SUBSTANCE DEPENDENCE/ABUSE REHABILITATION
Many drugs and volatile substances are subject to abuse. This disorder is a continuum of phases incorporating a cluster
of cognitive, behavioral, and physiological symptoms that include loss of control over use of the substance and a
continued use of the substance despite adverse consequences. A number of factors have been implicated in the
predisposition to abuse a substance: biological, biochemical, psychological (including developmental), personality,
sociocultural and conditioning, and cultural and ethnic influences. However, no single theory adequately explains the
etiology of this problem.
Inpatient stay on behavioral unit or outpatient care in a day program or community agency.
Alcohol: acute withdrawal
Psychosocial aspects of care
Patient Assessment Database
Depends on substances involved, duration of use, organs affected.
DRG projected mean length of stay depends on individual program, general
May need assistance with long-range plan for recovery
Refer to section at end of plan for postdischarge considerations.
Identifies drug(s) being used.
Addiction Severity Index
(ASI) assessment tool:
Produces a “problem severity profile” of the patient, including
chemical, medical, psychological, legal, family/social and employment/support aspects, indicating areas of
Other screening studies (e.g., hepatitis, HIV, TB):
Depends on general condition, individual risk factors, and care
1. Provide support for decision to stop substance use.
2. Strengthen individual coping skills.
3. Facilitate learning of new ways to reduce anxiety.
4. Promote family involvement in rehabilitation program.
5. Facilitate family growth/development.
6. Provide information about condition, prognosis, and treatment needs.
1. Responsibility for own life and behavior assumed.
2. Plan to maintain substance-free life formulated.
3. Family relationships/enabling issues being addressed.
4. Treatment program successfully begun.
5. Condition, prognosis, and therapeutic regimen understood.
6. Plan in place to meet needs after discharge.