Dimension 1: Acute Intoxication

88. Dimension 1- Acute intoxication and withdrawal
In this case the patient’s current level of acute intoxication is assessed so as to ascertain the risks associated with it. The patient’s discontinuation or significant reduction of the usage of any drug is put into consideration. This is done basing on factors such as the recent usage, withdrawal history, frequency and chronicity (Muskin, 2015). The patient is then monitored to find out if he or she exhibits any current signs of withdrawal. In addition it is important to find out if the substances used by the patient belong to the same drug class. Availability of a withdrawal scale score is paramount.
This dimension helps in the assessment of the level of intoxication and withdrawal management.
Such illnesses may also create risk or further complicate the treatment process. Another important thing to look out for is chronic illnesses that may occur at the withdrawal phase and may affect treatment negatively. There are also scenarios where the patient may need medical attention. However, such medical services may interfere with the treatment process. This is of great concern too.
This dimension assists in the determination and treatment of other illnesses that may manifest in the patient and threaten to complicate or inhibit the treatment process. These are termed as co-occurring health conditions or complications. Here, coordination of physical health services is ensured within the level of care so as to provide the required treatment.
Dimension 3- Cognitive, behavioural and emotional
Here, coordination of mental health services is ensured so as to provide the required treatment within the required level of care.
Dimension 4- Readiness/motivation
A patient’s readiness to change corresponds to the way they think about the treatment and this is an important aspect that should be determined. The point at which the patient is at change should also be known. Some patients only take the medicine to avoid a negative consequence. Therefore, it is important to find out if by any chance the patient is taking the treatment because they are distressed about their condition and really want to change (Muskin, 2015). The patient should be scrutinized to find out if they are aware of their condition of addiction and mental disorder.
This helps to assess the stage in which the patient is in with regards to readiness for change. Clinicians use motivational enhancement strategies in the treatment of those individuals who are unable to embrace treatment as required. Afterwards, action for change is deployed on those ready for the recovery