Frontiers in Psychiatry (Jun 2022)

A Clinical Framework for Assessing Cannabis-Related Impairment Risk

  • Caroline A. MacCallum,
  • Lindsay A. Lo,
  • Carly A. Pistawka,
  • April Christiansen,
  • Michael Boivin,
  • Melissa Snider-Adler

DOI
https://doi.org/10.3389/fpsyt.2022.883517
Journal volume & issue
Vol. 13

Abstract

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Clinicians play an important role in promoting safe and responsible medical cannabis use. One essential component to safe use is considering a patient's risk of neurocognitive impairment. However, there remains a lack of practical guidance on how clinicians can evaluate this risk for medical cannabis patients. Here, a practical framework is presented for clinicians to assess and stratify cannabis-associated impairment risk. The proposed framework is intended to practically guide healthcare providers in gaining a more comprehensive review of a patient's impairment-related factors. This framework can be used to assess impairment risk for patients currently using or considering medical cannabis and is recommended for all patients who perform safety-sensitive duties. Healthcare providers (HCP) managing patient's medical cannabis or those conducting assessments to determine risk of impairment for safety-sensitive workplaces can utilize this framework to stratify patients' risk of impairment. Such assessments can inform patient-specific needs for support, education, and guidance, to ensure cannabis is used safely and responsibly.

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