who self-harm and should provide high-quality medical and mental health care. A thorough clinical assessment of the patient’s situation and treatment needs should include an assessment of modifiable risk factors for self-harm, such as substance use, psychosis, mood disorder, anxiety disorder, eating disorder, personality disorder, medical conditions, relationship difficulties and social problems. Treatment decisions about patients who present with DSH should be made

2016 Royal Australian and New Zealand College of Psychiatrists

37. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights

process: Katthyana Aparicio Reyes (Department of Service Delivery and Safety [SDS]) 1 , Islene Araujo de Carvalho (Department of Aging and Life Course [ALC]), Rachel Baggaley (Department of HIV/AIDS), Nino Berdzuli (WHO Regional Office for Europe), Nathalie Broutet (Department of Reproductive Health and Research [RHR]), Giorgio Cometto (Department of Health Workforce [HWF]), Tarun Dua (Department of Mental Health and Substance Abuse [MSD]), Mary Lyn Gaffield (Department of RHR), Karima Gholbzouri (WHO (...) of Mental Health and Substance Abuse [MSB]), Diah Saminarsih (Office of Director General [DGO]), Anita Sands (Department of Safety and Vigilance [SAV]), Elisa Scolaro (Department of RHR), Olive Sentumbwe-Mugisa (National Professional Officer, Uganda), Agnes Soucat (Department of HGF), Petrus Steyn (Department of RHR), Igor Toskin (Department of RHR), Isabelle Wachsmuth (Department of SDS), Reinhilde Van De Weerdt (Department of EMO), Souleymane Zan (Technical Officer, Cotonou, Benin), Qi Zhang

2019 World Health Organisation Guidelines

38. Hepatitis C Screening

partners of a person with HCV or a person at risk of HCV infection 55 4.1.11. Men who have sex with men 57 4.1.12. People attending for a sexual health screen 60 4.1.13. People on renal dialysis or who have had a kidney transplant 61 4.1.14. Recipients of substance of human origin 63 4.1.15. Donors of substances of human origin 66 4.1.16. General population or birth cohort 69 4.1.17. Healthcare workers 72 4.2 How should screening for HCV be performed? 75 4.2.1. What test should be used for HCV (...) who injected any type of drug which was not prescribed, including performance enhancing drugs like steroids, and novel psychoactive substances. 5.2 Re-testing of those who test HCV negative should be offered on an annual basis, or six monthly if deemed clinically appropriate*, for those who remain at ongoing risk of infection. 5.3 Testing should be available during this interval if a risk exposure is known to have occurred. 5.4 Re-testing for those who have been previously infected, but have

2017 National Clinical Guidelines (Ireland)

39. Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

and physical health risks that significantly increase morbidity and mortality. 7,8 For example, people who are homeless and vulnerably housed experience a significantly higher preva- lence of trauma, mental health conditions and substance use dis- orders than the general population. 7,9 Canadian research reports that people who experience homelessness face life expectancies as low as 42 years for men and 52 years for women. 7 A generation ago, homeless Canadians were largely middle- aged, single men (...) every stage of life, and seamlessly integrated with other services in the health care system and the commun ity” ( Primary care providers are also well positioned to mobilize health promotion, disease pre- vention, diagnosis and treatment, and rehabilitation services. 19 GUIDELINE VULNERABLE POPULATIONS CPD Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience Kevin Pottie MD MClSc, Claire E. Kendall MD PhD, Tim

2020 CPG Infobase

40. Management of Major Depressive Disorder (2nd Ediiton)

antagonist, multimodal antidepressants and NDRIs **Refer to Chapter 3 ***Consider: • Incorrect diagnosis (e.g. failure to diagnose bipolar disorder) • Psychotic depression • Organic conditions e.g. anaemia or hypothyroidism • Co-morbid psychiatric disorder e.g. substance abuse or dependence, panic disorder, obsessive-compulsive disorder and personality disorder • Adverse psychosocial factors • Non/poor compliance ****Consider referral to psychiatrist MDD = major depressive disorder AAP = atypical (...) • chronic diseases • obesity • chronic pain (e.g. backache, headache) • impoverished home environment • financial constraint • experiencing major life changes • pregnant or postpartum period • socially-isolated • multiple vague symptoms • sleep disturbance • substance abuse (e.g. alcohol, illicit drugs) • loss of interest in sexual activity • old age • There is insufficient evidence to perform screening for depression in the general population. The common tools used in Malaysia for screening

2019 Ministry of Health, Malaysia


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