Consider specialist referral if substance use d o hx severe medical or psychiatric d o high dose BZD 4 concurrent stimulant or opioid use drug w d sz hx2 3

<b>Consider specialist referral if:</b> substance use d/o hx, severe medical or psychiatric d/o, high-dose BZD,⁴ concurrent stimulant or opioid use, drug w/d sz hx^2,3