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Accessed 9/15/21

Ethically, clinicians should: Avoid minimizing the impacts of dependence Screen for comorbid disorders Ensure treatment goals align with client values and evidence-based practice Accurate diagnosis and careful documentation also support professional liability protection and service continuity

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Acknowledgements We thank the PRAMS Working Group, which includes the PRAMS Team, Division of Reproductive Health, CDC, and the Virginia PRAMS site for their role in conducting PRAMS surveillance and allowing the use of their data in our analyses

[42] Bull, Memorials of the Rev