Utredning av kognitiv fungering i tverrfaglig spesialisert rusbehandling

Assessment of cognitive functioning in interdisciplinary specialised addiction treatmentCognitive difficulties are common among individuals with substance use disorders, and psychologists in Norwegian interdisciplinary specialised addiction treatment will encounter both transient and persistent impairments. Identifying patients with cognitive difficulties is crucial in order to be able to tailor treatment and ensure proper follow-up. Based on clinical and research expertise in the field of substance use disorder and a review of relevant literature, this article outlines common cognitive challenges in this population and offers the specialist health services practical guidance on how to assess them. Executive dysfunction is among the most frequent issues, and may result from premorbid factors, substance-related injuries or somatic diseases. We propose a three-tiered, level-based assessment model: Level 1 includes anamnestic information and self-report tools; Level 2 involves reproducible global screening instruments; and Level 3 comprises a more comprehensive assessment of ability level, adaptive functioning and a full neuropsychological assessment when necessary. The model provides a structure for assessing cognitive difficulties, but challenges associated with false positive test results, skill variations and limited access to validated Norwegian-language tools must be taken into account. The study concludes by highlighting the need for further development of testing tools and for better training in and integration of cognitive and social functioning in treatment. A structured assessment framework supports both more effective care and patients’ rights to welfare services and municipal follow-up.