7665E Alcohol Use Disorder in the Correctional Setting-Part 3 Detox

Part 3 Detox

Pdf Summary

The document presented outlines comprehensive guidelines and strategies for managing alcohol withdrawal, authored by Brian Fuehrlein, MD PhD, a recognized expert in the field. Key elements include the Opioid Response Network (ORN), a SAMHSA-funded initiative that aids communities combat opioid and stimulant use by providing localized technical assistance for evidence-based prevention, harm reduction, treatment, and recovery measures.<br /><br />Dr. Fuehrlein's educational objectives focus on understanding standard drink definitions, utilizing clinical tools like the CIWA (Clinical Institute Withdrawal Assessment) and PAWSS (Prediction of Alcohol Withdrawal Severity Scale), and managing alcohol withdrawal in patients across various settings.<br /><br />Key topics include:<br />1. Alcohol Basics: Explanation of standard drink sizes and alcohol metabolism, noting that on average, one standard drink is metabolized per hour.<br />2. Alcohol Use in Hospital Settings: There's a significant prevalence of alcohol use among hospitalized patients, and the document emphasizes the importance of early identification and management of withdrawal symptoms.<br />3. Alcohol Use Disorder: Most patients experience mild withdrawal symptoms which resolve within a week, but 5-20% require pharmacologic management due to complications like delirium and respiratory depression.<br />4. CIWA and PAWSS: Detailed description and interpretation of these tools used to assess and predict alcohol withdrawal severity. PAWSS is highlighted for its high sensitivity and specificity in predicting severe cases.<br />5. ASAM Guidelines: Recommendations from the American Society for Addiction Medicine stress the need for universal screening, detailed assessment of alcohol use, and the application of diagnostic criteria from DSM-5 for accurate diagnosis.<br /><br />The document concludes with an algorithm for detoxification treatment and mentions the potential role of peer recovery coaches. An evaluation survey for the training program is also provided to gather feedback.

Keywords

Alcohol Withdrawal

Brian Fuehrlein

Opioid Response Network

SAMHSA

CIWA

PAWSS

ASAM Guidelines

Alcohol Use Disorder

Detoxification Treatment

Peer Recovery Coaches