DEFINITION OF STABILITY Sample Clauses

DEFINITION OF STABILITY. Assessing a patient’s stability requires a holistic assessment of their drug use, their attitude and motivation to treatment and their social and personal circumstances. The consideration of the following factors may be helpful in assessing stability: Is the patient attending for appointments regularly? If they miss appointments is it with good reason? Do they ring in advance to notify the practice? Are they collecting their prescription as required? Occasional missed appointments or pick-ups may not preclude moving away from supervised consumption if there appear to be good reasons for them (some drug users are able to cope with an occasional missed dose and may have a good reason for missing a pick-up or appointment). Do they have a positive attitude to treatment and some commitment to controlling or abstaining from drug use? Have there been improvements in the general health and well being of the patient? Has there been an improvement in their social functioning – this can be measured by looking at their family and social contacts, changes in lifestyle, appearance and self respect, stability of accommodation, attitude to activities not related to drug taking including employment, training or education. Is the patient continuing to take drugs? While continued drug use might be regarded as a contraindication to moving away from supervised consumption, it should not rule it out in all cases it should be assessed. Drug use may be assessed by self report or by testing - which should be conducted regularly while a person is being prescribed substitute medication. If they are “using on top” what is the reason for this? Is it because they are prescribed sub-optimal doses? Is it controlled? What are the risks of overdosing if they continue to use? Is the patient abstaining from or controlling their alcohol use? Patients drinking at levels regarded by the government as harmful (over 50 units per week for men or 35 for women) place themselves at increased risk of overdose and may not be suitable for moving away from supervised consumption.
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