Withdrawal Management Services Manual

This manual was created for providers working in residential community-based withdrawal management services (WMS) to standardize care, improve documentation and information sharing, and provide quick access to relevant information. You can download the entire manual or the individual documents (see below).

Introduction to the WMS manual

Intake

Intake
Pre-arrival screening tool
Download PDF, 78kB
Intake
Client risk assessment on arrival
Download PDF, 62kB
Intake
Medical intake form
Download PDF, 106kB
General
Consent to release personal health information
Download PDF, 57kB

Treatment

Treatment
Clinical pathway for management of alcohol withdrawal
Download PDF, 483kB
Treatment
Order set for alcohol withdrawal
Download PDF, 101kB
Treatment
Clinical pathway for management of opioid withdrawal
Download PDF, 539kB
Treatment
Order set for opioid withdrawal
Download PDF, 100kB
Treatment
Declining opioid agonist therapy
Download PDF, 36kB
Treatment
Management of stimulant use
Download PDF, 61kB
Treatment
Management of benzodiazepine use
Download PDF, 68kB
Treatment
Management of cannabis use
Download PDF, 61kB
Treatment
Medical directive for point-of-care testing
Download PDF, 58kB
Treatment
Special considerations
Download PDF, 99kB

Emergency department

Emergency Department
Transfer from withdrawal management to emergency department
Download PDF, 60kB
Emergency Department
Transfer from emergency department to withdrawal management
Download PDF, 58kB

Discharge

Discharge
Gabapentin discharge information for primary care
Download PDF, 38kB
Discharge
Acamprosate discharge information for primary care
Download PDF, 38kB
Discharge
Depot buprenorphine discharge information for primary care
Download PDF, 61kB
Discharge
Discharge form
Download PDF, 58kB
Discharge
Naltrexone discharge information for primary care
Download PDF, 38kB
Discharge
Acknowledgment of tolerance loss
Download PDF, 37kB

Sample Policies

Sample Policies
Sample medication policy
Download PDF, 165kB
Sample Policies
Sample cannabis policy
Download PDF, 37kB
Sample Policies
Sample nicotine replacement therapy policy
Download PDF, 37kB

Scales

Scales
Subjective opioid withdrawal scale
Download PDF, 37kB
Scales
Level of agitation scale
Download PDF, 35kB
Point-of-Care Tools
Clinical Institute Withdrawal Assessment for Alcohol, Revised (CIWA-Ar) Scale
Download PDF, 39kB

Appendices

Appendices
Resources
Download PDF, 61kB
Appendices
References
Download PDF, 151kB

Authors
Katie Dunham BSc, BScN, MN, NP-PHC 
Mareena Mathew NP-Adult
Karan Cheema BScN, MN, NP-PHC
Melanie Vandewiel MN, NP-PHC
Laura Jones BSc, BScN, MN, NP-Adult 
Kristine Rivest BScInf, MScN, NP-PHC
Jared Bonis BscN, MScN, TITC-CT, NP-PHC
Meldon Kahan MD, CCFP, FRCPC
Jennifer Wyman MD, FCFP, DABAM, MPH

Reviewers
Rachel Alexander, Peer Advisor, META:PHI
Cassel Busse RN, PhD
Jarel Calumpang RN, BScN, MN
Christina Henry RN, BScN, BA
Nina Kovacic BA, MSW
Larry Nijmeh MD, CCFP(EM) FCFP
Robyn Nocilla BScN, MSc, NP-PHC
Rose Patterson BscN, MN, NP-PHC
Josh Richardson RP, RPN, PNC, BA-Hons
Rosanra (Rosie) Yoon MN, NP-Adult
Maria Zhang RPh, BScPhm, PharmD, MSc

Design
Brent Logan