ASAM Pocket Guidelines and Patient Guide

Alcohol Withdrawal Management

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13 Level 2-WM Appropriate Neutral/Uncertain Inappropriate Mild/stable psychiatric sypmtoms. Active or moderate psychiatric symptoms. Mild or moderate cognitive impairment. Severe psychiatric symptoms. Severe cognitive impairment. Absence of reliable caregiver. Communication barrier (e.g., language, hearing, speech). Absence of reliable support network. Unable to come to treatment setting daily. Family/friends not supportive of WM process. Unable to obtain transportation or housing. Commitment not high, cooperation and reliability questionable. Significant risk of imminent relapse. Imminent risk of harm— not cooperative or reliable.

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