This specifier serves as an additional specifier for remission if the individual is both in remission and situated in a controlled environment. This applies to individuals in early remission within a controlled environment or those in sustained remission within a controlled environment. Examples of such environments include closely supervised and substance-free jails, therapeutic communities, and locked hospital units.

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Once an individual has met the complete criteria for cannabis use disorder, there are certain specifiers that are used to understand the characteristics of the disorder: 

- In early remission
- In sustained remission
- In a controlled environment

[DSM-5-TR] Specifiers for Cannabis Use Disorder

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed., Text revision). https://doi.org/10.1176/appi.books.9780890425596

DSM-5-TR

Cannabis Use Disorder Specified in a controlled environment

After meeting the full criteria for cannabis use disorder in the past, if none of the criteria for the disorder have been met for a period of at least 3 months but less than 12 months (except for Criterion A4, which relates to craving),

Cannabis Use Disorder Specified in early remission

After previously meeting the complete criteria for cannabis use disorder, if none of the criteria for the disorder have been met for a continuous period of 12 months or longer (excluding the presence of Criterion A4, which pertains to craving or a strong desire to use cannabis),

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