Committed to providing comprehensive training for family physicians, the Shenandoah Valley Family Practice Residency strives to ensure residents' competence in identifying and responding to mental health issues. The Shenandoah Valley Family Practice Residency's curriculum on behavioral health and psychiatry stands out as one of the few nationwide to meet the American Psychiatric Association's recommendations for training in family medicine. If a clinician suspects that a patient has a problem with an addictive substance, he or she may present the patient with four key questions. These questions are known as the CAGE screening tool. Initially created specifically to screen for alcohol dependency, the questionnaire now includes an adapted form that incorporates drug use. The first question inquires as to whether the patient feels it might be necessary to cut down (C) on drinking or use of drugs, while the second asks if the patient has felt annoyed (A) by others’ criticism of his or her drug or alcohol use. The third question screens for any feelings of guilt (G) that the patient may have about his or her use, and the fourth asks if the patient has used alcohol or drugs in the morning as an eye-opener (E) to eliminate a hangover or calm the nerves. A “no” answer results in no points, and a “yes” answer is worth one point. Higher scores indicate a greater likelihood of problems with drugs or alcohol. A score of two or more is defined as clinically significant.
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AuthorOverseen by Dr. Frank Dennehy, Shenandoah Valley Family Practice Residency Program offers opportunities for students who are interested in family medicine. Archives
November 2021
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