{ "schema_version": "uw.editorial_geo.v1", "representation_profile": "lossless_source_sections", "local_stage_only": true, "catalog_id": "DEP-12-N08", "article_index": "DEP-12-N08", "language": "en", "headline": "When a first treatment experience was poor: choosing the next step", "description": "When a first treatment experience was poor: choosing the next step", "short_answer": "After first seeking care, someone may feel unheard, find that the proposed approach did not fit, or feel worse. Sometimes the problem is scheduling and contact, sometimes treatment itself, and sometimes what happened appears to be serious misconduct. There is no need to call every bad experience normal. Yet one poor encounter does not prove that all help is useless. A more workable sequence is to secure safety, identify what needs another clinical assessment, and decide separately whether to report what happened.\n\nIf poisoning is possible, a person is unconscious, has a seizure or has severe difficulty breathing, seek local urgent medical care now. Do not wait for a complaint process or a reply from the former service, and do not drive yourself. [The NHS lists these as reasons for immediate help](https://www.nhs.uk/conditions/poisoning/). If someone has been drinking heavily for a prolonged period and is considering an abrupt stop, discuss safety with a doctor: [NIAAA warns](https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help) about dangerous withdrawal specifically after prolonged heavy drinking, not for every person who drinks. With threats, coercion or violence, protection for the person and any children is a separate need and must not wait for a joint therapy session.", "short_answer_source": { "kind": "opening_after_h1", "role": "lead", "start_utf16": 70, "end_utf16": 1427, "sha256_utf8": "fa0ec43b75016d8f8d991491985387bb9fa3c5aca99e4ab122a3079f339cad67" }, "headline_source": { "role": "h1_heading", "start_utf16": 2, "end_utf16": 68, "sha256_utf8": "e2d2bcd95c6765dda197cb3d16843da19395215009c12727e59487adb43c2076" }, "entities": [], "questions": [ { "q": "I. Describe what happened without diagnosing the service", "a": "“The treatment was bad” may describe different events. The person wanted one goal but was offered another; an appointment was respectful but the method did not help; a side effect appeared; no one replied after discharge; or a worker humiliated, coerced or crossed an agreed boundary. The person's experience matters in every case. Whether there was a medical error, unlawful action or institutional fault, however, calls for facts and the appropriate review, not a conclusion based on a brief account in an article.\n\nFor the next step, separate what is known from what is inferred. It may be known that medication was not explained after an appointment, sleep worsened, a visit was cancelled without a replacement, or the person felt pressured. “Every service is like that” or “nothing can help me” are inferences. Disappointment can be acknowledged without making it a final judgment about the person or the whole system of care.\n\nWhere rough treatment, unwanted touching, a threat or a disclosure of private information is involved, speaking to the same worker may not be safe. Seeking a different clinical contact and a safe local way to report the event can be separate actions. A complaint is not a condition for receiving other care.", "source_spans": [ { "role": "h2_heading", "start_utf16": 1432, "end_utf16": 1488, "sha256_utf8": "cd8e3e6f196c2f23c2072c36594030944980fd1c58d09a60bcbd5b4fb4a0aa20" }, { "role": "h2_answer", "start_utf16": 1490, "end_utf16": 2730, "sha256_utf8": "1b2bbad05a6cbe22c401080b711098566d963554d8502f32056f04e5cfad5825" } ], "block_ids": [ "p0005", "p0006", "p0007" ], "source_segment_index": 1 }, { "q": "II. Separate the medical need from the complaint", "a": "A side effect, worsening condition, loss of access to prescribed care or withdrawal risk needs a conversation with an appropriately qualified health professional. [The FDA advises](https://www.fda.gov/consumers/womens-health/use-medicines-wisely) discussing unwanted effects and medication questions with a doctor, nurse or pharmacist and not stopping a prescribed medicine on one's own. This is general safety guidance, not instructions for a particular drug. If symptoms are acute or rapidly worsening, use the local urgent medical route in the opening.\n\nTo a new clinician, someone can simply say, “this appeared after treatment began,” “I do not know who is responsible for my medicine,” or “I cannot reach anyone after discharge.” If the medicine name and last dose time are already known, share them through an agreed safe channel. Do not change a dose yourself, undertake withdrawal at home, use a substance again to “test control,” or endure dangerous symptoms to strengthen a future complaint.\n\nReporting possible wrongdoing addresses another question: what happened to the person and how an authorized local body may examine it. Even when review is needed, it does not usually replace a medical assessment today. Conversely, receiving medical care does not require someone to give up the option of reporting later if they wish to and the local process allows it.", "source_spans": [ { "role": "h2_heading", "start_utf16": 2735, "end_utf16": 2783, "sha256_utf8": "9b79e3c5f23ea8f700f686f8fd265f08fa888078ba741b27b71700c93d185691" }, { "role": "h2_answer", "start_utf16": 2785, "end_utf16": 4157, "sha256_utf8": "a12276e02563d75aa7741b8e4db0c2632bbf4e2c8697ae8c25ce6f3e2127e272" } ], "block_ids": [ "p0009", "p0010", "p0011" ], "source_segment_index": 2 }, { "q": "III. One unsuitable approach is not the whole map of care", "a": "No noticeable improvement may mean that more time, a different goal or method, review of another health issue, or another level of care is needed. It is not a promise that the next option will work. [The CDC describes](https://www.cdc.gov/overdose-prevention/treatment/index.html) different ways to treat substance use disorders and stresses that no single method is right for everyone. Findings about one substance or medication should not be extended to every form of addiction.\n\n[NIAAA's alcohol-treatment overview](https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help) emphasizes individual fit, respectful contact and continuing follow-up; a plan may change after difficulties. It is a US overview of alcohol care, not an outcome guarantee for all treatment. If the first approach did not match the person's goals, they can ask what goals were discussed, how progress was judged and what alternatives exist. A subjective benefit from an old pattern can be part of an honest conversation without hiding its harms.\n\nSomeone does not need a formal label of “failed treatment” to say, “I want another assessment because things have not improved,” or “this format is not working for me.” A mismatch in goals, lack of expected effect and a specific harmful action need different responses. None requires a person to prove “perfect motivation” or complete abstinence before asking for help.", "source_spans": [ { "role": "h2_heading", "start_utf16": 4162, "end_utf16": 4219, "sha256_utf8": "27e04ac69932197890ce317524d77f60dd36252ee60b01e2b7814274deb2d502" }, { "role": "h2_answer", "start_utf16": 4221, "end_utf16": 5673, "sha256_utf8": "d7a38d533d7414e4bf122e1cf3ff1214564fa7251ec8af6ffb7cffcb9f784c84" } ], "block_ids": [ "p0013", "p0014", "p0015" ], "source_segment_index": 3 }, { "q": "IV. Ask for an explanation or another assessment without a promised outcome", "a": "If speaking with the former team is safe, ask what was assessed, why this approach was chosen, what changes were expected and when the plan would be reviewed. A different professional can be asked to explain the situation or offer another view. [In its account of NHS mental-health care](https://www.nhs.uk/mental-health/social-care-and-your-rights/mental-health-assessments/), the NHS says a treatment that is not working may call for a new assessment or another approach and that another opinion can be requested; the same page says it is not an automatic legal right in that system. This is an example from care in England, not a worldwide promise of a new appointment, payment or a clinician's agreement.\n\nIf returning to the same worker is unsafe or trust has gone, another clinician, service or authorized coordinator may be a starting point. A first appointment does not bind someone to one place forever. Ask the new contact whether they work with this concern, accept new people, what information is needed for an assessment and when an actual visit can occur. With a long wait or high price, ask what other workable route exists rather than assuming there is one.\n\nDistinguish a consultation, booking it, and actually having it. “We will call you back” is not yet a handoff. If another professional recommends an in-person or more intensive assessment, ask for a specific contact and a way to confirm availability. Language, age, price, location, privacy and waiting time affect whether the transition works; otherwise a referral may remain only an address on paper.", "source_spans": [ { "role": "h2_heading", "start_utf16": 5678, "end_utf16": 5753, "sha256_utf8": "54da136b14a7ef9f943851bd3dd32a48459b87610652637ff8bf1aeafbdfca69" }, { "role": "h2_answer", "start_utf16": 5755, "end_utf16": 7331, "sha256_utf8": "d7d3e6ca5a3e2e2c7a3e5cdabadec07c6f8c96db3eccceccda16067d5a873e6f" } ], "block_ids": [ "p0017", "p0018", "p0019" ], "source_segment_index": 4 }, { "q": "V. Check the next service's substance, not a promise to “fix everything”", "a": "After a poor experience, “we guarantee it will work” may sound especially attractive. It does not replace clear answers: who will assess the condition, what are their qualifications, what can the service provide, how are side effects or deterioration reported, who follows up after the first visit and what happens if a method does not fit? There is no universal rating, price or course length that guarantees good care.\n\n[The NIAAA Navigator cautions](https://alcoholtreatment.niaaa.nih.gov/how-to-find-alcohol-treatment/step-1-search-trusted-sources-to-find-providers) that a directory of US alcohol-treatment services does not guarantee the quality or completeness of each result. A link to a new provider begins a check; it does not establish suitability. Ask directly about the availability and conditions of your actual appointment. You need not copy someone else's questionnaire or assemble a perfect dossier before the first call.\n\nIf the former care included medication, ask who will manage prescribed treatment during the transition. If it involved a group or psychological work, ask whether another goal or format can be discussed. The next route may involve medical assessment, psychological support and ordinary practical needs such as travel, work, housing or childcare. These services have different roles, and each actual appointment must be confirmed.", "source_spans": [ { "role": "h2_heading", "start_utf16": 7336, "end_utf16": 7408, "sha256_utf8": "24e29100bf5c60dd1d7acbeaaba4e19d107c011f678b98f16ac0043837c7e763" }, { "role": "h2_answer", "start_utf16": 7410, "end_utf16": 8778, "sha256_utf8": "69c889a9a482b8ae6bcfc1a3c85e554ec36e107386040e02d82691cccc24825d" } ], "block_ids": [ "p0021", "p0022", "p0023" ], "source_segment_index": 5 }, { "q": "VI. Reporting a possible violation is a separate, voluntary route", "a": "Someone may want to describe rough treatment, lack of informed consent, possible privacy breach, a financial condition, coercion or an unsafe action. They can begin by asking the organization about feedback and complaints, or seek an appropriate independent local body if speaking to that service is unsafe or insufficient. Which body reviews a particular event, time limits and available support depend on the country, organization and facts. This article cannot promise a review by a set date, a finding of wrongdoing, a refund or a legal outcome.\n\nFor one concrete example, [NHS England distinguishes feedback, informal discussion and a formal complaint](https://www.england.nhs.uk/contact-us/feedback-and-complaints/complaint/); NHS services in England have complaints processes and a route after local review. This concerns that named system in England, not every private clinic, country or circumstance. Its deadlines, bodies and rights should not be carried into another system. With violence or an immediate threat, separate local protection and medical care come first, rather than waiting in an ordinary complaint queue.\n\nIf they wish, a person can use information they already have to describe the event: the date, a worker's name, treatment instructions they understood, payments and received messages. There is no need to risk safety, obtain someone else's data unlawfully, stage a secret “test,” or delay care to make an ideal evidence file. A local patient-support service or qualified adviser may explain which information is needed and how to share it with privacy in mind. A person may choose not to complain and still seek different care.", "source_spans": [ { "role": "h2_heading", "start_utf16": 8783, "end_utf16": 8848, "sha256_utf8": "ef7ef1134f393163ca3f0fcdeaae91fda2f2200a55a8e0670c5ee10ae5047619" }, { "role": "h2_answer", "start_utf16": 8850, "end_utf16": 10507, "sha256_utf8": "600c532ba175c34f6cff68892e06899ee1d50239181c1ac164d01c286231619d" } ], "block_ids": [ "p0025", "p0026", "p0027" ], "source_segment_index": 6 }, { "q": "VII. Keep a say over personal information and the handoff", "a": "A new professional may need some information about earlier treatment to retain medical context. An adult can ask what is needed, who will see it, how it will be sent and what they consent to share. Local rules on age, access to records, disclosure and exceptions differ; absolute secrecy cannot be promised. If a document is unavailable or difficult to obtain, a conversation may still begin with facts already known, without presenting a guess as fact.\n\nSomeone need not put their treatment history in a public review or shared chat just to make others believe a bad experience. Telling a relevant professional and publishing a story involve different actions and risks. If the previous service does not answer a request for information, tell the new one; an assessment may be able to begin while missing details are clarified later. A queue entry, a discharge paper and a transferred file do not yet mean the next professional has seen the person and agreed a plan.\n\nAfter a distressing encounter, it is reasonable to ask for questions to be explained gradually and to say what is hard to discuss. This is not a recommendation to hide information needed for safety. It is a way to agree on pace and consent. If the condition deteriorates quickly or dangerous symptoms appear, return to urgent medical care rather than waiting for documents to arrive.", "source_spans": [ { "role": "h2_heading", "start_utf16": 10512, "end_utf16": 10569, "sha256_utf8": "f6488e6e1506c44b8a93bb4a2519a3fd5fbb9c6b3bf89817bd92c337951d4430" }, { "role": "h2_answer", "start_utf16": 10571, "end_utf16": 11923, "sha256_utf8": "41acae8906745ab0e9e4e3391a8011b6a44bd616fa5c0771cb646aac4473bc08" } ], "block_ids": [ "p0029", "p0030", "p0031" ], "source_segment_index": 7 }, { "q": "VIII. Relatives support the person without carrying the consequences alone", "a": "An adult may ask someone close to find another contact, travel to an appointment or simply listen. Joining a visit, accessing information or complaining on the adult's behalf requires their consent and the applicable local rules. A relative need not determine fault in place of a competent body, pay for everything, monitor use or endure threats “for recovery.” They may keep boundaries and seek support themselves.\n\nChildren should not be intermediaries between clinics, witnesses forced to collect information, monitors of use or keepers of medicines. If a child faces danger at home or in a service, adults and appropriate local services must protect them. Violence and others' safety are separate from an aggressor's willingness to seek treatment or attend family therapy.\n\nDisappointment may make a family want to decide everything for the person or pressure them to complain. It is better to ask what practical help they want now and what they consent to. A poor experience does not make relatives responsible for the next treatment's outcome. Love, meaning and support may matter, but they are not admission requirements for medical care.", "source_spans": [ { "role": "h2_heading", "start_utf16": 11928, "end_utf16": 12002, "sha256_utf8": "ef692cd5082beb33dfda8a07a29becbfd6be7286fce38681808258545f8d5488" }, { "role": "h2_answer", "start_utf16": 12004, "end_utf16": 13149, "sha256_utf8": "836cf24307571bad50de3fbc2846c757eacde3d187d9764f286f52ae441d4be2" } ], "block_ids": [ "p0033", "p0034", "p0035" ], "source_segment_index": 8 }, { "q": "IX. Choose the next contact you can verify", "a": "A practical plan can be short. Dangerous symptoms call for local urgent care. Treatment or medicine questions need a specific health professional and a clear contact time. An unsuitable method calls for a conversation about goals or a new assessment. A possible violation may call for finding the local reporting route when it is safe and the person wishes to use it. These routes can run in parallel, but one should not block another.\n\nAfter a new call, check whether the request was accepted, who will respond, when a conversation will happen and what to do if no one replies. If the new service is unsuitable in price, language, distance or scope, search for another option rather than concluding that all care is useless. Even “this service does not treat my problem” helps make the next inquiry more precise.\n\nNobody has to file a complaint first, trust completely, stop using immediately or find a new meaning in life. A person may remain uncertain and still seek care that is safe, respectful and actually available. One new action—an arrangement for a real assessment or protection—already changes the route after a poor start.", "source_spans": [ { "role": "h2_heading", "start_utf16": 13154, "end_utf16": 13196, "sha256_utf8": "b58690860272cfd23041f1e1b99f8124b6ea68a6775d0cf9c57ac1d13e5284ad" }, { "role": "h2_answer", "start_utf16": 13198, "end_utf16": 14333, "sha256_utf8": "f3cb5dc1850cbda2c3e16f9dda822768a0baada3b99075be3434f59ac93943b7" } ], "block_ids": [ "p0037", "p0038", "p0039" ], "source_segment_index": 9 }, { "q": "Appendix: five optional prompts before the next conversation", "a": "The authors wrote these prompts. They are not a diagnosis, legal form, required diary or condition for contact. Use only facts already known, or skip them all. Urgent help and protection do not wait for answers.\n\n1. **Safety.** Is there a symptom or threat now that needs local urgent medical care or protection?\n2. **Known event.** What do I know without guessing: what happened, when and what consequence did I notice?\n3. **New help.** Whom can I ask about an assessment, a prescription or another approach?\n4. **Terms.** What do I already know about language, price, waiting and a safe way to share necessary information?\n5. **Next contact.** Who should reply, when, and what will I do if no one does?", "source_spans": [ { "role": "h2_heading", "start_utf16": 14338, "end_utf16": 14398, "sha256_utf8": "8fca412968d3a252f182c789fbd325019270af880c38638ceed56323647704d2" }, { "role": "h2_answer", "start_utf16": 14400, "end_utf16": 15104, "sha256_utf8": "296826178cb532e6a4681446db6a2f0f1eefdbb5c2fb1ed499864073fa45ab55" } ], "block_ids": [ "p0041", "p0042" ], "source_segment_index": 10 }, { "q": "Sources and limits", "a": "Content was checked on 14 October 2026. The medical sources mainly describe the US and UK, while the complaint process applies only to NHS services in England. This article does not establish fault, an individual diagnosis, local entitlement to another opinion, compensation, confidentiality or access to a particular service.\n\n1. National Health Service. [*Poisoning*](https://www.nhs.uk/conditions/poisoning/). Official UK medical information, last reviewed 12 June 2025; signs of urgent danger, without exporting a UK number elsewhere.\n2. National Institute on Alcohol Abuse and Alcoholism. [*Treatment for Alcohol Problems: Finding and Getting Help*](https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help). Official US alcohol-care overview, no explicit page date; care fit, continuity and revision, and dangerous withdrawal after prolonged heavy drinking, not a general outcome guarantee.\n3. Centers for Disease Control and Prevention. [*Treatment of Substance Use Disorders*](https://www.cdc.gov/overdose-prevention/treatment/index.html). Official US general information dated 25 April 2024; different treatment options and no single method for everyone, not an assessment of an individual institution.\n4. U.S. Food and Drug Administration. [*Use Medicines Wisely*](https://www.fda.gov/consumers/womens-health/use-medicines-wisely). Official US patient information, no explicit update date on the opened page; discuss side effects and prescribed medicines with a health professional, without withdrawal schedules.\n5. National Health Service. [*Mental health assessments*](https://www.nhs.uk/mental-health/social-care-and-your-rights/mental-health-assessments/). Official UK information, last reviewed 4 August 2025; an example of discussing ineffective treatment and asking for another opinion within mental-health care, without a worldwide legal promise.\n6. NHS England. [*Feedback and complaints about NHS services*](https://www.england.nhs.uk/contact-us/feedback-and-complaints/complaint/). Official account of procedures for NHS services in England, no explicit page update date; feedback, complaints and further review, not a process for every private clinic or country.\n7. NIAAA Alcohol Treatment Navigator. [*Step 1 — SEARCH Trusted Sources to Find Providers*](https://alcoholtreatment.niaaa.nih.gov/how-to-find-alcohol-treatment/step-1-search-trusted-sources-to-find-providers). Official US alcohol-care search guidance, no explicit page date; a directory is a starting point, not a guarantee of quality, completeness or availability.", "source_spans": [ { "role": "h2_heading", "start_utf16": 15109, "end_utf16": 15127, "sha256_utf8": "f91f16500d95114ea5dd62762b302ab95f247ca4f49fe0affb04993b09f0a299" }, { "role": "h2_answer", "start_utf16": 15129, "end_utf16": 17740, "sha256_utf8": "8781a386dd23605bb6b0186565f63f011f63d179149114945a9b5ba66533804b" } ], "block_ids": [ "p0044", "p0045" ], "source_segment_index": 11 }, { "q": "Tags", "a": "addiction, treatment, poor experience, reassessment, side effects, complaints, patient rights, safety, care handoff, choosing a professional, relatives, recovery", "source_spans": [ { "role": "h2_heading", "start_utf16": 17745, "end_utf16": 17749, "sha256_utf8": "1331275bc537b4c2bf1e46f7275677967515342e30b572e6852fa6f51b831fe8" }, { "role": "h2_answer", "start_utf16": 17751, "end_utf16": 17912, "sha256_utf8": "233d99e2a91092ea5b24fb749c328b138b738e96bb23a57386a7e2f40d140367" } ], "block_ids": [ "p0047" ], "source_segment_index": 12 }, { "q": "About the authors", "a": "Andrey Zarinsh is the author and founder of United Wisdom. He explores inner transformation, the unity of traditions, intercultural dialogue and contemporary spiritual discipline. Instagram: @andrey.zarinsh.\n\nMaria Evilkut is a co-author of United Wisdom. Alongside her research, she seeks to test these ideas in practice and observe how unity and mutual understanding work in real life between people and cultures. Instagram: @ilkutki.", "source_spans": [ { "role": "h2_heading", "start_utf16": 17917, "end_utf16": 17934, "sha256_utf8": "e120452a2b9952200310f55df00e52d0bbd068d32bba8a322511ed65e3d4967d" }, { "role": "h2_answer", "start_utf16": 17936, "end_utf16": 18372, "sha256_utf8": "d15f7ed4c97488635931368702e7678caf1bda4f00e56adeb1697573e76235c6" } ], "block_ids": [ "p0049", "p0050" ], "source_segment_index": 13 } ], "claims": [], "claims_policy": "no_reclassified_claims", "sources": [ { "id": "src_10790fb1fab48f9a", "title": "*Poisoning*", "url": "https://www.nhs.uk/conditions/poisoning/", "source_spans": [ { "role": "markdown_link", "start_utf16": 826, "end_utf16": 919, "sha256_utf8": "9816a124cbc1afedb8ad93bb33c778089bd569f5ff6a8054e1e3dd6f92d7f209" }, { "role": "markdown_link", "start_utf16": 15485, "end_utf16": 15540, "sha256_utf8": "9d0d67b65e9a9765256c83da1db9052d3279165e85c2bceae5576ea1dfc3b2c8" } ], "read_scope": "1. National Health Service. [*Poisoning*](https://www.nhs.uk/conditions/poisoning/). Official UK medical information, last reviewed 12 June 2025; signs of urgent danger, without exporting a UK number elsewhere.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 15457, "end_utf16": 15667, "sha256_utf8": "d9adfbb5ecad6a919499e6a70830e70c77537e8ab14c3d659a874c48876b279b" }, "shared_entry_urls": [] }, { "id": "src_6dc3b3a2dfcc6f51", "title": "*Treatment for Alcohol Problems: Finding and Getting Help*", "url": "https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help", "source_spans": [ { "role": "markdown_link", "start_utf16": 1046, "end_utf16": 1177, "sha256_utf8": "d8d2b12bdb4a3623d30348a242b225ea1efaba272903ad9214fa63f8f762ada5" }, { "role": "markdown_link", "start_utf16": 4703, "end_utf16": 4857, "sha256_utf8": "c67a0a2af67c649a2ed4cf2e0626c03d00a47237c3ec12f92e0f5a1a36022204" }, { "role": "markdown_link", "start_utf16": 15723, "end_utf16": 15901, "sha256_utf8": "5462002fbd4c4bc9279ed1eed5734cdc1741ce5f32381a79c9bd3aa3c7cb57fd" } ], "read_scope": "2. National Institute on Alcohol Abuse and Alcoholism. [*Treatment for Alcohol Problems: Finding and Getting Help*](https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help). Official US alcohol-care overview, no explicit page date; care fit, continuity and revision, and dangerous withdrawal after prolonged heavy drinking, not a general outcome guarantee.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 15668, "end_utf16": 16085, "sha256_utf8": "5623e4acf4a53f3fe9381b2ac87b527d5261856c312f79f6f8a679b8668a175f" }, "shared_entry_urls": [] }, { "id": "src_cc15a0ea3e3c64d1", "title": "*Use Medicines Wisely*", "url": "https://www.fda.gov/consumers/womens-health/use-medicines-wisely", "source_spans": [ { "role": "markdown_link", "start_utf16": 2948, "end_utf16": 3031, "sha256_utf8": "290774b37d15276faca50f775e9fd257c42e9e500a4b86cd8a7ad0dfd661ce33" }, { "role": "markdown_link", "start_utf16": 16439, "end_utf16": 16529, "sha256_utf8": "aa4906ea856194420201389c7c61945fcd4c7b709d208473aa08780dfeb31a5a" } ], "read_scope": "4. U.S. Food and Drug Administration. [*Use Medicines Wisely*](https://www.fda.gov/consumers/womens-health/use-medicines-wisely). Official US patient information, no explicit update date on the opened page; discuss side effects and prescribed medicines with a health professional, without withdrawal schedules.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 16401, "end_utf16": 16711, "sha256_utf8": "731ecde5fad4feb861a90525a05d2a2e4c747ff217937e6d6e805945995f9def" }, "shared_entry_urls": [] }, { "id": "src_08201038efbd7293", "title": "*Treatment of Substance Use Disorders*", "url": "https://www.cdc.gov/overdose-prevention/treatment/index.html", "source_spans": [ { "role": "markdown_link", "start_utf16": 4420, "end_utf16": 4501, "sha256_utf8": "f7aa5f3c47d16afc718c61c2a5e6f45dbf7d58f00c0309f4769c8d3a83fc6d0a" }, { "role": "markdown_link", "start_utf16": 16133, "end_utf16": 16235, "sha256_utf8": "33817fd71ca8f583c939796ff7d617809e2108ead3b63d7cc620ffca5e893ddc" } ], "read_scope": "3. Centers for Disease Control and Prevention. [*Treatment of Substance Use Disorders*](https://www.cdc.gov/overdose-prevention/treatment/index.html). Official US general information dated 25 April 2024; different treatment options and no single method for everyone, not an assessment of an individual institution.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 16086, "end_utf16": 16400, "sha256_utf8": "44c7f5021f41e3de332c2f56635231ddd3431c72ecc171c1abcc59a734b47981" }, "shared_entry_urls": [] }, { "id": "src_25f2ce5db6d68f1b", "title": "*Mental health assessments*", "url": "https://www.nhs.uk/mental-health/social-care-and-your-rights/mental-health-assessments/", "source_spans": [ { "role": "markdown_link", "start_utf16": 6000, "end_utf16": 6131, "sha256_utf8": "72529ea90fb4d72c5a92497323eb8f8b3cfe9481ca72e7bbdfcc9a05353e40aa" }, { "role": "markdown_link", "start_utf16": 16740, "end_utf16": 16858, "sha256_utf8": "a4be845497526f92d46ddc8ce4fdea6860d6fb650149524b61b0b93be62e8571" } ], "read_scope": "5. National Health Service. [*Mental health assessments*](https://www.nhs.uk/mental-health/social-care-and-your-rights/mental-health-assessments/). Official UK information, last reviewed 4 August 2025; an example of discussing ineffective treatment and asking for another opinion within mental-health care, without a worldwide legal promise.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 16712, "end_utf16": 17053, "sha256_utf8": "c171f54fd93b62b39eb01decbc9d142ba6a8288ece84cd4a8ae47cac39d1af22" }, "shared_entry_urls": [] }, { "id": "src_415abc473b061d6a", "title": "*Step 1 — SEARCH Trusted Sources to Find Providers*", "url": "https://alcoholtreatment.niaaa.nih.gov/how-to-find-alcohol-treatment/step-1-search-trusted-sources-to-find-providers", "source_spans": [ { "role": "markdown_link", "start_utf16": 7832, "end_utf16": 7980, "sha256_utf8": "eab31c7b67b686b1c0d1e81cd947beb3f302943aaff622a32c128e55f3e27937" }, { "role": "markdown_link", "start_utf16": 17412, "end_utf16": 17583, "sha256_utf8": "10cbc6c1d2cf3677dcdae7b7916c2eeeb89553c6b52db7459063139a10ca98c2" } ], "read_scope": "7. NIAAA Alcohol Treatment Navigator. [*Step 1 — SEARCH Trusted Sources to Find Providers*](https://alcoholtreatment.niaaa.nih.gov/how-to-find-alcohol-treatment/step-1-search-trusted-sources-to-find-providers). Official US alcohol-care search guidance, no explicit page date; a directory is a starting point, not a guarantee of quality, completeness or availability.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 17374, "end_utf16": 17740, "sha256_utf8": "7686573eef954c4940a0e86abf990e6a83ac3575ebdf996e668b9f82a02c5d96" }, "shared_entry_urls": [] }, { "id": "src_b5ef67efa44c6b82", "title": "*Feedback and complaints about NHS services*", "url": "https://www.england.nhs.uk/contact-us/feedback-and-complaints/complaint/", "source_spans": [ { "role": "markdown_link", "start_utf16": 9427, "end_utf16": 9581, "sha256_utf8": "00ad8053eb461cd4de8258f9d44b1bda603e330faf2d6ffbcfdef041dcdd36c4" }, { "role": "markdown_link", "start_utf16": 17070, "end_utf16": 17190, "sha256_utf8": "9059a5f20acb5b58c417c563900ee673f892d989116e6bf26583e93a8c5f1b2d" } ], "read_scope": "6. NHS England. [*Feedback and complaints about NHS services*](https://www.england.nhs.uk/contact-us/feedback-and-complaints/complaint/). Official account of procedures for NHS services in England, no explicit page update date; feedback, complaints and further review, not a process for every private clinic or country.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 17054, "end_utf16": 17373, "sha256_utf8": "24c0f11103cba0b424857af7dc5c0e62f1e76719d37e040493612c7ab2ade88f" }, "shared_entry_urls": [] } ], "retrieval_limits": [ "This local GEO representation applies only to the specified source article version and its SHA-256.", "Qualifications, sources and attributions remain in the full sections and byte-identical Markdown copy.", "No new source research was conducted in this GEO stage." ], "master_sha256": "212e8e6853868b265410da9c6cc9b394ee7e037eddfd95f4208ddb3795ccbc48", "provenance": { "raw_reader_sha256": "212e8e6853868b265410da9c6cc9b394ee7e037eddfd95f4208ddb3795ccbc48", "ru_master_sha256": "288ade5be776de4499b20eedf9e77cf71ad2c71e87a0713c119cac10c5f6413e", "reader_path": "outputs/uw-addictions-corpus-20261013/articles/DEP-12-N08/ARTICLE_EN.md", "review_pointer": "outputs/uw-addictions-corpus-20261013/articles/DEP-12-N08/INDEPENDENT_REVIEW.json", "review_sha256": "fb32cfe8f2c3f08f4739b4ca308d5d15bcac3585c2e034671079c71b3549ad88", "clean_md_relative_filename": "GEO.en.md", "body_length_utf16": 18373, "source_segments": [ { "kind": "opening", "index": 0, "heading": null, "start_utf16": 0, "end_utf16": 1429, "sha256_utf8_raw_slice": "c707045060fefe262fd5048f932fafe13e6696fe7d6813ab8bded45a4b50abfb" }, { "kind": "h2_section", "index": 1, "heading": "I. Describe what happened without diagnosing the service", "start_utf16": 1429, "end_utf16": 2732, "sha256_utf8_raw_slice": "7b8d534a9854717da9605efcb33897ec41eca7191f002c9e5b66e9241c238b76" }, { "kind": "h2_section", "index": 2, "heading": "II. Separate the medical need from the complaint", "start_utf16": 2732, "end_utf16": 4159, "sha256_utf8_raw_slice": "977c57a3bc4ab58a1d5ae7093f4c55e8d99f0db3b8207fbcbef84fd209e4bf68" }, { "kind": "h2_section", "index": 3, "heading": "III. One unsuitable approach is not the whole map of care", "start_utf16": 4159, "end_utf16": 5675, "sha256_utf8_raw_slice": "c65888914047a80e897649d566ceba4a40cd365297801c7f9349867fc9ee4707" }, { "kind": "h2_section", "index": 4, "heading": "IV. Ask for an explanation or another assessment without a promised outcome", "start_utf16": 5675, "end_utf16": 7333, "sha256_utf8_raw_slice": "176547fbc9bae37a577aae2d24e5d8326a7dbc8cd59d8bfeb8e7aec06cd1f9ec" }, { "kind": "h2_section", "index": 5, "heading": "V. 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Relatives support the person without carrying the consequences alone", "start_utf16": 11925, "end_utf16": 13151, "sha256_utf8_raw_slice": "61edd3b4fde3110270607a5a844db780acea6cd0aee744d6625dee81eabd0535" }, { "kind": "h2_section", "index": 9, "heading": "IX. 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