Substance Use Tools & Resources
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.
Addiction Behaviors Checklist (ABC)
Uses a 20-item instrument administered in an interview format to track behaviors characteristic of addiction related to prescription opioid medications in chronic pain populations. The instrument is scored based on participant responses, interviewer observations of displayed behaviors, and information gathered from medical chart review.
Buprenorphine Patient/Physician Matching System Instructions
Development and Validation of an Opioid Attractiveness Scale
Drugs and Lactation Database (LactMed)
The LactMed® database contains information on drugs and other chemicals to which breastfeeding mothers may be exposed. It includes information on the levels of such substances in breast milk and infant blood, and the possible adverse effects in the nursing infant.
Generalized Anxiety Disorder 7-item (GAD-7) scale
Assesses symptoms of anxiety using a 7-item questionnaire that asks whether the patient has experienced anxiety-related problems in the previous 2 weeks and the impact they have had on the individual's life.
Diagnosis, Intractability Risk, Efficacy (DIRE) tool
Opioid Risk Tool
Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction. Treatment Improvement Protocol (TIP) Series 40.
Provides guidance on the use of buprenorphine among a number of topics, including physiology and pharmacology of opioids, opioid addiction, and buprenorphine treatment; screening and assessment of OUDs; protocols for buprenorphine treatment; management of special populations; and policies and procedures related to DATA 2000.
Clinical Opiate Withdrawal Scale (COWS)
Rates 11 common opiate withdrawal signs or symptoms with a clinician-administered pen-and-paper instrument. Uses the summed score of the 11 items to assess patients’ level of withdrawal and make inferences about their level of physical dependence on opioids.