Can-SCIP Coach App
  1. Can-SCIP
  2. Recommendations
  3. Guidelines
  4. Section 2 - MANAGEMENT OF SCI COMPLICATIONS

O - EMOTIONAL WELL-BEING




Screen all patients for common substance use disorders:

  1. Before discharge into the community, use a brief, valid measure that has good sensitivity to screen for lifetime use of and problems with alcohol, other (illicit) drugs, tobacco, marijuana, and nonmedical use of prescription medications
  2. depending on initial screening results and other risk factors, rescreen patients for recent substance use in outpatient rehabilitation or primary care.
(PVA-EWB 2020, p.161; Level C)
Refer patients with positive screen results or those suspected of having a substance use disorder to a mental health provider for a diagnostic assessment and treatment of substance use disorder criteria. (Adapted from PVA-EWB 2020, p.161; Level C)
Support patients with substance use disorder with nonspecific and substance use disorder -specific relationship skills, used by all health care professionals (physicians, nurses, therapists, psychologists, social workers, and others) who work with them. (PVA-EWB 2020, p.161; Level C)
Treat substance use disorders within rehabilitation to the extent possible by using pharmacological, nonpharmacological, and community-based approaches on the basis of clinical presentation (e.g., comorbid conditions), length of stay, treatment efficacy, and patient preferences. (PVA-EWB 2020, p.161; Level C)
Use medication-assisted treatment for substance use disorders, including opioid use disorders and alcohol use disorders, when indicated. (PVA-EWB 2020, p.162; Level C)
Consider nonpharmacological treatments for substance use disorders. (PVA-EWB 2020, p.162; Level C)
Consider referral to community-based substance use disorder treatment programs and self-help resources. (PVA-EWB 2020, p.162; Level C)