Section: Module 2: Lesson 6: Substance Use Disorders | Psychiatric Clerkship for Medical Students

Required Learning Resources and Activities

Commonly Used Substance Use Disorder Screening Instruments URL

Read the entire article. (3 minutes)

Massachusetts Behavioral Health Partnership - 2020

DSM 5 URL

Read Diagnostic Features in page 112: (6 minutes)
- Associated Features Supporting Diagnosis in page 113
-Development and Course in page 114
To access this book, you must follow the instructions provided on the link below: LINK

Important note:
Take into account that at some point some of the 3 copies are not available and are in use. During this time, you will not be able to access a copy of the DSM-5; if so, please wait a moment and try to access the book later.

American Psychiatric Association - 2013

Understanding Dual Diagnosis: Substance Abuse and Mental Illness URL

Read the content under the heading from "The Nosology of Dual Diagnosis". (6 minutes)

Journal of Addiction and Psychology - 2019

Mini Review: Socio-Cultural Influences on the Link Between ADHD and SUD URL

Read the entire article. (20 minutes)

Front. Public Health - 2019

Substance Use, Abuse and Dependence URL

Read the entire webpage. (5 minutes)

Crozerhealth - 2018

Commonly Used Drugs Charts URL

Read the sections "Cannabis", "Central Nervous System Depressants (Benzos) ", "Cocaine", "Methamphetamine", "Prescription Stimulants ", "PCP", "Central Nervous System Depressants (Benzos)", "Heroin", "Prescription Opioids", "Tobacco/Nicotine and Vaping", "Steroids (Anabolic)". (17 minutes)

NIH National Institute on Drug Abuse - 2020

Alcohol and other drugs compendium - NSW Health URL

Read the sections "Benzodiazepines and ‘Z Drugs’" and "Alcohol". (14 minutes)

New South Wales Government - 2020

10 Ways to Manage Withdrawal URL

Read the entire article. (7minutes)

American Addiction Center - 2022

“Know your Epidemic, Know your Response”: Epidemiological Assessment of the Substance Use Disorder Crisis in The United States URL

Read the following sections: (17minutes)
-Introduction
-Discussion

PLOS - 2021

DSM 5 Criteria for Substance Use Disorders URL

Read the content under the following headings : (14 minutes)
- "Substance abuse disorders features" on pg 483-484 -"Substance/Medication-Induced Mental Disorders" and "features" on pages 487-489
To access this book, you must follow the instructions provided on the link below: LINK

Important note:
Take into account that at some point some of the 3 copies are not available and are in use. During this time, you will not be able to access a copy of the DSM-5; if so, please wait a moment and try to access the book later.

American Psychiatric Association - 2013

DSM-5 Criteria for Substance Use Disorders URL

Read the entire article. (6 minutes)

Verywell Mind Webpage - 2021

Treatment Approaches for Drug Addiction DrugFacts URL

Read the content under the headings from " Can drug addiction be treated" to "Points to remember". (14 minutes)

National Institute on Drug Abuse - 2019

Personalizing the Treatment of Substance Use Disorders URL

Read the sections "Treating the Dimensions of Substance Use Disorder" to "Towards the Future": (17 minutes)

American Journal of Psychiatry - 2020

Strategies to promote smoking cessation among adolescents URL

Read the entire article: (10 minutes)

NIH - 2016

Reducing Vaping Among Youth and Young Adults URL

Read Chapter 4: Examples of Effective* Vaping Prevention and Reduction Interventions: (17 minutes)

SAMHSA - 2019

Adaptation in Delivering Integrated Care: The Tension Between Care and Evidence-Based Practice URL

Read the entire article: (13 minutes)

Psychiatry Online - 2018

Physician Assessments of Drug Seeking Behavior: A Mixed Methods Study URL

Read the discussion part: (8 minutes)

PLOS ONE - 2017

Managing Drug Seeking Behaviour in a General Practice URL

Read the entire fact sheet: (5 minutes)

Rural Health West - 2020

Enhancing Motivation for Change in Substance Use Disorder Treatment URL

Read Chapter 8, Integrating Motivational Approaches in SUD Treatment Settings from the beginning to the end of "Technology Adaptations" on pages 125-127. (10 minutes)

SAMSHA - 2019

Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders URL

Read the content under the heading "Background." (6 minutes)

BMC - 2019

Exploring gender differences among treatment-seekers who use opioids versus alcohol and other drugs URL

Read "Introduction" and "Discussion." (15 minutes)

NCBI - 2020

Activity : Discussion Forum 5 (120 minutes)

In this learning activity, you will demonstrate your understanding of substance use disorders.

Instructions:

Step 1: Analyze

Review all the required learning materials for this lesson.

Step 2: Respond

Prepare a 250-300 word piece of writing which answers the following key questions:

How do socio-cultural factors contribute to substance use disorders?
What are the main differences between substance abuse and dependence?
How do clinicians use the DSM-5 criteria to determine/classify the severity of the substance use disorders?( Substance use disorder, substance induced disorder and intoxications).

Step 3: Share

To share your work, click on the “Add a new discussion topic” button under this post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

Step 4: Interact

To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner, using the items in this Rubric to guide you. Be sure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” You may use the following as a guide:

Item A is .…. because…. My suggestions for improvement are….
Item B is .…. because…. My suggestions for improvement are….
Item C is .…. because…. My suggestions for improvement are….
Item D is .…. because…. My suggestions for improvement are….
Item E is .…. because…. My suggestions for improvement are….

OPTIONAL Step 5: Interact (10 minutes)

If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”

Case Study 10: The Case of the Drug seeking patient SCORM package

In this activity, you must pass the quiz to be marked as complete, and you will have unlimited attempts to complete it.

Introduction

Course Registration

Peer Corner

Pre-Test

Module 1: Lesson 1: Disorders in Childhood and Adolescence

Clinical Practice Guidelines for Assessment of Children and Adolescents

Culture and Psychopathology: New Perspectives on Research, Practice, and Clinical Training in a Globalized World.

Disruptive Behavior Disorders Child with Oppositional Patterns and/or Aggressive Patterns Interfering with Functioning in Home, School, or with Peers.

Clinical Practice Guidelines for the Management of Conduct Disorder.

School-Aged Children Who are not Progressing Academically: Considerations for Pediatricians.

Mental Health and Academic Performance: A Study on Selection and Causation Effects from Childhood to Early Adulthood.

Clinical Practice Guidelines for Assessment of Children and Adolescents.

Learning Disability

Diagnosis and Treatment of Developmental Dyslexia and Specific Learning Disabilities: Primum Non Nocere

GPs’ Suspicion of Child Abuse: How does it Arise and What is the Follow-up?

Case Study 1: 12. y.o. Boy demonstrating symptoms of behavioral disorder

Evaluation of the Child with Global Developmental Delay and Intellectual Disability

Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Module 1: Lesson 2: Geriatric Psychiatry

Helpful Approaches to Older People Experiencing Mental Health Problems: A Critical Review of Models of Mental Health Care

The Geropsychiatric Interview- Assessment and Diagnosis

Interface Between General Adult and Old Age Psychiatry

Mood Disorders in the Elderly: Prevalence, Functional Impact, and Management Challenges

Suicide in Older Adults

Elderly and Polypharmacy: Physiological and Cognitive Changes

Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report

Diagnosis and Management of Elder Abuse by Family Physician

Case Study 2: Psychiatric Disorders in the elderly

Identified Mental Disorders in Older Adults in Primary Care: A Cross-Sectional Database Study

Geriatric Psychopharmacology: How Pharmacokinetic and Pharmacodynamic Changes Affect Prescribing

Module 1: Lesson 3: Cognitive Disorders

Clinical Aspects of Neurobehavioral Symptoms of Dementia

DSM-5

Cognitive Impairment Evaluation and Management

Developing Guidelines for the Translation and Cultural Adaptation of the Montreal Cognitive Assessment: Scoping Review and Qualitative Synthesis

DSM-5

Clinical Practice Guidelines for Management of Delirium in Elderly

Clinical Neurology and Epidemiology of the Major Neurodegenerative Diseases

Neuropsychiatric Symptoms in Mild Cognitive Impairment: An Update on Prevalence, Mechanisms, and Clinical Significance

Cognitive Impairment Evaluation and Management

Amnesia: Definition, Main Models, Classifi Cations, Neurobiological Profiles and Clinical Treatments

Chapter 5: Dementia &amp; Amnestic Disorder

Seven Reversible Causes of Dementia in Older Adults

Activity 1: Discussion Forum 1 (100 minutes)

Module 1: Lesson 4: Dissociative and Amnestic Disorders

What Are Dissociative Disorders?

Dissociation as a Trauma-Related Phenomenon

Transient Global Amnesia: Current Perspectives

Classic and Recent Advances in Understanding Amnesia

MODULE 6: DISSOCIATIVE DISORDERS

Case Study 3: Female patient presenting symptoms of amnesia

DSM 5

Trauma Related Dissociation: An Introduction

United States of amnesia: rescuing memory loss from diverse conditions

Amnesia

Module 1: Lesson 5: Psychosis Spectrum Disorders

Clinical Presentation

The Clinical Characterization of the Patient with Primary Psychosis Aimed at Personalization of Management

Evidence-Based Approach to Psychosis in the Emergency Department

Structure of the Psychotic Disorders Classification in DSM-5

Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders

Psychosis in Children and Adolescents

Subclinical Psychosis in Adult Migrants and Ethnic Minorities: Systematic Review and Meta-Analysis

Psychotic Disorders in Late Life: A Narrative Review

Shamanism and the Psychosis Continuum

Rethinking the Course of Psychotic Disorders: Modelling Long-term Symptom Trajectories

From Onset and Prodromal Stage to a Life-Long Course of Schizophrenia and Its Symptom Dimensions: How Sex, Age, and Other Risk Factors Influence Incidence and Course of Illness

Clinical Practice Guidelines for the Management of Schizophrenia in Children and Adolescents

Schizophrenia: Etiology, Pathophysiology and Management - A Review

Towards a Public Health Approach to Psychotic Disorders

Schizophrenia

Activity : Discussion Forum 2 (100 minutes)

Case Study 4: 35 y.o Patient with Psychotic Spectrum Disorder

Psychotic Spectrum Disorders: Definitions, Classifications, Neural Correlates and Clinical Profiles

The Clinical Course of Schizophrenia in Women and Men-a Nation-Wide Cohort Study

The Synaptic Pruning Hypothesis of Schizophrenia: Promises and Challenges

Psychosis

Module 1: Lesson 6: Personality Disorders

Understanding Patient Personality in Medical Care: Five-Factor Model

Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM-5

Chapter 5: Dementia & Amnestic Disorder