relation: http://www.drugsandalcohol.ie/20185/
title: Substance and drug dependency.
subject: Medical screening and diagnostic method
subject: Drug intoxication
subject: Practice / clinical guidelines
subject: Alcohol dependence
subject: Drug dependence
subject: Disorder classification
subject: Identification and screening for drugs and alcohol use
subject: Drugs and alcohol disorder
subject: Drugs and alcohol effects and consequences
description: Contents   1. Overview and Definition of Substance Abuse 5   1.1 Overview 5   1.2 Definition of the Condition 5   1.3 Diagnostic and Statistical Manual of Mental Disorders 4th Edition Text Revision (DSM-IV-TR) Classification 6   1.3.1 DSM-IV-TR Substance Abuse 6   1.3.2 DSM- IV-TR Substance Dependence 6   1.4 World Health Organisation: International Classification of Diseases 10th Edition (ICD-10) Classification 7   1.4.1 Acute intoxication 8   1.4.2 Harmful use 8   1.4.3 Dependence syndrome 8   1.4.4 Withdrawal State 9   1.4.5 Psychotic Disorder 10     2. Epidemiology 11     3. Aetiology 13   3.1 Aetiology 13   3.2 Neurobiology of misuse 13     4. Diagnosis 14   4.1 Clinical Features 14   4.2 The Mental State Examination 14   4.3 Physical Examination 15   4.4 Investigations 15   4.5 Clinical Features of Withdrawal 16     5. Differential Diagnosis and Comorbidity 17   5.1 Differential Diagnosis 17   5.2 Comorbidity 17     6. Treatment 19   6.1 Pharmacological Treatment Options for Opioid Dependence 19   6.1.1 Clinical Assessment and Assessment of Dependency 19   6.1.2 Opioid Maintenance Treatment 20   6.1.3 Withdrawal/Detoxification 21  6.1.4 Ultra- rapid withdrawal 21   6.1.5 Relapse Prevention 21   6.2 Psychological treatment for Substance Abuse 21   6.3 Rehabilitation 22   7. Prognosis (Main Prognostic Factors) 23     8. Information Gathering at the In Person Assessment 24   8.1 Assessing the Claimant 24   8.1.1 Informal Observation 24   8.1.2 Physical Assessment 25   8.1.3 Mental State Examination 25     9. Analysis of Effect on Functional Ability 27   9.1 Indicators of Ability/Disability 27   9.2 Ability/Disability Profile 29     10. Summary of Scheme Criteria 30   Appendix A - Opioids 31   Appendix B - Cannabinoids 32   Appendix C - Sedative Hypnotics 33   Appendix D - Cocaine 34   Appendix E - MDMA (Ecstasy) 35   Appendix F - Other Stimulant drugs 36   Appendix G - Hallucinogens 38   Appendix H - Volatile Solvents 39   Appendix I - Dissociative Substances 40   Appendix J - Other Substances 42   Appendix K - Neurobiology of drug misuse and dependence 43   Appendix L - Vernacular Names for Commonly Misused Substances 44   L.1 Opioids 44   L.2 Cocaine 44   L.3 Other Stimulant Drugs 44   L.4 Dissociative Substances 44  L.5 Gamma Hydroxy Butyrate (GHB) 45   11. References and Bibliography 46
publisher: Department of Social Protection
date: 2013-01
type: Evidence resource
type: NonPeerReviewed
format: application/pdf
language: en
identifier: http://www.drugsandalcohol.ie/20185/1/Substance_and_Drug_Dependency.pdf
identifier:       BearingPoint, Atos Healthcare, Ireland. Department of Social Protection.         [Department of Social Protection]       (2013)   Substance and drug dependency.        Dublin: Department of Social Protection.        49 p.