MAT Tools & Resources

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Pharmacist Naloxone Prescription Program Reporting Form

Gives a sample naloxone prescription program reporting form to be entered into the patient record or chart or given to the primary care provider.
Format(s): Instrument/Protocol
Audience(s): Medical Providers, Other Team Members
Author/Publisher: Indian Health Service
Year: 2019
Resource Type: PDF
File Size: .27 MB

Pharmacist Prescribed Naloxone Rescue Kit – Informed Consent Form

Gives a sample informed consent form that can be used by pharmacists dispensing naloxone rescue kits.
Format(s): Patient Form
Audience(s): Other Team Members
Author/Publisher: Indian Health Service
Year: 2019
Resource Type: PDF
File Size: .06 MB

Prescribe To Prevent

Provides information to prescribers and pharmacists about prescribing and dispensing naloxone (Narcan) rescue kits.
Format(s): Toolkit
Audience(s): Medical Providers, Other Team Members
Author/Publisher: Prescribe To Prevent
Year: 2019
Resource Type: External Link

Preventing an Opioid Overdose Tip Card

Highlights opioid overdose basics, signs and symptoms of an opioid overdose, and how to respond when someone is overdosing.
Format(s): Fact Sheet/Brochure
Audience(s): Patients, Families
Author/Publisher: Centers for Disease Control and Prevention
Year: 2019
Resource Type: PDF
File Size: 1.6 MB

Providers Clinical Support System

Provides a national training and mentoring project developed in response to the prescription opioid misuse epidemic, and offers evidence-based, educational opioid use resources for healthcare providers.
Format(s): Website, Webinar/Video, Web-Based Course
Audience(s): Medical Providers
Author/Publisher: American Academy of Addiction Psychiatry with American Osteopathic Academy of Addiction Medicine, American Psychiatric Association, and American Society of Addiction Medicine
Year: 2019
Resource Type: External Link

Rx Pain Medications Know the Options, Get the Facts

Gives basic information about treating overdose with naloxone.
Format(s): Fact Sheet/Brochure
Audience(s): Patients, Families
Author/Publisher: Substance Abuse and Mental Health Services Administration
Year: 2017
Resource Type: PDF
File Size: .62 MB

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