Co-Occurring Behavioral Health Disorders

This is a change guide for primary care providers on how to offer integrated care for patients with alcohol use disorder or substance use disorder; it outlines nine changes, covering both clinical and organizational implementation.

App that can be used with a phone, tablet, or desktop computer that incorporates screening tools for substance use (AUDIT/AUDIT-C) and depression (PHQ-2/PHQ-9)

Semi-structured interview addressing seven potential problem areas in substance-abusing patients: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status

Offers guidelines for MAT for individuals, particularly veterans, with PTSD and co-occurring OUDs. Covers screening, concomitant treatment, pharmacotherapy, and multiple substances of abuse.

Provides courses on how to identify, understand and respond to signs of mental illnesses and substance use disorders

Includes depression-related items from the Primary Care Evaluation of Mental Disorders (PRIME-MD) diagnostic tool for common mental disorders in a 9-item scale. Helps clinicians make a tentative diagnosis of depression and to monitor depression severity and response to treatment in the past 2 weeks.

Provides substance abuse treatment providers with updated information on co-occurring substance use and mental disorders and advances in treatment for people with co-occurring disorders. Discusses terminology, assessment, and treatment strategies and models.

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.

Offers a 5-item screen that was designed for use in primary care and other medical settings and is currently used to screen for post-traumatic stress disorder (PTSD) in veterans using VA healthcare. Includes an introductory sentence to cue respondents to traumatic events but does not include a list of potentially traumatic events.

Explores the connections between opioid abuse, overdose, and suicide. Examines current research on the relationship between these problems and discusses opportunities for cross-sector collaboration to address them.