Prevention of Substance Use Disorder

Gives patients information about the medication they will be taking for pain management and ensures that the patient and physician comply with all State and Federal regulations concerning the prescribing of controlled substances.

Includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other controlled substances. Helps ensure patients understand their role and responsibilities regarding their treatment and those of the healthcare providers, as well as the conditions under which their treatment may be terminated.

Helps ensure patients who are beginning long-term therapy with opioid analgesics understand the side effects, risks, conditions, and purpose of their treatment. Facilitates clear communication between patients and healthcare providers about long-term opioid therapy, defines treatment expectations, and resolves any patient questions or concerns.

Provides information on the potential benefits and risks of opioid medications and documents that both the patient and provider agree on a care plan.

Asks the patient to agree to follow the treatment plan, keep appointments, and take medicine as prescribed.

Details the material risks associated with the medication and risk of physical dependence.

Provides a sample treatment agreement that describes the patient's responsibilities as well as the risks and side effects of using opioid medications.

Consent form on which patient agrees to follow policies related to long-term use of opioids because these drugs have potential for abuse or diversion.

Consent form on which patient acknowledges understanding and expectations of opioid therapy and agrees to adhere to agreed-upon patient behaviors.

Includes profiles for all 50 States that detail the State authority for controlled substances and links to any relevant regulations, rules, and prescription drug monitoring programs.