Lesson 1Psychiatric history and current mental status: mood, suicidality, anxiety, trauma, psychosis, cognitive function, prior treatments and responseDis section explain how fi gather psychiatric history an do mental status exam, coverin mood, suicidality, anxiety, trauma, psychosis, cognition, an past treatments, fi spot co-occurring disorders an guide integrated 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 behaviors and safety assessment: overdose risk factors, current intoxication/withdrawal signs, injection practices, needle sharing, pregnancy risk, domestic violenceDis section cover systematic check fi overdose risk, current intoxication or withdrawal, injection an sexual risk behaviors, pregnancy risk, an domestic or intimate partner violence to inform immediate safety plannin an harm reduction.
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 program rulesDis section review legal an ethical requirements fi documentation an consent in opioid use disorder care, includin confidentiality, mandatory reporting, informed consent fi medications, an opioid treatment program rules an record keepin.
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 checklistsDis section introduce validated screenin tools an structured assessments used in opioid use disorder care, includin COWS, ASSIST, AUDIT, PHQ-9, GAD-7, an diagnostic checklists, wid guidance on scorin, interpretation, an clinical integration.
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 issuesDis section tackle assessment of social, occupational, legal, an family areas, includin housin, employment, child custody, intimate partner dynamics, social supports, an forensic issues dat affect treatment engagement an recovery plannin.
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 allergiesDis section detail how fi get a focused medical history fi patients wid opioid use disorder, emphasizin injection complications, infectious disease risk, chronic pain, liver disease, current medications, allergies, an implications fi treatment plannin.
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 useDis section outline how fi obtain detailed substance use history, includin onset, patterns, routes, quantities, polysubstance use, abstinence periods, prior treatments, overdose events, an naloxone use to guide diagnosis an treatment selection.
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
