Is there comorbid substance use Estimates of co occurring substance use

Is there comorbid substance use estimates of co

This preview shows page 20 - 24 out of 67 pages.

6. Is there comorbid substance use?
Image of page 20
1. Watson WJ, et al; Genograms:Seeing your patient through another window. Patient Care Canada 2005 16: 67-75 PAGE ±1 STABLE RESOURCE TOOLKIT GENOGRAM KEY Female Male Deceased Name Grandparents GENOGRAM TEMPLATE Father Aunts/Uncles Date PATIENT Spouse Brothers/Sisters Grandparents Mother Aunts/Uncles Children Jane Doe cancer Heart Attack Diabetes Diabetes Depression Depression Age 71 Heart Attack Age 48 Bipolar Age 18 Diabetes Age 50 hypertension Age 70 Depression Age 20 Depression suicide 2/14/07
Image of page 21
STABLE RESOURCE TOOLKIT GENOGRAM KEY Female Male Deceased Name Grandparents GENOGRAM TEMPLATE Father Aunts/Uncles Date PATIENT Spouse Brothers/Sisters Grandparents Mother Aunts/Uncles Children
Image of page 22
Substance Use Screening and Assessment Substance Use n Between 40-70% of people with bipolar disorder have a history of substance use disorder. 1 n A current or past comorbid substance use disorder may lead to worse outcomes for bipolar disorders, including more symptoms, more suicide attempts, longer episodes and lower quality of life. 1 n Substance abuse may obscure or exacerbate mood swings that have no other apparent external cause. 2 n Substance abuse may also precipitate mood episodes or be used by patients to self-treat in an attempt to improve the symptoms or episodes. 2 The STABLE Resource Toolkit includes two tools for substance use screening. AUDIT-C: Alcohol Use Disorder Identification Test – Consumption n The AUDIT-C is a modified version of the AUDIT instrument that was developed by WHO to screen patients in primary health settings for hazardous or harmful drinking. n The AUDIT-C is a 3 item instrument that screens for: • frequency of alcohol consumption • quantity of alcohol consumption • quantity of alcohol consumption on a single occurrence n The AUDIT-C is a simple 3 question screen that can stand alone or be incorporated into general health history questionnaires.
Image of page 23
Image of page 24

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture