Prevention of Substance Use Disorder

Highlights the different types of opioids and medication-assisted treatment.

Lists the benefits of registering with a prescription drug monitoring program.

Provides examples of patient behaviors that may indicate prescription medication abuse or addiction and behaviors that may appear aberrant but are likely to be part of the normal process of stabilizing a patient's pain condition.

Includes when to consider long-term opioid therapy and how to reassess the need for more opioids on a return visit. Provides additional information regarding the evidence about using opioid and nonopioid therapies, evaluating risk of harm or misuse, and assessing pain and function using the PEG scale.

Provides information about why primary care providers (PCPs) should adhere to prescribing guidelines for opioids. Includes statistics about prescribing practices, myths related to the use of opioids, and practices and actions PCPs should take.

Provides pharmacists with information about prescription opioid use in the United States, the role of pharmacists as part of the pain management team and in preventing opioid use disorder, and communication with patients.

Supports face-to-face training to review results from research conducted by the NIDA CTN comparing detoxification with buprenorphine versus clonidine. Provides instruction for implementing this protocol in treatment settings, including methods of evaluation and induction, the taper schedule, and use of ancillary medications during treatment.

Introduces health professionals, students, and primary care residents to a standardized approach to the management of patients with chronic nonmalignant pain that integrates techniques for the prevention and detection of misuse of prescription opioids.

Provides a high-level overview of clinical practice guidelines for management of chronic pain.

Provides guidance to State medical and osteopathic boards in assessing physician’s’ management of pain in their patients and whether opioid analgesics are being prescribed appropriately.