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A philippine adaptation of the mental health gap action programme intervention guide mhgap ig

A Philippine Adaptation of the Mental Health Gap Action Programme Intervention Guide mhGAP-IG CMANAGEMENT OPTIONS I For Low Risk Harmful Drug Use ? State clearly the results of the assessment tool and explain the links between this level of substance use the person ? s health problems and the short-term and long-term risks of continuing use at the current level ? State clearly the recommendation to stop harmful substance use and your willingness to help the person to do so C ? General health education ? Psychoeducation ? Community care intervention ? Psycho-socio-spiritual support ? Brief Interventions ? Appropriate referral especially for adolescent and pregnant or breastfeeding ? Follow up at next opportunity CII Substance Use Disorder A All Cases Of Substance Use Disorder ? Accomplish complete history review of systems ? Conduct physical examination ? State clearly the diagnosis and inform about the risks of short- term and long-term harm ? Explore the person ? s reasons for their drug use using brief intervention techniques C ? Advise the person to stop using the substance Completely and indicate the intention to support the person in doing so ? Ask the person if they are ready to try to stop using the substance ? Address housing and employment needs ? Provide information and support to person carers and family members CB Mild Substance Use Disorder ? Case management ? Psychoeducation advocacy ? Brief intervention ? Counseling ? Education unemployment support ? Relapse prevention CC Moderate Substance Use Disorder ? Follow available treatment protocols ? Refer to health facility-based intensive outpatient treatment and rehabilitation ? Manage other mental and neurological conditions C ? Relapse prevention ? Specialized out-patient treatment models available ? O ?er harm reduction strategies for people ? who inject drugs ? Refer to specialists or inpatient or residential care facilities as necessary CD Severe Substance Use Disorder ? Follow available referral admission and treatment protocols ? Detoxi ?cation ? Relapse prevention ? Halfway care ? Refer to other appropriate residential care facilities as necessary CIII When With Co-Existing Conditions A For Intoxication Overdose Or Wthdrawal ? Assess and manage Emergency Cases according to available treatment protocols ? Refer as necessary CB For Any Concomitant Health Problem ? If available provide appropriate treatment and request for further necessary laboratory examinations ? Refer as necessary CC For Any Indication of a Need to Assess Mental Health Priority Condition ? Assess for any mental and neurological priority condition using the mhGAP or available treatment protocol and intervene accordingly CMANAGEMENT DETAILS ? Below are a few psychosocial interventions that can be provided at the primary health care level It is important to remember that there are other community resources that can also provide psychosocial interventions including faith-based organizations community organizations social services educational institutions and non-government orgazinations to name some C ? Clinical Practice Guidelines for managing abuse of speci ?c substances are also available in specialized settings Part of a good clinical management is knowing when to refer to the hospital