tailieunhanh - Management of Substance Use Disorder s (SUD): VA/DoD Evidence Based Practice

Some countries face challenges to get agreement on new policies or laws that reflect integrated approaches to water management (Sri Lanka, Pakistan, Namibia, Guatemala, Costa Rica, Cameroon, Antigua and Barbuda) or have adopted new water laws that remain fettered by vested interests (Mexico). Yet others, even with complex federal/ state structures have managed to agree and implement sweeping reforms (Brazil, Australia). Countries that have made progress with their water policies and laws may still struggle with full operationalization and particularly with the issue of ‘integrating’ water resource management across water using agencies and stakeholders. (Jamaica, Bangladesh, Armenia, Tunisia) | Clinical Practice Guideline Management of Substance Use Disorders SUD VA DoD Evidence Based Practice VA DoD CLINICAL PRACTICE GUIDELINE FOR MANAGEMENT OF SUBSTANCE USE DISORDERS SUD Department of Veterans Affairs Department of Defense Prepared by The Management of Substance Use Disorders Working Group With support from The Office of Quality and Performance VA Washington DC Quality Management Office United States Army MEDCOM QUALIFYING STATEMENTS The Department of Veterans Affairs VA and The Department of Defense DoD guidelines are based on the best information available at the time of publication. They are designed to provide information and assist in decision-making. They are not intended to define a standard of care and should not be construed as one. Also they should not be interpreted as prescribing an exclusive course of management. Variations in practice will inevitably and appropriately occur when providers take into account the needs of individual patients available resources and limitations unique to an institution or type of practice. Every healthcare professional making use of these guidelines is responsible for evaluating the appropriateness of applying them in any particular clinical situation. Version - 2009 Table of Contents Page Introduction 1 Guideline Update Working Group 4 Definitions 6 Algorithms and Annotations 8 Module A Screening and Initial Assessment for Substance Use 10 Module B Management of SUD in Specialty SUD Care 24 Module C Management of SUD in Primary General Healthcare 39 Module P Addiction-Focused Pharmacotherapy 54 Module S Stabilization and Withdrawal Management 74 Appendices Appendix A Guideline Development Process 91 Appendix B Screening and Assessment Tools 98 Appendix C Addiction-Focused Psychosocial Interventions 122 Appendix D Department of Defense Instruction DoDI 133 Appendix E Sedative-Hypnotic Equivalent Oral Doses 135 Appendix F Acronym List 136 Appendix G Participant List 137 Appendix H Bibliography .

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