Aralin 1Timeline follow-back, standard drinks, cocaine use metrics, polysubstance explorationIpinaliliwanag ng seksyong ito ang timeline follow-back, standard drink units, at cocaine use metrics, at ipinapakita kung paano i-map ang polysubstance patterns sa paglipas ng panahon upang magtantya ng panganib, gabayan ang diagnosis, at subaybayan ang tugon sa paggamot gamit ang praktikal na klinikal na halimbawa.
Timeline follow-back interview techniqueDefining and calculating standard drink unitsCocaine quantity, purity, and route metricsDocumenting polysubstance patterns over timeUsing metrics to monitor treatment responseAralin 2Psychiatric history and symptom review techniques for mood, anxiety, psychosisTinatakpan ng seksyong ito ang sistematikong pagkuha ng kasaysayan sa sikyatrika sa pangangalaga sa adiksyon, kabilang ang mood, anxiety, psychosis, at pagtulog, na may diin sa pagkakaiba ng mga sintomas na dulot ng sangkap, paggamit ng mga tool sa pagsusuri, at pagsusuri ng funksyonal na pinsala at panganib.
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 screenersAralin 3Social determinants: housing, employment, legal issues, insurance and accessTinutugunan ng seksyong ito ang pagsusuri ng social determinants of health, kabilang ang tirahan, trabaho, legal na isyu, insurance, at access sa pangangalaga, at ipinapakita kung paano isama ang mga natuklasan sa pagpaplano ng paggamot, adbokasiya, at pagkakakabit sa mga mapagkukunan ng komunidad.
Housing stability and living environmentEmployment, income, and financial stressorsLegal involvement and criminal justice issuesInsurance coverage and care access barriersLinking patients to social and legal resourcesAralin 4Detailed substance use history: quantity, frequency, pattern, routes, binge/withdrawal signsTinuturuan ng seksyong ito kung paano makakuha ng detalyadong kasaysayan ng paggamit ng sangkap, kabilang ang simula, dami, frequency, routes, binge patterns, withdrawal, at nakaraang paggamot, at kung paano makilala ang tolerance, pagkawala ng kontrol, at 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 criteriaAralin 5Medication, medical comorbidity, and over-the-counter/substance replacement historyBinabalik-aralan ng seksyong ito kung paano mangolekta ng kasaysayan ng gamot, medikal na comorbidity, at over-the-counter o kapalit na sangkap, na nagbibigay-diin sa mga interaksyon, hepatic at cardiac risks, pain management, at implikasyon para sa pagpaplano ng pharmacologic treatment.
Current and past prescribed medicationsMedical comorbidities relevant to addictionOver-the-counter and herbal substance useNicotine, cannabis, and self-directed replacementDrug–drug interactions and safety concernsAralin 6Working with limited collateral and building engagement with marginalized patientsGalugarin ng seksyong ito ang mga estratehiya para sa pagtatrabaho sa limitadong collateral at pag-engage ng marginalisadong pasyente, kabilang ang motivational interviewing, harm reduction, alliance building, at pamamahala ng hindi pagtitiwala, stigma, at structural barriers sa patuloy na 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 contactAralin 7Step-by-step addiction-focused interview flow (presenting complaint to collateral history)Inilalahad ng seksyong ito ang stepwise addiction interview flow, mula sa presenting complaint at substance history hanggang medikal, sikyatrika, panlipunan, at collateral information, na nagbibigay-diin sa istraktura, flexibility, at time management sa mga naiibang klinikal na setting.
Clarifying presenting complaint and goalsSequencing substance, medical, and psych historyIntegrating social, legal, and functional domainsStrategic use of collateral and recordsTime management in brief clinical encountersAralin 8Trauma, intimate partner violence, and safety screening (suicide, homicide, child protection)Detalyado ng seksyong ito ang trauma-informed na mga approach sa pagsusuri para sa trauma, intimate partner violence, suicide, homicide, at child abuse, na nagbibigay-diin sa safety planning, mandated reporting, documentation, at kolaborasyon sa protective at 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 linkageAralin 9Structured opening, consent, and establishing rapport in trauma-exposed populationsNakatuon ang seksyong ito sa pagbubukas ng panayam, pagkuha ng consent, at pagbuo ng rapport sa mga pasyenteng na-expose sa trauma, gamit ang collaborative, nonjudgmental na komunikasyon, malinaw na boundaries, at cultural humility upang palakasin ang tiwala at mabawasan ang 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
