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Substance Abuse rehabilitation

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41. Diagnosis and Treatment of Low Back Pain

Treatment Section Section Chair: Christopher M. Bono, MD Authors: Paul Dougherty, DC Gazanfar Rahmathulla, MD, MBBS Christopher K. Taleghani, MD Terry Trammell, MD Randall P. Brewer, MD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Ravi Prasad, PhD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Contributor: John P. Birkedal, MD Physical Medicine & Rehabilitation Section Section Chair: Charles A. Reitman, MD Authors: R. Carter Cassidy, MD Dennis E. Enix, DC (...) . Gilbert, MD Joseph Gjolaj, MD Matthew Smuck, MD, Stakeholder Representative, American Academy of Physical Medicine and Rehabilitation (AAPM&R)Diagnosis & Treatment of Low Back Pain | Preface Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting literature which excluded conditions such as presence of a neurological deficit or leg pain experienced below the knee, among others. Given the exclusion criteria, these guideline rec- ommendations

2020 North American Spine Society

43. Heart Failure (Full text)

a , b , c , d , , x John J. Atherton Affiliations Department of Cardiology, Royal Brisbane and Women’s Hospital, Brisbane, Australia Faculty of Medicine, University of Queensland, Brisbane, Australia Faculty of Science, Health, Education and Engineering, University of Sunshine Coast, Australia Faculty of Health, Queensland University of Technology, Brisbane, Australia Correspondence Corresponding author. , x Andrew Sindone Affiliations Heart Failure Unit and Department of Cardiac Rehabilitation

2018 Cardiac Society of Australia and New Zealand PubMed abstract

44. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Cognitive Difficulties

-concussion questionnaire [e.g., Rivermead (Appendix ), PCSS (Appendix ) or SCAT5 (Appendix )] for the purpose of assessing and tracking symptoms. 9.2 B Since certain comorbidities can exacerbate cognitive symptoms (e.g., ADHD, learning disabilities, anxiety or mood disorders, pain, fatigue, sleep disturbance, neuroendocrine dysfunction, substance abuse, existing medications) patients should be provided with education highlighting that their cognitive symptoms may be intensified and prolonged (...) independent functioning. 7,20 Deficits identified on neuropsychological assessment may be amenable to specific rehabilitation strategies (e.g., compensatory cognitive strategies) as well as cognitive behavioural therapy (CBT) focused on education about the commonality of symptom presentation, facilitation of more effective coping strategies and integration of cognitive compensatory strategies. 20 This combination has demonstrated reductions in the presence of persistent symptoms. 4,7,21,22 There is good

2018 Ontario Neurotrauma Foundation

45. The management of diabetes in adults and children with psychiatric disorders in inpatient settings

of best practice 17 9.3 Recommendations 18 9.3.1 Immediate 18 9.3.2 Longer term 18 10 Inpatients in acute hospital trusts 19 10.1 Epidemiology 19 10.2 Overview of models of care 20 10.2.1 DKA 21 10.2.2 Self-harm 21 10.2.3 Depression 21 10.2.4 Personality disorder 22 10.3 Examples of best practice 22 10.4 Recommendations 23 10.4.1 Immediate 23 10.4.2 Longer term 248 11 General Adult Mental Health Units including forensic and criminal justice, learning disability and substance misuse 25 11.1 (...) Epidemiology 25 11.2 General adult setting 25 11.2.1 Mentally disordered offenders 25 11.2.2 Substance misuse 26 11.2.3 Learning disability 26 11.3 Examples of Best Practice 27 11.3.1 Screening for diabetes in the Barnet and Enfield Well-Being clinic 27 11.3.2 Implementing a diabetes service in a medium secure unit in Hampshire 27 11.3.3 Training LD support workers to administer insulin in Hampshire 27 11.3.4 Camden diabetes and psychosis integrated practice unit 27 11.4 Recommendations 29 11.4.1 Immediate

2017 Association of British Clinical Diabetologists

46. QTc Prolongation and Psychotropic Medications

interaction would result when drugs with a potential to prolong QTc interval are prescribed concurrently. A pharmacokinetic interaction would occur if a drug or a substance (e.g., nicotine, drug of abuse) is added © Copyright, American Psychiatric Association, all rights reserved. or removed resulting in a metabolic interaction that results in slow or inhibited metabolism and consequent higher plasma concentrations of the drug associated with QTc interval prolongation. Given the vastness of possible drug (...) Manual. Prepared by Margo C. Funk, M.D., M.A., 1 Scott R. Beach, M.D., 2,3 Jolene R. Bostwick, PharmD, BCPS, BCPP, 4 Christopher M. Celano, M.D., 2,3 Mehrul Hasnain, M.D., 5 Ananda Pandurangi, M.B.B.S., M.D., 6 Abhisek C. Khandai, M.D., M.S., 7 Adrienne Taylor, M.D., 7 James L. Levenson, M.D., 6 Michelle Riba, M.D., 8 and Richard J. Kovacs, M.D. 9 1 Mental Health Service Line, Veterans Affairs Southern Oregon Rehabilitation Center and Clinics, White City, OR; 2 Department of Psychiatry, Massachusetts

2018 American Psychiatric Association

48. Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence

intervention compared with standard care? 38 4.5 For people with moderate and severe alcohol dependence who have significant comorbid problems, is an intensive residential rehabilitation programme clinically and cost effective when compared with intensive community-based care? 39 4.6 For people with alcohol dependence, which medication is most likely to improve adherence and thereby promote abstinence and prevent relapse? 40 5 Other versions of this guideline 41 5.1 Full guideline 41 5.2 Information (...) contact with family or friends) or or complex physical or psychiatric comorbidities or or not responded to initial community-based interventions (see 1.3.1.2). 1.3.1.4 For people with alcohol dependence who are homeless, consider offering residential rehabilitation for a maximum of 3 months. Help the service user find stable accommodation before discharge. 1.3.1.5 All interventions for people who misuse alcohol should be delivered by appropriately trained and competent staff. Pharmacological

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

49. Looked-after children and young people

be in place to ensure other permanence arrangements are available. When deciding whether rehabilitation with birth parents is a possibility especially for young children or babies, give particular attention to the reasons why any siblings have been placed in care or been adopted. This is to gather evidence on the willingness and ability of parents to change and sustain their behaviour after concerns were raised about this particular child. Ensure the voice of the child or young person is heard at every

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

50. Urinary incontinence in neurological disease: assessment and management

and consider ways of reducing any adverse impact. If it is suspected that severe stress is leading to abuse, follow local safeguarding procedures. Urodynamic in Urodynamic inv vestigations estigations 1.1.16 Do not offer urodynamic investigations (such as filling cystometry and pressure- flow studies) routinely to people who are known to have a low risk of renal complications (for example, most people with multiple sclerosis). 1.1.17 Offer video-urodynamic investigations to people who are known to have (...) involved in ongoing care (for example, adult neuro-rehabilitation services) provide the person with details of the service to which care is being transferred, including contact details of key personnel, such as the urologist and specialist nurses ensure that urological services are being provided after transition to adult services. 1.11.6 Consider establishing regular multidisciplinary team meetings for paediatric and adult specialists to discuss the management of neurogenic lower urinary tract

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

51. Drug misuse in over 16s: opioid detoxification

Addiction Treatment Service. Journal of Substance Abuse Treatment 28: 57–65. Kirby KC, Benishek LA, Dugosh KL, et al.(2006) Substance abuse treatment providers' beliefs and objections regarding contingency management: implications for dissemination. Drug and Alcohol Dependence 85:19–27. McGovern MP , Fox TS, Xie H, et al. (2004) A survey of clinical practices and readiness to adopt evidence-based practices: dissemination research in an addiction treatment system. Journal of Substance Abuse Treatment 26 (...) detoxification should be assessed to establish the presence and severity of opioid dependence, as well as misuse of and/or dependence on other substances, including alcohol, benzodiazepines and stimulants. As part of the assessment, healthcare professionals should: use urinalysis to aid identification of the use of opioids and other substances; consideration may also be given to other near-patient testing methods such as oral fluid and/or breath testing clinically assess signs of opioid withdrawal where

2007 National Institute for Health and Clinical Excellence - Clinical Guidelines

52. Antisocial personality disorder: prevention and management

, coping strategies, strengths and vulnerabilities comorbid mental disorders (including depression and anxiety, drug or alcohol misuse, post-traumatic stress disorder and other personality disorders) the need for psychological treatment, social care and support, and occupational rehabilitation or development domestic violence and abuse. 1.3.1.2 Staff involved in the assessment of antisocial personality disorder in secondary and specialist services should use structured assessment methods whenever (...) and forensic healthcare. This guideline is concerned with the treatment of people with antisocial personality disorder across a wide range of services including those provided within mental health (including substance misuse) services, social care and the criminal justice system. People with antisocial personality disorder exhibit traits of impulsivity, high negative emotionality, low conscientiousness and associated behaviours including irresponsible and exploitative behaviour, recklessness

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

53. Autism in adults: diagnosis and management

) to be involved in their care: give the family, partner or carer(s) verbal and written information about who they can contact if they are concerned about the person's care bear in mind that people with autism may be ambivalent or negative towards their family or partner. This may be for many different reasons, including a coexisting mental disorder or prior experience of violence or abuse. 1.2 Identification and assessment Principles for the effectiv Principles for the effective assessment of autism e (...) or a moderate or severe learning disability) rapid escalation of problems harm to others self-neglect breakdown of family or residential support exploitation or abuse by others. Develop a risk management plan if needed. 1.2.13 Develop a care plan based on the comprehensive assessment, incorporating the risk management plan and including any particular needs (such as adaptations to the social or physical environment), and also taking into account the needs of the family, partner or carer(s). 1.2.14 Provide

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

54. Perinatal Cocaine Use: Care of the Mother

arrhythmias. 2) Sinus tachycardia and bradycardia. 3) Myocardial ischemia and infarction. 4) Seizures. 5) Stroke. 6) Lung damage, "crack lung" and asthma. 7) Sexually transmitted diseases. 8) Rhabdomyolysis (muscle breakdown that can lead to renal failure). 9) Psychosis. 10) Placental abruption. 11) Spontaneous abortion. 12) Death. FETAL / NEONATAL RISKS OF COCAINE EXPOSURE (See Substance Use Guideline 5B: Perinatal Cocaine Exposure, Care of the Newborn) Most women who abuse substances in pregnancy use (...) , 1998; Center for Substance Abuse Treatments, 1995). Perinatal Cocaine Use, Care of the Mother * BCRCP * November,1999 Page 4 of 6 I ANTENATAL HOSPITAL ADMSISSION Cocaine abuse or dependence constitutes a high risk pregnancy. A woman having a problem with cocaine should be offered shelter in a residential setting (e.g. hospital) for several reasons: 1) Cocaine craving and use are very environmentally cued so withdrawal in the home setting may be difficult. 2) Often there has been little prenatal

1999 British Columbia Perinatal Health Program

55. Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management Third Edition

experience crisis, they may have intense feelings of personal distress (e.g., anxiety, depression, anger, panic, and hopelessness), exhibit changes in functioning (e.g., neglected personal hygiene or unusual behaviour), and/or have other negative life events that leads to ill effects (e.g., disruptions in personal relationships and living arrangements, loss of autonomy, and victimization) (Substance Abuse and Mental Health Services Administration [SAMHSA], 2009). Crisis may involve a loss or change (...) that threatens and impacts an individual’s sense of security, self-concept, self-efficacy, and self-esteem (Jakubec, 2014). Individuals who have experienced a crisis or multiple crises over their lives may have difficulty regulating emotions and navigating relationships, and they may have feelings of shame, hopelessness, and powerlessness (Canadian Centre on Substance Abuse, 2014). Individuals who experience crisis are more open and amenable to interventions than they are during times of stable functioning

2017 Registered Nurses' Association of Ontario

56. Perioperative

Harder, PhD Human Factors Perioperative Opioid Management Subgroup Members Allina Health Justin Hora, PharmD Pharmacy Entira Family Clinics David Thorson, MD Family Medicine/Sports Medicine Essentia Health Joseph Bianco, MD Internal Medicine Mark Grimm, MD Anesthesiology HealthPartners Anne Pylkas, MD Internal Medicine/ Addiction Medicine Isaac Marsolek, MD Physical Medicine & Rehabilitation Rebekah Roemer, PharmD, BCPS Pharmacy Hennepin Healthcare Charles Reznikoff, MD Internal Medicine/ Addiction

2020 Institute for Clinical Systems Improvement

57. Treatment of Patients with Schizophrenia

). It will also provide a framework for recovery, which has been defined as “a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential.” (Substance Abuse and Mental Health Services Administration 2012a). Consequently, discussions of goals should be focused beyond symptom relief and may include goals related to schooling, employment, living situation, relationships, leisure activities, and other aspects of functioning (...) Management and Recovery 52 Psychoeducation 54 Social Skills Training 58 Supported Employment 61 Supportive Therapy 65 Early Interventions for Patients With First-episode Psychosis 68 Co-occurring Substance Use and Schizophrenia 72 10 Acronyms/Abbreviations ACT Assertive community treatment AHRQ Agency for Healthcare Research and Quality AIMS Abnormal Involuntary Movement Scale APA American Psychiatric Association ANCs Absolute neutrophil counts BAP British Association for Psychopharmacology BMI Body mass

2020 American Psychiatric Association

58. Clinical practice guideline for evaluation of psychosocial factors influencing recovery from adult orthopaedic trauma

, the association between pre-injury psychiatric diagnosis and a satisfactory Disabilities of the Arm, Shoulder, and Hand (DASH) Score was not significant. One low quality study examined pre-injury psychiatric diagnosis in a military population of 772 individuals and found the presence of a pre-injury psychiatric diagnosis is associated with higher odds of developing PTSD as well as higher odds of substance abuse (Melcer, 2013). 19 View background material via the PRF CPG eAppendix Smoking This assessment (...) by the Major Extremity Trauma and Rehabilitation Consortium (METRC) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS) 9400 W Higgins Rosemont, IL First Edition Copyright 2019 by the Major Extremity Trauma and Rehabilitation Consortium (METRC) and the American Academy of Orthopaedic Surgeons (AAOS)3 View background material via the PRF CPG eAppendix To View All AAOS and AAOS-Endorsed Evidence-Based clinical practice guidelines and Appropriate Use Criteria in a User-Friendly Format

2020 American Academy of Orthopaedic Surgeons

59. Heart Disease and Stroke Statistics (Full text)

participation in cardiac rehabilitation after an acute MI. Between 2011 and 2015, compared with patients who did not participate in cardiac rehabilitation, those who declared such participation were less likely to be female (OR, 0.76; 95% CI, 0.65–0.90; P =0.002) or black (OR, 0.70; 95% CI, 0.53–0.93; P =0.014), were less well educated (high school versus college graduate: OR, 0.69; 95% CI, 0.59–0.81; P <0.001 and less than high school versus college graduate: OR, 0.47; 95% CI, 0.37–0.61; P <0.001

2019 American Heart Association PubMed abstract

60. Professional Practice Guidelines for the Psychological Practice with Boys and Men

problems (e.g., cardiovascular problems), public health concerns (e.g., violence, substance abuse, incarceration, and early mortality), and a wide variety of other quality-of-life issues (e.g., relational problems, family well-being; for comprehensive reviews, see Levant & Richmond, 2007; Moore & Stuart, 2005; O’Neil, 2015). Additionally, many men do not seek help when they need it, and many report distinc- tive barriers to receiving gender-sensitive psychological treatment (Mahalik, Good, Tager (...) may be more likely to be diagnosed with externalizing disorders (e.g., con- duct disorder and substance use disorders) (Cochran & Rabinowitz, 2000). Indeed, therapists’ gender role stereotypes about boys’ externalizing behaviors may explain why boys are dispropor- tionately diagnosed with ADHD compared to girls (Bruchmüller, Margaf, & Schneider, 2012). Other investigations have identified systemic gender bias toward adult men in psychotherapy (Mahalik et al., 2012) and in other helping services

2019 American Psychological Association

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