Inpatient Clinical Pathway for Adolescents
with Suspected Substance Withdrawal
- Related Pathways
Confirm Diagnosis of Substance Use Disorder (SUD)
- Toxicology, Other Laboratory Studies as Indicated
- Consult:
- Adolescent Medicine
- Toxicology, Poison Control Center
- Behavioral Health, Social Work
Withdrawal: Assessment tools, treatment of symptoms by substance
Continue monitoring, supportive care for all patients
Continue monitoring, supportive care for all patients
COWS
Clinical Opiate Withdrawal Scale
Clinical Opiate Withdrawal Scale
- Continue CIWA-AR as indicated
- Vitamins Alcohol Withdrawal
- Benzodiazepine Taper
- Continuous COWS, as indicated
- Adjunctive Medications for Opioid Withdrawal
Discharge Criteria
- Medical follow-up
- Provide Bridge to Outpatient Treatment
- SUD treatment scheduled
- SUD Care Options
- Outpatient SUD Care
- Voluntary or court-ordered
- Higher Levels of Care (SUD)
- Voluntary or court-ordered
- Inpatient
- Intensive outpatient/IOP
- Partial hospitalization
- Residential
Posted: January 2024
Editors: Clinical Pathways Team
Editors: Clinical Pathways Team