Lesson 1Psychiatric history and current mental status: mood, suicidality, anxiety, trauma, psychosis, cognitive function, prior treatments and responseDis part explains how to collect psychiatric history an do mental status exam, covering mood, suicide thoughts, worry, trauma, madness, thinking power, an past treatments, to spot other disorders an guide combined 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 part covers full check for overdose risk, current high or withdrawal signs, injection an sex risks, pregnancy danger, an home or partner violence to plan safety now an 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 program rulesDis part looks at legal an moral rules for records an consent in opioid use disorder care, like privacy, must-report laws, consent for meds, an opioid program rules an 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 checklistsDis part shows proven screening tools an structured checks for opioid use disorder care, like COWS, ASSIST, AUDIT, PHQ-9, GAD-7, an diagnosis lists, wid guidance on scoring, meaning, an clinic use.
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 part checks social, work, legal, an family areas, like home, job, child care rights, partner relations, social help, an court matters dat affect treatment join an 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 allergiesDis part tells how to get focused medical history for opioid use disorder patients, stressing injection problems, infection risk, long pain, liver sickness, current meds, allergies, an 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 useDis part shows how to get full substance use history, covering start, patterns, ways, amounts, mixed use, no-use times, past treatments, overdose past, an naloxone use to guide diagnosis an treatment pick.
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
