CONTENTS
(1) Overview
(2) Referral coordination
(3) DSM-5 Criteria
(1) Overview
Our Department is not able to provide specialized treatment for substance use disorders. We believe that patients who meet criteria for these disorders are typically best served by a referral to specialized treatment. Our Referral Database has two pages designed for patients with substance use disorders. The first page is for patients who have acknowledged they have a problem with substance use and are willing to seek specialized treatment. The second page is for patients who have not fully acknowledged they have a problem, but are seeking treatment for another condition (often depression and anxiety).
(2) Referral coordination
There are four potential methods for helping your patient access services:
(A) You may refer patients to these services directly by following the information at the links above. This method is likely to be the most efficient.
(B) If you are in a department staffed by an integrated behaviorist, you can consult with them.
(C) You may call our Referral Coordinator for recommendations (at 541-754-1288).
(D) You may refer the patient to our Department and our Referral Coordinator will facilitate the referral. Create an Order within Athena, and specify that the patient is being referred for a "Substance Use Disorder."
(3) DSM-5 Criteria for Substance Use Disorder
To be diagnosed with a Substance Use Disorder, a patient must exhibit at least 2 of the following 11 symptoms within 12 months.
(1) Using more of a substance than planned, or using a substance for a longer interval than desired.
(2) Inability to cut down despite desire to do so.
(3) Spending substantial amount of the day obtaining, using, or recovering from substance use.
(4) Cravings or intense urges to use.
(5) Repeated usage causes or contributes to an inability to meet important social, or professional obligations.
(6) Persistent usage despite user's knowledge that it is causing frequent problems at work, school, or home.
(7) Giving up or cutting back on important social, professional, or leisure activities because of use.
(8) Using in physically hazardous situations, or usage causing physical or mental harm.(9) Persistent use despite the user's awareness that the substance is causing or at least worsening a physical or mental problem.
(10) Tolerance: Needing to use increasing amounts of a substance to obtain its desired effects.
(11) Withdrawal: A characteristic group of physical effects or symptoms that emerge as amount of substance in the body decreases.
Substance Use Disorders can be specified by severity. The DSM-5 criteria are listed below.
Mild: Presence of 2-3 symptoms
Moderate: Presence of 4-5 symptoms
Severe: Presence of 6 or more symptoms