Instrument/Protocol

Includes a training algorithm that provides a detailed script of how a provider should conduct a brief intervention and referral to treatment, as well as a screening tool for alcohol and other drug use.

Provides a form that can be used when advocating with insurers about prior authorization process for buprenorphine.

Offers a sample checklist for treatment program personnel who answer inquiries about buprenorphine/naloxone treatment.

Lists activities that should be performed during followup appointments and behaviors that should be addressed with the patient.

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.

Provides a score indicating the severity of dependence on opioids using a 5-item questionnaire.

Provides a form to document important information that should be recorded during the intake assessment, including whether the patient is pregnant, is taking other drugs, is on methadone, or has other addiction behaviors.

Uses a 17-item self-assessment to identify patients with chronic pain taking opioids who have indicators of current aberrant drug-related behaviors.

Provides a list of forms that must be signed, information that should be recorded for each patient (including current medications and allergies), and tests and labs that should be drawn during the intake assessment.

Assesses the risk of opioid abuse and suitability of candidates for long-term opioid therapy in primary care.