Is care management acceptable to the patient? [B]
Patient in need of care management [A]
Is care management acceptable to the patient? [B]
Implement/continue care management plan in specialty care or arrange in primary care [ C ]
Consider use of addiction focused pharmacotherapy (Use Module P)
Provide episodic attention to substance use Reassess periodically [I] Reassess progress periodically [D]
Follow-up in primary care: - Monitor substance use - Monitor biological indicators - Encourage continued reduction or abstinence - Provide motivational support [ F ]
Has stable remission been achieved? [E]
Educate about substance use, associated problems and prevention of relapse [G]
Is specialty referral indicated and acceptable to the patient? [ H ]
Go to Module R
Box 9: - DoD active duty are required to be referred to specialty care for any incident suspected to involve substance use. - Active duty can not refuse referral
Return to Box 3