Journey to Healing: Aboriginal People with Mental Health and Addiction Issues: What Health, Social Service and Justice Workers Need to Know by Peter Menzies & Lynn F. Lavallée

Author:Peter Menzies & Lynn F. Lavallée
Language: eng
Format: azw3, epub
Tags: native people, counseling, mental healing, mental health, drug use, Canada, social conditions
Publisher: Centre for Addiction and Mental Health
Published: 2015-01-10T05:00:00+00:00

Assessment and Diagnosis

Treatment of substance use disorders begins with a diagnosis and an assessment of comorbidities, concurrent disorders and pain. Some symptoms of substance use disorders and other mental disorders are similar, making diagnosis and treatment complex. Patients entering treatment for a substance use disorder should also be screened for other mental disorders, and vice versa. In Aboriginal communities, it is also important to consider the social and historical determinants of health, such as poverty and trauma, which are also risk factors for substance use disorders (Bombay et al., 2009).

The Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013) lists 11 criteria for making a diagnosis of opioid use disorder. They include wanting to cut down or stop using but not managing to do so; experiencing cravings to use; and failing to carry out important roles at home, school or work because of opioid use. At least two criteria must be met for the diagnosis, and the severity of the disorder increases as more criteria are met.

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