For DoD active duty personnel, OAT is generally not a treatment option. [ H ] For DoD active duty personnel, OAT is generally not a treatment option. [ H ]
Substance-using patient who may require physiological stabilization [A]
Obtain history, physical examination, MSE, medciation including OTC, and lab tests [B]
Is the patient medically or psychiatrically unstable? [C] Provide appropriate care to stabilize or consult Follow legal mandates For DoD active duty: keep commanding officer informed [ D ]
Assess level of intoxication and/or physiological dependence [E]
Is there clinical justification for prescribed opioid or sedative-hypnotic use? [F] Adjust medications as necessary and monitor medical condition [ G ]
Is the patient opioid dependent, appropriate for, and willing to engage in OAT? [H] Initiate opioid agonist therapy [I] Use Module P
Is detoxification indicated? [J] Assess for appropriate level of professional monitoring for detoxification Address psychosocial barriers to treatment engagement [K]
Does patient require inpatient detoxification? [L]
Initiate ambulatory detoxification [M] Admit to inpatient detoxification [M]
Was detoxification successful? [N]
Is care management indicated? [O] Go to Module C
Continue management in appropriate algorithm