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Clinicians are encouraged to provide positive feedback to patients who screen negative and support their choice to abstain from substances.Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) Tool (drugabuse.gov)Treatment plans should detail the all steps taken to manage the substance disorder, Including, but not limited to the following:.MedicationsCounseling and behavioral therapyReferrals to psychiatry or psychologyTwelve-step programs offering mutual aid, such as Alcoholics Anonymous, Narcotics Anonymous, etc.Close monitoring of patients behavior, i.e., regular follow-upsDocument findings to support the diagnosis of Substance Use/Abuse/Dependence and the current manifestations when applicable

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The main carcinogens in smoke are listed in the APPENDIX at the bottom of this page