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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/build-patient-understanding-setbacks-and-how-deal-them
June 01, 2022 - Relapse refers to worsening symptoms while still being treated. … Recurrence refers to worsening symptoms after treatment has ended. … is a relapse and symptoms begin to worsen. … North Star
Shared care plans include self-management information on symptoms to watch for, what … they can do when they notice those symptoms.
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integrationacademy.ahrq.gov/sites/default/files/2020-07/HDRS.pdf
January 01, 2020 - • Classification of symptoms which may be difficult to obtain can be scored as:
0 - absent: … • Classification of symptoms where more detail can be obtained can be expanded to:
0 - absent; … Pre-treatment 1st Follow-up 2nd Follow-up
HAM-D Rating Scale Symptoms Date Date Date
1 Depressed … 1 2 3 4 0 1 2 3 4 0 1 2 3 4
11 Anxiety - somatic 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
12 Somatic symptoms … GI 0 1 2 0 1 2 0 1 2
13 Somatic symptoms - General 0 1 2 0 1 2 0 1 2
14 Sexual dysfunction
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/pharmacotherapy
January 01, 2019 - Managing Withdrawal Symptoms
Many people with OUD fear the symptoms of withdrawal and even … Initially, withdrawal symptoms resemble those of the flu. … Dose ranges from 16-40mg of buprenorphine daily may be needed to suppress these symptoms. … muscle pain, sedation, anxiety, symptoms of allergic reactions, insomnia, and decreased libido. … Their withdrawal symptoms have resolved.
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud/understanding-components-of-mat
February 01, 2025 - Providers can educate patients on: Transmission, symptoms and treatment of infectious disease, particularly … Mechanism of Action Forms Uses Restrictions Methadone Agonist Oral tablet or liquid Reduces withdrawal symptoms … naloxone (e.g., Suboxone, Zubsolv, Bunavail) Combination Oral tablet or buccal film Reduces withdrawal symptoms … personnel to reduce the risk of precipitated withdrawal (i.e. a rapid, intense onset of withdrawal symptoms … Medications primarily help with the physical symptoms of addiction, including cravings and withdrawal
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/introduction-medication-assisted-treatment
February 01, 2025 - This approach can help decrease cravings and withdrawal symptoms. … fully binds to opioid receptors in the brain, which activates the receptors and helps reduce withdrawal symptoms … Unlike methadone or buprenorphine, naltrexone cannot be used to manage symptoms of opioid withdrawal. … If given before resolution of withdrawal, it may worsen withdrawal symptoms. … do not address the effect of psychosocial interventions on functional outcomes (e.g., mental health symptoms
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/co-occurring-behavioral-health-conditions
January 01, 2012 - self-medicate. 2 While patients may feel temporary relief, substance use can exacerbate mental health symptoms … treat comorbid disorders because it may be difficult to determine the underlying cause of overlapping symptoms … substance use disorders may occur at the initial intake as it can help identify certain triggering symptoms … them after they have abstained from opioid use for a period of time to help differentiate between the symptoms … assessment should seek to 3 : Obtain a more detailed history of past mental health or substance use symptoms
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/prevention-and-response-recurrence-use
July 01, 2023 - Relapse is a term to describe when a person “who has been in remission experiences a return of symptoms … To combat these symptoms, it is important to practice self-care for one’s emotional, psychological, and … The plan can help patients think about what symptoms or feelings may arise if or when their conditions
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integrationacademy.ahrq.gov/sites/default/files/2023-07/Sample-of-Behavioral-Health-Apps-Studies.pdf
January 01, 2023 - The efficacy of smartphone-based
mental health interventions for depressive symptoms: A meta-analysis … Can smartphone mental health
interventions reduce symptoms of anxiety? … Efficacy of digital cognitive behavioural therapy for symptoms of generalised anxiety
disorder: A study … systematic review of the effectiveness of mobile apps for monitoring
and management of mental health symptoms … A systematic review and meta-analysis of e-mental
health interventions to treat symptoms of posttraumatic
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integrationacademy.ahrq.gov/products/literature-collection
January 01, 2025 - Disparities Healthcare Policy HIT & Telehealth Key & Foundational Measures Medical Home Medically Unexplained Symptoms … Disparities Healthcare Policy HIT & Telehealth Key & Foundational Measures Medical Home Medically Unexplained Symptoms … Disparities Healthcare Policy HIT & Telehealth Key & Foundational Measures Medical Home Medically Unexplained Symptoms … Disparities Healthcare Policy HIT & Telehealth Key & Foundational Measures Medical Home Medically Unexplained Symptoms … Williams Year: 2021 Topic(s): Healthcare Disparities
See topic collection
, Medically Unexplained Symptoms
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23269
May 22, 2025 - In this webinar, participants will learn: How to recognize symptoms of perinatal anxiety.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/quick-start-guide
January 01, 2021 - These medications reduce cravings and withdrawal symptoms, stabilize brain chemistry, and, ultimately … If naltrexone is given prematurely, it may cause precipitated withdrawal symptoms, making patients at … Naloxone is a life-saving medication that rapidly reverses overdose symptoms. … If so, they may be aware of what dose is effective in preventing craving or withdrawal symptoms, and … See discussion of Managing Withdrawal Symptoms in the Pharmacotherapy section of the Playbook.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/prevent-and-respond-to-recurrence
April 28, 2025 - Prevent and Respond to Recurrence of Use
Addiction is a chronic brain disease whose symptoms … Recurrence of use is a term used to describe when a person who has been in remission experiences a return of symptoms … Patients need to practice self-care for their emotional, psychological, and physical needs to combat these symptoms
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integrationacademy.ahrq.gov/expert-insight/niac-video/10911
January 01, 2013 - In this framework, patients describe their mental health symptoms before or during the primary care visit … Measurement-based practice allows professionals to assess the severity of symptoms, the treatment to
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/screening-and-diagnosis
January 01, 2018 - related to opioid or other substance misuse, Disclose opioid or other substance misuse, or Have signs or symptoms … health history (i.e., medical, mental health, and substance use); A physical examination for signs and symptoms … Symptoms of withdrawal may include restlessness, dilated pupils, muscle twitching, abdominal pain, fever … Clinical Opiate Withdrawal Scale (COWS) (PDF—610 KB) is an instrument to assess common signs and symptoms
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/tracking-patient-outcomes
May 29, 2025 - Mental Health Symptoms: As relevant for individual patients, monitor symptoms of comorbid depression … , PTSD, or anxiety symptoms, which can affect patients' management of OUD and their quality of life. … Where feasible, consider using validated 28 tools to measure and track symptoms of: Depression: Data … PTSD Checklist for DSM5.pdf (2013) 29 — 20-item screener for PTSD that can be used to track PTSD symptoms
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/define-your-vision
January 01, 2024 - services, better management of co-occurring conditions, increased treatment adherence, and reduced symptoms … their contribution to chronic medical illnesses), life stressors and crises, stress-related physical symptoms … Stress-related symptoms? Substance use problems? Comorbid depression and anxiety? … Both the BHC and PCP follow up with each patient until functioning or symptoms begin improving, with … What is your scope of services (e.g., behavior change counseling, stress-related symptoms, substance
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy
January 01, 2018 - the Clinical Opiate Withdrawal Scale (COWS) or another instrument to assess a patient’s withdrawal symptoms … use fentanyl may be more likely to experience precipitated withdrawal (the rapid onset of withdrawal symptoms … These symptoms may include constipation, taste perversion, headache, nausea, vomiting, sweating, joint … and muscle pain, sedation, increased liver enzymes, anxiety, symptoms of allergic reactions, insomnia … Providers should use these visits to assess: Treatment adherence, Cravings and withdrawal symptoms, Self-reported
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/obtain-training-and-support/pharmacotherapy-training
January 01, 2023 - Buprenorphine does not reduce the physiological dependence, withdrawal symptoms or craving associated … patient is in earlier stages of opioid withdrawal, administration of naltrexone may intensify withdrawal symptoms … binds to mu opioid receptors in the brain, which activates the receptors and helps reduce withdrawal symptoms … antagonist , common brand name Narcan) 22 is a standalone medication that rapidly reverses overdose symptoms
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/screening-and-diagnosis
January 01, 2010 - Symptoms of opioid misuse include: Intoxication : Drowsiness, constricted pupils, slurred speech, impaired … For patients who screen positive for mental health symptoms, consider referring them for Counseling … Clinical Opiate Withdrawal Scale (COWS)
Rates 11 common opiate withdrawal signs or symptoms … (PCL-5) PTSD Checklist for DSM5
20-item checklist for PTSD that can be used to track PTSD symptoms
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integrationacademy.ahrq.gov/sites/default/files/2020-07/CES-D.pdf
January 01, 2020 - References:
Hann, D., Winter, K., & Jacobsen, P. (1999) Measurement of depressive symptoms in cancer