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Clinical Update

Substance Use Treatment in Teens: What Level of Care?

January 1, 2025

Dhruv Shah, DO. Assistant Professor, University of Vermont Medical Center, Burlington, VT.

Brady Heward, MD. Assistant Professor, University of Vermont Medical Center, Burlington, VT; Clinical Instructor, Yale School of Medicine, New Haven, CT.

Dr. Heward has no financial relationships with companies related to this material. Dr. Shah has served as a consultant for HPS Brain Gym. Relevant financial relationships have been mitigated.

One of the most challenging problems in adolescent care is figuring out what level of care will give patients the best chance of recovery or progress. We give you a guide to decide what level of care to recommend based on your individual patient.

CLINICAL UPDATE

Alcohol Use Disorder and Thiamine Supplementation

January 30, 2023

Audrey Abelleira, PharmD, BCPP

Audrey Abelleira, PharmD, BCPP. Clinical pharmacist practitioner, Pain Management and Opioid Safety Program Coordinator, VA Connecticut Healthcare System. Clinical instructor, Yale School of Medicine. New Haven, CT.

Dr. Abelleira has no financial relationships with companies related to this material.

We all learn that patients with alcohol use disorder should receive thiamine supplementation. But why, and how should it be given? We discuss the pathophysiology that underlies thiamine deficiency in alcohol use disorder and why it is so important. We then go over the latest thiamine supplementation guidelines.

SAMHSA Relaxes Regulations on Methadone and Buprenorphine During COVID-19 Emergency

June 10, 2020

Benjamin Oldfield

Benjamin Oldfield Editor-in-Chief of CATR. Clinical Instructor in Medicine and Pediatrics at Yale School of Medicine; Chief Medical Officer at Fair Haven Community Health Care, CT. Dr. Oldfield has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In the context of a pandemic, how can and should our practices change to continue to meet the needs of patients with opioid use disorder? We summarize recent changes to the regulations surrounding medications for opioid use disorder: buprenorphine and methadone.

Motivational Interviewing With Teens About Weed

October 3, 2019

Elizabeth D’Amico, PhD

Elizabeth D’Amico, PhD

Senior Behavioral Scientist at RAND and member of the Motivational Interviewing Network of Trainers (MINT)

Dr. D’Amico has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Child psychiatrists can learn and use motivational interviewing to help teens across a range of substance use disorders. In this QA we cover the efficacy, training and implementation of outpatient motivational interviewing for marijuana and other substance use with teens.