Changing Nature of Detoxification Services
in a Managed Care Environment

Patient - Oriented Treatment

Oversight
... or, "How I learned to stop worrying and love being second-guessed."

Contraindications to Outpatient Detox Overview

High Risk of Complicated Withdrawal Medically managed inpatient detox indicated if:

Other Criteria  for Medically Managed Detox

Appropriate for Outpatient Detoxification:

Approach to the patient

Tenants of Detoxification

Principals of Outpatient Detoxification

Outpatient Detox Guidelines           Patient and provider agree:

Background of pharmacology and pathophysiology of withdrawal
Overview

Terms

Classes of drugs

Sedatives: Tolerance and Withdrawal Alcohol and Other Sedatives

Predictors of Alcohol Withdrawal Severity

Alcohol Withdrawal Syndrome

Alcohol - related seizures

Delirium Tremens

Treatment of AWS
 Fixed Dose Regimen

Treatment of AWS
Symptom-driven Regimen

Treatment of Delirium Tremens

Outpatient Alcohol Detoxification

Outpatient Prescription Sedative Detox

Opiates: Tolerance and Withdrawal

Clinical Manifestations of Opioid Withdrawal

Principles of Opioid Withdrawal

Inpatient Methadone Regimen

Rapid Opiate Detoxification

Outpatient Clonidine Detoxification

Outpatient Clonidine Detox w/ Darvon Assist