Inpatient Clinical Pathway for Adolescents
with Suspected Substance Withdrawal
- Related Pathways
Confirm Diagnosis of Substance Use Disorder (SUD)
- Toxicology, Other Laboratory Studies as Indicated
-
Consult:
- Adolescent Medicine
- Toxicology, Poison Control Center
- Behavioral Health, Social Work
Withdrawal: Assessment tools, treatment of symptoms by substance
Continue monitoring, supportive care for all patients
Continue monitoring, supportive care for all patients
CIWA-Ar
Clinical Institute Withdrawal Assessment for Alcohol Scale
Clinical Institute Withdrawal Assessment for Alcohol Scale
COWS
Clinical Opiate Withdrawal Scale
Clinical Opiate Withdrawal Scale
- Pharmacologic Management of Alcohol, Benzodiazepines Withdrawal Symptoms with lorazepam
- Consider Adjunctive Medications for alcohol/benzodiazepines withdrawal symptoms
- Pharmacologic Management of Opioid Withdrawal Symptoms
- Consider Adjunctive Medications for opioid withdrawal symptoms
- Continue CIWA-AR as indicated
- Vitamins Alcohol Withdrawal
- Benzodiazepine Taper
Continuous COWS, as indicated
Discharge Criteria
- Medical follow-up
- Provide Bridge to Outpatient Treatment
- SUD treatment scheduled
- SUD Care Options
-
Outpatient SUD Care
- Voluntary or court-ordered
-
Higher Levels of Care (SUD)
- Voluntary or court-ordered
- Inpatient
- Intensive outpatient/IOP
- Partial hospitalization
- Residential