Lesson 1Timeline follow-back, standard drinks, cocaine use metrics, polysubstance explorationDis part explain timeline follow-back, standard drink units, an cocaine use metrics, an show how fi map polysubstance patterns ova time fi estimate risk, guide diagnosis, an monitor treatment response wid practical clinical examples yuh can use.
Timeline follow-back interview techniqueDefining and calculating standard drink unitsCocaine quantity, purity, and route metricsDocumenting polysubstance patterns over timeUsing metrics to monitor treatment responseLesson 2Psychiatric history and symptom review techniques for mood, anxiety, psychosisDis section cover systematic psychiatric history takin in addiction care, includin mood, anxiety, psychosis, an sleep, wid focus pon differenciatin substance-induced symptoms, usin screenin tools, an assessin functional impairment an risk.
Eliciting past and current psychiatric diagnosesScreening for mood and anxiety in substance usersRecognizing psychosis and substance-induced statesAssessing sleep, cognition, and functional impactUsing brief validated psychiatric screenersLesson 3Social determinants: housing, employment, legal issues, insurance and accessDis section tackle assessment a social determinants a health, like housin, employment, legal issues, insurance, an access to care, an show how fi integrate findings into treatment plannin, advocacy, an link to community resources.
Housing stability and living environmentEmployment, income, and financial stressorsLegal involvement and criminal justice issuesInsurance coverage and care access barriersLinking patients to social and legal resourcesLesson 4Detailed substance use history: quantity, frequency, pattern, routes, binge/withdrawal signsDis section teach how fi get detailed substance use history, includin onset, quantity, frequency, routes, binge patterns, withdrawal, an prior treatments, an how fi spot tolerance, loss a control, an DSM-5 substance use disorder criteria.
Chronology of first use and progressionAssessing quantity, frequency, and routesIdentifying binge and high-risk use patternsScreening for tolerance and withdrawal signsLinking history to DSM-5 SUD criteriaLesson 5Medication, medical comorbidity, and over-the-counter/substance replacement historyDis section review how fi gather medication, medical comorbidity, an over-the-counter or replacement substance histories, highlightin interactions, hepatic an cardiac risks, pain management, an implications fi pharmacologic treatment plannin.
Current and past prescribed medicationsMedical comorbidities relevant to addictionOver-the-counter and herbal substance useNicotine, cannabis, and self-directed replacementDrug–drug interactions and safety concernsLesson 6Working with limited collateral and building engagement with marginalized patientsDis section explore strategies fi work wid limited collateral an engage marginalized patients, includin motivational interviewin, harm reduction, alliance buildin, an managin mistrust, stigma, an structural barriers to sustained follow-up.
Assessing reliability of self-report dataUsing motivational interviewing micro-skillsHarm reduction framing in early encountersBuilding trust amid stigma and mistrustPlanning follow-up with unstable contactLesson 7Step-by-step addiction-focused interview flow (presenting complaint to collateral history)Dis section outline a stepwise addiction interview flow, from presentin complaint an substance history to medical, psychiatric, social, an collateral information, emphasizin structure, flexibility, an time management in diverse clinical settins.
Clarifying presenting complaint and goalsSequencing substance, medical, and psych historyIntegrating social, legal, and functional domainsStrategic use of collateral and recordsTime management in brief clinical encountersLesson 8Trauma, intimate partner violence, and safety screening (suicide, homicide, child protection)Dis section detail trauma-informed approaches to screenin fi trauma, intimate partner violence, suicide, homicide, an child abuse, emphasizin safety plannin, mandated reportin, documentation, an collaboration wid protective an crisis services.
Principles of trauma-informed questioningScreening for intimate partner and family violenceSuicide and homicide risk assessment stepsIdentifying and reporting child abuse or neglectSafety planning and crisis resource linkageLesson 9Structured opening, consent, and establishing rapport in trauma-exposed populationsDis section focus pon openin di interview, obtainin consent, an buildin rapport wid trauma-exposed patients, usin collaborative, nonjudgmental communication, clear boundaries, an cultural humility fi foster trust an reduce retraumatization.
Structuring the opening minutes of the visitExplaining purpose, limits of confidentialityObtaining informed consent for sensitive topicsUsing empathic, nonjudgmental languageCultural humility and managing power dynamics
