In Current risks, note what is happening now in neutral terms: the prescription opioid involved if known, when it was last taken, other substances or medications involved, recent changes, and any immediate concern you have observed. Do not use the grid to plan a taper or change medication. A qualified professional should interpret the information. If someone is unconscious, cannot be awakened, has trouble breathing, or faces another urgent danger, call 911. Living Longer Recovery should not be treated as emergency care. For crisis support, 988 is available by call, text, or chat.
In History, list prior withdrawal experiences, treatment episodes, returns to use, relevant health or mental health concerns, and what helped or created difficulty. In Supports, name people who can participate with permission, stable contacts, and continuing-care resources already in place. In Practical constraints, record work, caregiving, mobility, distance, identification, court dates, and payment questions. These constraints matter, but they do not determine clinical appropriateness by themselves. Keep Open clinical questions for matters such as what assessment is required, how withdrawal risk is evaluated, whether medication may be clinically appropriate, and how other health needs affect planning.
- Record each fact with a date and a source.
- Write unknown when you cannot verify an answer.
- List every substance and medication disclosed, without deciding what is clinically important yourself and without changing medication on your own based on the list you create for a