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Federal Bureau of Prisons Clinical Practice Guidelines: Detoxification of Chemically Dependent Inmates

Recommended standards for the medical management of withdrawal from addictive substances for federal inmates are described. Procedures discussed include: general principles -- detection of substance abuse and treatment of withdrawal; management of inmates with complicating medical and psychiatric conditions; placement of inmates for detoxification; alcohol withdrawal; benzodiazepine withdrawal; barbiturate withdrawal; opiate withdrawal; cocaine/stimulants; and inhalants. Appendixes cover: detoxification overview; selected DSM-IV criteria related to substance abuse; alcohol withdrawal assessment and treatment flowsheet; symptoms and signs of drug abuse; benzodiazepine dose equivalents; barbiturate dose equivalents; and inmate patient information on these four types of detoxification—alcohol, benzodiazepines, barbiturates, and opiates (narcotics). Accession Number: 016554

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