Lesson 1Psychiatric history and current mental status: mood, suicidality, anxiety, trauma, psychosis, cognitive function, prior treatments and responseThis part shows how to collect psychiatric history and do a mental status check, covering mood, suicide thoughts, worry, past hurts, mental confusion, thinking ability, and past treatments, to spot other conditions and plan joined-up care.
Screening for mood disorders and bipolar spectrumAssessment of suicidality and self-harm riskEvaluation of anxiety, PTSD, and trauma exposureIdentification of psychosis and cognitive impairmentReview of prior psychiatric treatments and responsesLesson 2Risk behaviours and safety assessment: overdose risk factors, current intoxication/withdrawal signs, injection practices, needle sharing, pregnancy risk, domestic violenceThis part looks at checking overdose danger, current high or coming down signs, injecting and risky sex habits, pregnancy chance, and home or partner violence to make quick safety plans and cut harm.
Assessment of overdose history and current risk factorsRecognition of intoxication and withdrawal signsInjection practices, needle sharing, and equipment useSexual risk behaviors, contraception, and pregnancyScreening for domestic and intimate partner violenceLesson 3Documentation and consent considerations: confidentiality, mandatory reporting, informed consent for medications, opioid treatment programme rulesThis part goes over legal and right-way rules for records and agreement in opioid use disorder care, including keeping things private, must-report rules, agreement for medicines, and opioid programme rules and record-keeping.
Essential elements of clinical documentation42 CFR Part 2 and HIPAA confidentiality rulesMandatory reporting and duty to warn situationsInformed consent for MOUD and off-label useOpioid treatment program policies and recordsLesson 4Screening instruments and structured assessments: COWS, Clinical Opiate Withdrawal Scale; ASSIST; AUDIT; PHQ-9; GAD-7; substance use disorder diagnostic checklistsThis part brings in proven screening tools and set checks for opioid use disorder care, like COWS, ASSIST, AUDIT, PHQ-9, GAD-7, and diagnosis lists, with tips on marking, understanding, and fitting into clinic work.
Use and scoring of the Clinical Opiate Withdrawal ScaleASSIST and AUDIT for substance use screeningPHQ-9 and GAD-7 for mood and anxiety symptomsStructured SUD diagnostic checklists and criteriaIntegrating tool results into clinical decisionsLesson 5Social, occupational, legal and family assessment: housing, child custody, employment stability, intimate partner dynamics, social supports, forensic issuesThis part checks social, work, legal, and family sides, like home, job steadiness, child care rights, partner relations, community help, and court matters that affect joining treatment and recovery plans.
Housing stability, homelessness, and basic needsEmployment, income, and workplace functioningChild custody, parenting, and family rolesIntimate partner relationships and social supportsLegal charges, probation, and forensic concernsLesson 6Medical history focused on injection-related complications, infectious disease risk, chronic pain, liver disease, medications and allergiesThis part explains getting a focused medical history for opioid use disorder patients, stressing injecting problems, infection risks, long pain, liver issues, current medicines, allergies, and effects on treatment plans.
Injection-related complications and soft tissue infectionsScreening for HIV, hepatitis B, hepatitis C, and STIsAssessment of chronic pain conditions and functional impactEvaluation of liver disease, labs, and medication safetyMedication reconciliation, allergies, and drug interactionsLesson 7Detailed substance use history: onset, patterns, routes, quantities, polysubstance use, periods of abstinence, previous treatments, overdose history, naloxone useThis part sets out how to get full substance use history, from start, habits, ways taken, amounts, mixed use, sober times, past treatments, overdose past, and naloxone to guide diagnosis and treatment choice.
Age of onset, progression, and key milestonesPatterns, routes, and quantities of opioid usePolysubstance use and high-risk combinationsPeriods of abstinence and relapse triggersPrior treatments, overdoses, and naloxone access
