Prevention of Substance Use Disorder

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.

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

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

Assesses the intensity of pain and the level of interference in normal daily life using a three-item scale.

Supplies guidelines for 11 medical specialties on the safe and effective use of opioids in the treatment of pain.

Provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care. Addresses timing of opioid use for chronic pain; opioid selection, dosage, duration, followup, and discontinuation; and ways to assess risk and address harms of opioid use.

Helps providers apply recommendations to clinical practice by putting the entire guideline, tools, and resources in an app. Includes a morphine milligram equivalent calculator, summaries of key recommendations, a link to the full guideline, and an interactive motivational interviewing feature to help providers practice effective communication skills and prescribe with confidence.

Describes decision points in the management of opioid therapy for chronic pain and provides evidence based recommendations for practitioners throughout the Department of Defense and VA healthcare systems.

Includes objective, evidence-based information on the management of chronic pain. Assists healthcare providers in all aspects of patient care, including diagnosis, treatment, and followup.