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Limits the interviewer to a prescribed style and list of questions. Is
restricted from probing beyond the questions included in the interview.
Preferred to support significant decisions such as in legal action or custody
questions
Signs of toxicity or intoxication
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Nausea
Vomiting
Diarrhea
Agitation
, Lethargy or stupor progressing to coma
Increased or decreased heart rate
Lack of Coordination
Contribution of the 12-Steps Approach
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The underlying belief is that most aspects of chemical addiction are
transcendent rather that specific to any particular drug.
Psychological aspects -
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Substance fulfills multiple functions such as - enhance sex,, enhance social
situations, boost users sense of self worth, alleviate stress and tension and
relieve painful feelings. As the substance user becomes increasingly
dependent on the drug/alcohol to fulfill unmet needs and compensate for
deficits in coping skills their capacity to manage life's problems diminishes.
Confidence in regulating ones moods and self esteem are lost.
Clinical Guidelines
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, are intended to help clinicians make better decisions about treatment . To
translate research into practice, increase the effectiveness or treatment,
provide a framwork for collecting data about TX, ensure accountability to
funding sources, and encourage some consistency in practice.
Empathy
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With empathy there are shared feeling and hope that something can be
done to help a situation. Sympathy does not involve shared feelings and
communicate a feeling of hopelessness.
ICD
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International Statistical Classification of Diseases and Related Health
Professional Manner
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Includes demeanor, dress, being on time, and smooth handling of
procedures and paperwork
, Addiction treatment field has
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matured to treat populations with specific needs, such as women,
adolescents, and people from various racial and ethnic minority groups
Applicable laws and Regulations
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1. Federal
2. Precedent by case law
3. Reasonable person test (Common Sense)
4.Regulations or Administrative laws
5.Contracts
Risk Assessment for Suicide per American Psychiatric Association
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The guidelines outline 3 domains for assessment.
1 Current presentation of suicidality
2 History and
3 Risk Management
Acceptance