4. Controlled Substance Management in the Clinical Setting
Healthcare providers and athletic trainers can provide a point of intervention in the growing epidemic of substance abuse. This chapter will cover recognizing a substance abuse problem (physical signs of opioid and street drug abuse, assessment of functional status to assess efficacy, necessity vs drug-seeking behavior), understanding detoxification, and options to support safe detoxification. This chapter will also discuss clinical policies to help stem substance abuse of prescription drugs, including controlled substance reporting programs implemented by many states, as well as factors that should be addressed in every setting to detect and discourage diversion. Diversion will be discussed as an aspect of patient abuse.