This Guideline provides evidence-based recommendations for nurses and other members of the interprofessional team across all care settings who are assessing and providing interventions to individuals who use substances and may be at risk for or experiencing a substance use disorder.
The purpose of this Guideline is to provide nurses and the interprofessional team across all care settings with evidence-based recommendations related to assessment and interventions for individuals aged 11 years and older who use substances and may be at risk for or experiencing a substance use disorder.
This Guideline provides best practice recommendations in three main areas:
For optimal effectiveness, recommendations in these three areas should be implemented together.
The scope of this Guideline includes effective assessment and management interventions that can be utilized with individuals aged 11 and older who use substances and may be at risk for or are experiencing a substance use disorder. Also included are education, organization, and policy recommendations for improving access to care for these individuals.
Because assessment tools and management interventions for children under 11 years of age can differ significantly from those used with adolescents, adults, and older adults, the scope of this Guideline excludes children under 11 years of age. A comprehensive review of non-substance use disorders within the broader category of addictions (e.g., gambling, shopping, eating disorders, internet/technology, sex, etc.) is also outside the scope of this Guideline, as assessment and management interventions can vary according to each particular disorder.
This Guideline is designed to apply to all practice settings and across all domains of nursing practice – including clinical, administration, and education – to help nurses become more comfortable, confident, and competent when caring for clients who use substances and may be at risk for or experiencing a substance use disorder. It focuses on the core competencies and the evidence-based strategies that nurses and members of the interprofessional team require to assess and treat clients who use substances. Delivering effective care to such clients requires coordination between health-care providers, as well as open communication between health-care providers and their clients. In addition, clients’ individual needs and pre
Wayne Skinner, MSW, RSW
Caroline O’Grady RN, MN, Ph.D.
Shelly Archibald RN, BScN
Tannice Fletcher-Stackhouse RN(EC), BScN
Bettyann Goertz RN, BScN, CPMHN(C)
Beth Hamer RN, BA, BSN, MS, CPMHN(C)
Mae Katt RN(EC), HBScN, MEd
Colin MacRae RN, Psychotherapist, CMHPN (c) MA, PGDip(Ed), FHEA
Carles Muntaner MHS, PhD
Poonam Sharma, RN, BN, MN (c)
Kristy Steele RN, CARN, CPMHN(C)
Rosanra Yoon NP, CPMHN(C), PhD(C)
Sabrina Merali, RN, MN
Glynis Gittens, BA (Hons.)