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Hospital Discharge Report
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Synthesis
Substance dependence, treated and stabilised
Hospital course note
Dear colleague, I am writing to inform you regarding the discharge of your 34-year-old
male patient, admitted on 08/08/2020 due to substance dependence. Upon admission,
a comprehensive psychiatric and somatic assessment was conducted, including laboratory
screening, urine toxicology, and structured addiction severity evaluation. The patient
met criteria for ICD-10 F19.2, dependence syndrome related to multiple drug use. During
the inpatient stay, a medically supervised detoxification was initiated, alongside
pharmacological support to manage withdrawal symptoms. Psychological counselling sessions
were provided, and the patient was introduced to a structured motivational intervention
programme. Social work assessment was completed to address psychosocial risk factors.
The patient was discharged in a stabilised condition on 19/08/2020. Follow-up in your
practice is strongly recommended, alongside referral to outpatient addiction services.
Please do not hesitate to contact me should you require further information.
Diagnosis at Discharge
| Mental and behavioural disorders due to multiple drug use – dependence syndrome | 19-Aug-2020 | active |
Significant procedures
| Social work psychosocial risk assessment | 15-Aug-2020 | - |