Lowenstein et al developed the TMSP (Toxicomanie, Suivi Medical, Socio-Personnel, et Suivi Psychiatrique) score to grade the severity of a patient's drug abuse. This can help identify patients who require more aggressive interventions. The authors are from the Laennec Hospital in Paris.
Parameters (Diagnostic Axes):
(1) substance dependence (T)
(2) medical follow-up (M)
(3) social situation (S)
(4) psychiatric evaluation (P)
T Axis
(1) inhaled and injected drugs
(2) other drugs (marijuana, benzodiazepines, amphetamines)
(3) alcohol
(4) sex partner's drug use
(5) criminal behavior
M Axis
(1) medical examination
(2) treatment
(3) HIV status
S Axis
(1) social situation
P Axis
(1) personality alterations
(2) acts of violence
total score =
= SUM(points for each axis)
Interpretation:
• minimum score: 4
• maximum score: 20
• The higher the score the greater the severity of the drug abuse.
Score Range
Number of Axes with 5 Points
Stage
4 to 7
0
A
8 to 11
0 or 1
B
12 to 15
2
C
16 to 20
3 or 4
D
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