Refer individuals struggling with addiction to medical or psychiatric help when symptoms indicate severe physical dependence, co-occurring mental health issues, or risk of harm, as spiritual practices alone cannot address physiological withdrawal or underlying disorders.[mayoclinic +1]
Critical Signs
Immediate referral is essential for emergencies like loss of consciousness, seizures, severe withdrawal (e.g., delirium tremens), suicidal ideation, or overdose risks, requiring 911 or crisis intervention.  Ongoing signs include inability to control use despite consequences, tolerance buildup, failed quit attempts, or linked depression/anxiety needing professional screening.[drugfree +2]
Assessment Process
Start with a primary care provider or licensed counselor for screening using DSM-5 criteria, such as two or more symptoms over 12 months like cravings or neglecting responsibilities.  They assess for detox needs, medications (e.g., for cravings), therapy, or inpatient care, especially if addiction persists despite prayer or initial interventions.[clevelandclinic +3]
Integrated Approach
Combine referral with support: encourage family involvement, behavioral therapy, and follow-up to treat co-occurring conditions common in 50%+ of cases. Resources like SAMHSA’s FindTreatment.gov aid locating specialists.  Early professional help improves outcomes over delayed or solely spiritual efforts.[psychiatry +2]