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Confidential interviewChoose any
SubstancesChoose any
S2BIChoose one
CRAFFTChoose one
Related screeningChoose any
Brief interventionChoose one
Additional planChoose any
Acute riskChoose any
DispositionChoose one
Follow-upChoose one
Counseling
Cutting back or stopping is easier with support, and the conversation stays confidential within the limits discussed. Recommended supportive care with an emphasis on avoiding situations where substances are used, a plan for a safe ride home, and reaching out to a trusted adult. Call 911 for trouble breathing, unresponsiveness, or overdose concern. Return precautions given including withdrawal symptoms, unsafe situations, worsening mood, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Patient expressed understanding and agreement with plan. Answered all questions.
CounselingNot in the note with these choices
Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
Confidentiality and its limits
Brief intervention by risk: advice, motivational, referral-focused
Specific behavior-change plan
Referral to treatment; behavioral health
Acute risk: suicide screen, caregiver involvement and monitoring