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Evaluating Substance Use with RIPTEAR

The document outlines an evaluation process called RIPTEAR to gather information about a patient's substance use including risks, initiation patterns, treatment attempts, effects, prior abstinence, and relapse prevention plans.

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Vera Arcas
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6 views1 page

Evaluating Substance Use with RIPTEAR

The document outlines an evaluation process called RIPTEAR to gather information about a patient's substance use including risks, initiation patterns, treatment attempts, effects, prior abstinence, and relapse prevention plans.

Uploaded by

Vera Arcas
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

EVALUATE with RIPTEAR

The purpose of this step is to begin the evaluation process and lay the foundation for formulating a treatment
plan. Keep in mind, you may have already obtained some of this information in the previous steps.

R Risks of current use – gauge risk of overdose and withdrawal. Think more generally
about risk of trauma, including suicide.
note: may have obtained some of this information from Step 2 (The three C’s)

I Initiation – ask how old when started and with what substance; ask age when use
became regular and age they noticed it had become a problem; when was the
period of greatest use?
note: may have obtained some of this information from Step 1 (quantity/frequency)

P Patterns of use – understand how much, how often, and route of administration
note: may have obtained some of this information from Step 1 (quantity/frequency)

T Treatment attempts and outcomes – gather details regarding prior treatment for
substance use disorder and how patient did with treatment; what were the treatment
goals, were they met, and for how long?

E Effects of substance use – ask about medical & psychological effects, negative effects
note: may have obtained some of this information from Step 2 (The three C’s); these
points may be used to help enhance motivation

A Abstinence - describe periods of prior abstinence and duration; what helped to


achieve abstinence, what was going on in life then?

R Return to use prevention plan – discover how patient will achieve/maintain stability
note: may draw from prior treatment attempts and prior periods of abstinence

© Yale University

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