Substance

Question 1

Monitoring for drug user on OST

Answer 1

1 Drug Hx (2 MH, 3 PH)
4 LFT (BBV)
5 RFT 
6 ECG (QTcP)
7 self reported drug use 
8 UDS
9 injection site 
10 FBC ( BBV)
11 UE (K+)
12 BP Pulse 
13 social function

Question 2

Co morbidities interacting w/ OST

Answer 2

COPD - sensitive to respiratory depression

BBV eg HIV, HEPc - impaired LF

Question 3

name a few psychosocial therapy

Answer 3

• Contingency management- A variety of incentives have proved effective in contingency management programmes, including vouchers, privileges (for example, take-home methadone doses) and modest financial incentives.
• Behavioural family/ couples therapy
• naltrexone treatment
• CBT

Question 4

Better outcomes can be achieved by using suitable interventions, including those that emphasise

Answer 4

• person centred goals
• rewarding
• building self-efficacy, coping skills
• non-drug using social networks

Question 5

self-help and mutual aid approach including

Answer 5

12 steps

SMART recovery groups