Admission/Discharge Note from an Inpatient Stay with Documented SUD Treatment |
Admitted to a drug and alcohol program for the treatment of alcohol dependence |
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Admitted to domiciliary for homelessness and scheduled to attend SUD relapse prevention groups |
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Admitted for a medical condition (e.g., liver cirrhosis) and referred to SUD-related group and individual therapies |
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SUD Outpatient Care |
Treatment in an addiction setting (e.g., SARRTP) that is not only gambling or smoking-related |
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Social services (e.g., housing) provided in a SUD specialty setting |
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Patient provided methadone dosage as part of drug treatment program (e.g., Drug and Alcohol Program) |
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Detoxification |
Detoxification is the "chief complaint" or the sole "reason for admission" |
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"Consent to detox" form signed, signaling plan to actually detox |
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SUD Assessment |
Addiction Severity Index (ASI), if not given for a non-SUD related addiction (e.g., gambling, nicotine) |
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Outpatient Care Partially-Related to SUD |
Positive results on a SUD-related screening (e.g., AUDIT-C, CAGE) and the provider takes further action (e.g., makes a referral or recommendation, advises patient to quit) |
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Dual diagnosis treatment (e.g., Seeking Safety) for co-occurring PTSD & SUD |
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Treatment of SUD and pain disorder |