Patients with this result are at high risk for adverse outcomes related to tobacco use and are highly likely to meet DSM-5 criteria for a Tobacco Use Disorder.
Display Title
Tobacco Risk Level: High Risk for Tobacco Use Disorder
Tool Type
Drugs of Abuse
Risk Level
High
Additional Resources
Suggested Action
The suggested intervention for this risk level is to confirm diagnosis through a clinical interview either using questions from the Fagerstrom Test for Nicotine Dependence or DSM-5 Tobacco Use Disorder criteria.
- Express concern and recommend cessation;
- Use the FRAMES components and motivational interviewing techniques (see references for specific resources) to encourage engagement in treatment.
- Consider prescribing medications to treat moderate to severe tobacco dependence (nicotine replacement, bupropion SR, varenicline).
- Offer a referral to support groups or counseling for tobacco cessation.
- Arrange follow-up.