Inpatient Clinical Pathway for Adolescents
with Suspected Substance Withdrawal

Confirm Diagnosis of Substance Use Disorder (SUD)
Withdrawal: Assessment tools, treatment of symptoms by substance
Continue monitoring, supportive care for all patients
CIWA-Ar
Clinical Institute Withdrawal Assessment for Alcohol Scale
COWS
Clinical Opiate Withdrawal Scale
Continuous COWS, as indicated
Discharge Planning
Optional Family Meeting
Options for SUD Care
Discharge Criteria
Posted: January 2024
Revised: July 2024
Editors: Clinical Pathways Team