Clinical Pearls

5 pearls

  1. Do not reserve cannabis screening for younger veterans; in this sample, the mean ages were 59 years for cannabis use and 53 years for probable CUD.

  2. Treat the Pacific region as a high-yield setting for case-finding: veterans there had the highest prevalence of cannabis use (18.6%) and probable CUD (8.8%), and the probable CUD rate was significantly higher than all other regions.

  3. High cannabis exposure does not always translate into equally high disorder burden; New England had cannabis use of 13.4% that did not differ from the Pacific region (P = .24), but probable CUD was 3.5%.

  4. Do not assume cannabis-related risk is confined to states with legalized recreational cannabis; Oklahoma had cannabis use of 20.5%, while North Carolina and Indiana were among the top 5 states for probable CUD at 9.0% and 4.9%.

  5. Use brief structured screening rather than relying on disclosure alone; on the 3-item CUDIT-SF, a score ≥2 is indicative of probable CUD.

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Physicians Postgraduate Press, Inc. (PPP) makes no warranties about the accuracy or completeness of any information published in The Journal of Clinical Psychiatry or other PPP materials, and disclaims liability for any use or non-use of that information. Clinicians should not rely solely on these materials and should exercise their own professional judgment when making patient care decisions on an individualized basis.

Consensus Report on XT Use in Practice

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Figure: Graphic promoting Consensus Report on Xanomeline-Trospium; colorful net design shown with JCP logo in lower left.

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