Lesson 1Psychiatric history and current mental status: mood, suicidality, anxiety, trauma, psychosis, cognitive function, prior treatments and responseDis section explains how to collect psychiatric history and do a mental status exam, covering mood, suicidality, anxiety, trauma, psychosis, cognition, and past treatments, to spot co-occurring disorders and 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 behaviours and safety assessment: overdose risk factors, current intoxication/withdrawal signs, injection practices, needle sharing, pregnancy risk, domestic violenceDis section covers proper checking of overdose risk, current intoxication or withdrawal, injection and sexual risk behaviours, pregnancy risk, and domestic or partner violence to plan immediate safety and 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 programme rulesDis section looks at legal and ethical rules for documentation and consent in opioid use disorder care, including confidentiality, mandatory reporting, informed consent for medications, and opioid treatment 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 checklistsDis section introduces tested screening tools and structured assessments used in opioid use disorder care, including COWS, ASSIST, AUDIT, PHQ-9, GAD-7, and diagnostic checklists, with advice on scoring, understanding, and clinical 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 section deals with checking social, work, legal, and family areas, including housing, employment, child custody, partner dynamics, social supports, and legal issues that affect treatment involvement and recovery planning.
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 details how to get a focused medical history for patients with opioid use disorder, stressing injection complications, infectious disease risk, chronic pain, liver disease, current medications, allergies, and effects on treatment planning.
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 outlines how to get a detailed substance use history, including start, patterns, routes, quantities, polysubstance use, abstinence periods, prior treatments, overdose events, and naloxone use 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
