4Ps Screening Tool for Drug and Alcohol Use
This screening device is often used as a way to begin discussion about drug and alcohol use. Any woman who answers yes to one or more questions should be referred for further assessment.
This collection of tools and resources is for providers, staff, and patients who offer or use services to address substance use, and other interested stakeholders. This collection was originally established following an environmental scan on implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in rural primary care. (See PDFs of Volume 1 [PDF 0.69 MB] and Volume 2 [PDF 1.28 MB] of that scan). Items have been continuously added to this collection since then, and the collection has expanded to cover substance use more broadly, rather than just MAT for OUD.
This screening device is often used as a way to begin discussion about drug and alcohol use. Any woman who answers yes to one or more questions should be referred for further assessment.
Details evidence-based clinical practice guidelines for use of chronic opioid therapy in adults with chronic noncancer pain.
Uses a 17-item self-assessment to identify patients with chronic pain taking opioids who have indicators of current aberrant drug-related behaviors.
Assesses the intensity of pain and the level of interference in normal daily life using a three-item scale.
Provides a summary of recommendations on how to assess and manage chronic pain. Includes detailed tools, such as an assessment algorithm, management algorithm, personal care plan for chronic pain, and the DIRE Score, which predicts patient suitability for long-term opioid analgesic treatment.