CHAT Tool - Offender Health Research Network

6. Is the young person withdrawing from BENZODIAZIPINES (including, Valium
[diazepam], Rohypnol, Temazepam, Phenazepam etc.) e.g. nausea & vomiting;
malaise; flushing & sweating; tachycardia; hyper-ventilating; panic attacks and/or
phobias; over-excitable and/or aggressive; shaking/trembling; coarse tremor in hands,
tongue and eyelids; insomnia; grand mal seizures (use your observational skills)
If showing active signs of withdrawal, arrange for immediate examination by a clinical
team member and monitor with Clinical Institute Withdrawal Assessment (CIWA-B).
7. Is the young person withdrawing from OPIATES (including Heroin, Morphine,
Methadone etc.) e.g. tachycardia; sweating; restlessness; pupillary dilation, runny
eyes; muscle aches; runny nose and sneezing; abdominal pain; tremors and twitches;
frequent yawning; anxiety or irritability; prominent gooseflesh (use your observational
skills)
If showing active signs of withdrawal, arrange for immediate examination by a clinical
team member and monitor with an opioid withdrawal scale (for instance, the Clinical
Opiate Withdrawal Scale (COWS).
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
12 | P age