What even is this
This describes when 2 or more substances interact negatively, increasing the risk of adverse effects (including risk for overdose or death).
What is contraindication?
"The golden thread" represents a cohesive and consistent flow of information that links and individual's ______, ______, and _______ to ensure documentation accurately reflects progress of treatment.
What are assessment(s), treatment plan, and progress notes
These are non-medical factors that impact health outcomes (and list 3).
What are social determinants of health (economic, educational, vocational, neighborhood, environmental, social, gender and/or sexual identity, race and/or ethnicity, food insecurity, access to health care, others may be accepted)
This area of the brain regulates reactions to stress, including behavioral responses like fight-or-flight and negative emotions like anxiety and irritability. It integrates the influences of stress on drug-related memories (often enhancing drug-related memories), making individuals more susceptible to relapse.
What is the amygdala
These are the three ways in which care coordination can happen
What are referral to an outside provider of services, connection with an outside provider of services, and follow-up on a previous referral and/or connection with an outside provider of services.
This substance is a muscle relaxant that can treat pain and stiffness from muscle spasms (a carisoprodol); it can cause drowsiness, giddiness, and relaxation.
What is soma?
Progress notes should directly reflect assessment and/or interventions that are matched with THIS.
What is the current treatment plan?
If a client answers "yes" on ANY question on the Columbia-Suicide Severity Rating Scale, this is warranted
What is safety planning
Substance abuse is known to diminish THIS, including things like short-term memory, motor skills, decision-making, and inhibition skills.
What is executive functioning
These 3 things need to be captured in the referral box of an IDT SMART Note.
WHAT referral was provided, WHY it was provided, and WHEN it was provided
This substance, X, is generally less potent, has a shorter duration of action, and has a lower potential for abuse than substance Y; both are Schedule II controlled substances and stimulants that release excess dopamine in the brain.
What is X: amphetamine and Y: methamphetamine
This is how often the BAMR, GAD7, and PHQ9 should be completed by/with client AND reviewed by counselor
What is quarterly?
This assessment is used to screen for potential anxiety disorders and can indicate a need for a referral to mental health services.
What is the Generalized Anxiety Disorder 7 Item Scale (GAD7)
Methadone is a full opioid agonist, meaning it strongly activates opioid receptors and can produce more potent pain relief, euphoria, and sedation; buprenorphine is a partial opioid agonist, meaning THIS.
What is it partially actives opioid receptors and has a ceiling effect, providing relief of withdrawal symptoms and reduced cravings, but does not produce the same level of intoxication or pain relief.
These referrals could/should be made when creating a safety plan with a client (identify 2).
This substance has a high risk for addiction and dependence, can cause respiratory distress when taken in high doses or when combined with other substances, is used to treat moderate to severe pain, and a common brand is Demerol.
What is meperidine?
This section/these sections of a DAP note should be individualized based on the assessment/intervention/evaluation that took place during the counseling session
What are Data, Assessment/Intervention, AND Plan
THIS is assessed for (minimally) at intake, annually, and upon readmission.
These are the 3 distinct stages in the neurobiological model of addiction.
What are intoxication/binge, withdrawal/negative affect, and preoccupation/anticipation.
This is necessary prior to connecting with an outside provider of services (e.g., proof of enrollment letter, setting up guest dosing, medical care coordination)
What is a Release of Information
People report using this herbal substance that can produce opioid- and stimulant-like effects to manage withdrawal symptoms and cravings related to opioid use
What is kratom
If ______, then it did not happen.
What is: "If it isn't/wasn't documented"?
This is a tool that can help a client and counselor create the final problem/goal/methods for a comprehensive treatment plan.
The release of THIS from substance(s) is many times greater than that released for natural reward.
What is dopamine
This is who can engage in care coordination on the interdisciplinary treatment team.
Who is ANYONE (e.g., counselor, case manager, leadership, admin, nurse, pharmacist, medical provider, etc)