Implementation of Substance Use Treatment in Ambulatory Care

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.

Presents a sample intake questionnaire for patient treatment-planning questions.

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.

Measures 11 signs and symptoms commonly seen in patients during narcotic withdrawal. This scale can help gauge the severity of the symptoms and monitor changes in clinical status over time.

Assess patient withdrawal symptoms.

Assesses the presence of withdrawal symptoms from opioids using a 9-point scale to describe how the patient has been feeling in the past 24 hours.

Contains 13 physically observable signs, rated present or absent, based on a rater’s timed observation of the patient.

Aims to promote awareness for the evidence base and promise of motivational interventions and shows how clinicians can influence motivation by developing a therapeutic relationship with the client. Describes different motivational interventions that can be used at all stages of change.