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Substance use problems: When to refer to a specialist

Consider specialist referral in these situations:

  • Diagnostic clarification is required.
  • The severity or complexity of the presentation is beyond your expertise.
  • The patient requires support and services provided by a specialized centre (e.g., for pregnant women, trauma victims, youth).
  • The patient has multiple problems that could benefit from multidisciplinary case management
  • The patient has only a partial response or no response to treatment.

Psychiatry in primary care toolkit

The Psychiatry in Primary Care App has been decommissioned. 

The revised print version of Psychiatry in Primary Care is avaible through the CAMH store. 

We have posted a number of revised chapters from the book in Treating Conditions and Disorders in the new Professionals section of