Instrument/Protocol

Provides a log for buprenorphine prescriptions that can be kept by physicians or buprenorphine-treated patients.

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.

Guides healthcare professionals through an initial assessment of patient pain. Includes diagrams of the human body to help patients locate the pain they experience, as well as questions to prompt the patient to describe the intensity, quality, causes, effects, and contributing factors of the pain.

Provides an example of a progress note for buprenorphine/naloxone maintenance treatment.

Assesses the location and severity of pain and its impact on functioning.

Assesses quality of life across physical, psychological, social, and environmental domains.

Offers a 5-item scale designed to measure global cognitive judgments of one's life satisfaction (not a measure of either positive or negative affect). Prompts participants to indicate how much they agree or disagree with each of the 5 items using a 7-point scale that ranges from 7 (strongly agree) to 1 (strongly disagree).

Provides a form for recording important information about prospective patients, including drug use history, treatment history, criminal history, and health history.

Provides a sample for buprenorphine treatment intake history and physical.

Uses a simple prognostic questionnaire to help clinicians identify modifiable risk factors (biomedical, psychological, and social) for back pain disability. Stratifies patients with the resulting score as low, medium, or high risk and matches patients with a treatment package for each category.