A Holistic & Practical Approach for Addressing Opioid Substance Use Disorder-Langenau

Video Transcription

Video Summary

The lecture explains how to screen for and diagnose substance use disorder (SUD), emphasizing that the most important step is simply to ask patients about substance use in a respectful, nonjudgmental, motivational-interviewing style. SUD is defined as a persistent pattern of substance use that causes impairment or distress. The DSM-5 criteria are grouped into impaired control, social impairment, risky use, and pharmacologic features like tolerance and withdrawal, with severity rated as mild, moderate, or severe.<br /><br />The speaker reviews substance-induced conditions such as intoxication, withdrawal, and medication/substance-induced mental disorders. He also notes U.S. Preventive Services Task Force recommendations to screen adults regularly when treatment resources are available.<br /><br />Several screening tools are covered. For adults: CAGE, NIDA Quick Screen/Modified ASSIST, TAPS, Opioid Risk Tool, and DAST-10. For adolescents: S2BI, BST-AD, CRAFT, and DAST-20. Many tools can be administered on paper, online, or by staff, depending on the patient population. The talk concludes by encouraging clinicians to choose one or two tools consistently, document results, follow up, and above all, build trust by asking thoughtfully.

Asset Caption

Dr. Langenau SUD screening Recording

Keywords

substance use disorder

DSM-5 criteria

screening tools

motivational interviewing

intoxication and withdrawal

USPSTF screening

adolescent screening

clinical assessment