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Journals Academic Psychiatry Volume 27 Issue 4

Dr. Welsh is with the Department of Psychiatry, Division of Alcohol and Drug Abuse at the University of Maryland School of Medicine. Address correspondence to Dr. Welsh, Department of Psychiatry, Division of Alcohol and Drug Abuse, University of Maryland School of Medicine, 22 South Greene Street, Room P-1-H10, Box 349, Baltimore, MD 21201, cwelsh{at}psych.umaryland.edu (E-mail). Substance use disorders are frequently encountered in various medical settings. As in all areas of medicine, the relevant assessment and history-taking is at least as important as any physical finding or laboratory test that might be ordered. Many medical students learn basic screening tools for substance use disorders such as the CAGE (1). Unfortunately, once a possible problem with substances has been identified, many students do not know how to proceed with the gathering of further information. Certain aspects of a good history of substance use are not obvious or necessarily similar to the rest of a patient's medical history. The following is an acronym that helps to organize the important data that should be gathered in the course of taking the history. "TRAPPED" Treatment History (detoxification, treatment programs, medications, 12-step programs) Route of administration (smoked, orally ingested, snorted, inhaled/"huffed," injected IV/IM/SC) Amount

Letter: "Trapped": A Mnemonic for Taking a Substance Use History

Abstract

Dr. Welsh is with the Department of Psychiatry, Division of Alcohol and Drug Abuse at the University of Maryland School of Medicine. Address correspondence to Dr. Welsh, Department of Psychiatry, Division of Alcohol and Drug Abuse, University of Maryland School of Medicine, 22 South Greene Street, Room P-1-H10, Box 349, Baltimore, MD 21201, cwelsh{at}psych.umaryland.edu (E-mail). Substance use disorders are frequently encountered in various medical settings. As in all areas of medicine, the relevant assessment and history-taking is at least as important as any physical finding or laboratory test that might be ordered. Many medical students learn basic screening tools for substance use disorders such as the CAGE (1). Unfortunately, once a possible problem with substances has been identified, many students do not know how to proceed with the gathering of further information. Certain aspects of a good history of substance use are not obvious or necessarily similar to the rest of a patient's medical history. The following is an acronym that helps to organize the important data that should be gathered in the course of taking the history. "TRAPPED" Treatment History (detoxification, treatment programs, medications, 12-step programs) Route of administration (smoked, orally ingested, snorted, inhaled/"huffed," injected IV/IM/SC) Amount
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Letter: "Trapped": A Mnemonic for Taking a Substance Use History

Welsh, Christopher J.
Academic Psychiatry , Volume 27 (4): 289
American Psychiatric Publishing, Inc (Journal) – Dec 1, 2003

More Info
  • Publisher AADPRT
  • Copyright Copyright © 2003 Academic Psychiatry. All rights reserved.
  • ISSN 1042-9670
  • D.O.I. 10.1176/appi.ap.27.4.289
  • Publisher site Get PDF  

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