DEA Addiction Medicine Essentials-263576

Video Transcription

Video Summary

This educational presentation from the American Osteopathic Academy of Addiction Medicine's Learning Management System focuses on assessing patients with substance use disorders. Dr. Gregory Landy discusses the essential components of this assessment using DSM-5 criteria, an evidence-based approach known as SBIRT, and alcohol and drug laboratory testing.<br /><br />The DSM-5 has introduced notable changes, eliminating the Roman numeral system and the multi-axial diagnostic system. It has redefined substance use disorders by combining the former categories of Substance Abuse and Substance Dependence into a single set of criteria consisting of 11 indicators. The manual emphasizes a dimensional approach rather than categorical, and a cultural formulation in diagnostic assessments.<br /><br />SBIRT stands for Screening, Brief Intervention, and Referral for Treatment, and serves as a systematic, evidence-based approach to identifying and addressing substance use. Its aim is to detect at-risk use early, using tools like self-reports and biological markers. Screening tools such as Audit C, the full Audit, and the Opioid Risk Tool aid in identifying individuals at various risk levels.<br /><br />Brief interventions are brief counseling interactions that can significantly impact patient motivation and behavior regarding substance use. For those requiring further support, referrals for specialized treatment can be made. Lastly, the presentation touches on biochemical testing as an adjunct in the diagnostic process, highlighting the roles of both direct and indirect alcohol biomarkers, and the complexity of drug testing. This comprehensive overview offers a structured understanding of substance use disorders critical for clinicians in addiction medicine.

Keywords

Substance Use Disorders

DSM-5

SBIRT

Addiction Medicine

Screening Tools

Brief Intervention

Cultural Formulation

Biochemical Testing

Patient Assessment

American Osteopathic Academy