1 / 8

Drug and alcohol assessment

Drug and alcohol assessment. MRCPsych addiction psychiatry seminar series Dr Stuart McLaren 2 nd March 2012. Engagement – the first step. What is engagement? Building a working relationship Showing that you care Working towards mutually acceptible goals Building rapport Building trust

berne
Download Presentation

Drug and alcohol assessment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Drug and alcohol assessment MRCPsychaddiction psychiatry seminar series Dr Stuart McLaren 2nd March 2012

  2. Engagement – the first step What is engagement? • Building a working relationship • Showing that you care • Working towards mutually acceptible goals • Building rapport • Building trust • Analysing any ‘counter-transference’ that may occur

  3. Engagement • Explain and provide confidentiality • Interview individually • Appropriate setting • Flexible approach • Be non-confrontational • Be non-judgemental • Be yourself

  4. Overview of assessment Aim of assessment is: • To obtain a drug and alcohol history • Perform MSE and physical examination • Establish a SUD • Estimate patient’s readiness to change

  5. History taking Tailor to circumstances: • Comprehensive assessment is not always necessary or helpful on first encounter • Can be done over several sessions • What do I need to know in this case at this time? All patients should have: • Quantified alcohol history • Quantified smoking history

  6. History taking • Maintain a high index of suspicion for other substances: • Ask more detailed questions where indicated • Where a positive history exists: • Obtain a comprehensive drug and alcohol history • Assess whether daily intake is increasing or decreasing

  7. Recommended testing for alcohol use disorders • Liver function tests (incl. ALT, AST and GGT) • Full blood count (incl. MCV) • Serum B-12 and folate (or red cell folate) • Breath alcohol test Use of investigations in the diagnosis and management of alcohol use disorders (1999) by Drummond C & Ghodse H, Advances in Psychiatric Treatment, 5, 366-375.

  8. Laboratory investigations of drug use Current: Under development: Urine Breath Blood Sweat Hair Saliva Specific laboratory investigations for assessment and management of drug of drug problems (1999) by Wolff K et al., Advances in Psychiatric Treatment, 5, 180-191.

More Related