Resource Name | Brief Description |
This link provides a sample Patient Treatment Agreement that providers can use as a template to create their own consent agreements for administering buprenorphine treatment with new patients. | |
Within this folder, providers can find examples of drug use screeners used in practices around the country. The folder includes: a Texas Christian University (TCU) Drug Screen (based on the DSM-V criteria for substance use disorder), the Opioid Risk Tool, the NIDA Quick Screen V1.0, and the Drug Abuse Screening Test (DAST-10). | |
The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a provider. This tool can be used to rate signs and symptoms of opiate withdrawal and for monitoring purposes, in both inpatient and outpatient settings. | |
The University of Rhode Island Change Assessment (URICA) is an example assessment of Readiness to Change. The questionnaire is designed to help providers improve services and features a listing of 32 items that describes how a person may feel when beginning therapy or otherwise approaching issues in their lives. | |
The Oklahoma Pain and Wellness Center has designed a suboxone/buprenorphine therapy progress report which features questions that ask patients: to describe how they are doing through questions oriented at addiction, mental and physical symptoms; whether they have used any alcohol or drugs since their last visit; any life changes, triggers or stressors they have recently experienced; their work and schooling status; their involvement in differing support groups; and whether they feel that they need a change in their suboxone/buprenorphine doses. |
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