Original Publication
Open Access

The Clinical Assessment of Substance Use Disorders

Published: March 22, 2012 | 10.15766/mep_2374-8265.9110

Included in this publication:

  • Facilitator's Guide.pdf
  • The Clinical Assessment of Substance Use Disorders.pdf

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Substance abuse and substance dependence are commonly seen in patients, and are frequently co-morbid with other medical and psychiatric disorders. Considerable societal stigma exists toward patients with substance use disorders; health care providers frequently have negative attitudes toward these patients, as well. Fortunately, there are communication skills that will facilitate the establishment of therapeutic relationships and motivate patients for treatment.

This media-rich, online module was created through the collaborative efforts of the National Institute on Drug Abuse (NIDA), Drexel University College of Medicine, and the University of Pennsylvania School of Medicine as part of NIDA’s Centers of Excellence for Physician Information.

This 1- to 2-hour module includes a small-group discussion where learners share and reflect on experiences with patients who have had problems with either substance use or abuse. Question prompts and sample videos are provided to assist with the facilitation of this discussion. A series of role-plays are then acted out which focus on screening and interventions. A facilitator’s guide and content manual are provided.

Educational Objectives

By the end of this session, learners will be able to:

  1. Describe the essential components of the medical model of substance use disorders.
  2. Delineate the interviewing skills necessary to screen effectively for substance use and abuse.
  3. Understand the high rate of psychiatric and medical comorbidity and more effectively screen patients for these disorders.
  4. Demonstrate skills for evaluating patients’ stage of change, readiness to accept the diagnosis, and readiness to undertake behavior change.
  5. Clearly and supportively recommend treatment to patients with substance use disorders.
  6. Describe the skills required for addiction prevention counseling.
  7. Define the skills that help set respectful limits on patient requests for prescription medication.
  8. Demonstrate awareness of how physician/clinician attitudes toward patients with substance use disorders impact recognition, diagnosis, and treatment of patients.
  9. Exhibit knowledge of substance use disorder treatment standards and the ability to recommend appropriate referrals.

Author Information

  • Christof Daetwyler, MD: Drexel University College of Medicine
  • Barbara Schindler, MD: Drexel University
  • Ted Parran, MD: Case Western Reserve University

Disclosures
None to report. 

Funding/Support
This was created through the collaborative efforts of the National Institute on Drug Abuse (NIDA), Drexel University College of Medicine, and the University of Pennsylvania School of Medicine as part of NIDA’s Centers of Excellence for Physician Information using Federal Government funds.

Prior Presentations
Daetwyler C, Schindler B, Novack D, Lanken P. Building and Assessing a National Online Curriculum on “The Clinical Assessment of Substance Use Disorders". Presented at: MedBiquitous Annual Conference; May 5, 2011; Baltimore, MD.



Citation

Daetwyler C, Schindler B, Parran T. The clinical assessment of substance use disorders. MedEdPORTAL. 2012;8:9110. https://doi.org/10.15766/mep_2374-8265.9110