TOOLS REPOSITORY

Assessment Tools and Screeners

Item Description
ACE Adverse Childhood Experiences
ASQ – Ask Suicide-Screening Questions National Institute of Mental Health tool to help clinicians identify youth at risk for suicide.
BPI The Brief Pain Inventory
CAGE Cut Down, Annoyed, Guilty, and Eye-Opener. A screening tool to test for problem drinking. The acronym is made up of the tool’s four questions. The tool takes less than one minute to administer. Note the CAGE-AID is the CAGE tool adapted to include drugs. Differences between the two are explained here.
COMM The Current Opioid Misuse Measure
CRAFFT Adolescent substance use screener (validated in pediatric/adolescent populations)
CTQ Childhood Trauma Questionnaire
CUDIT-R The Cannabis Use Disorder Identification Test
DAST Drug Abuse Screening Test
DERS Difficulties in Emotion Regulation Scale
DIRE Diagnosis, Intractabilityd Risk, Efficacy score
GAD-7 Generalized Anxiety Disorder 7-Item
Geriatric Assessment Geriatric Assessment
ORT-OUD A 9-question measure to classify a patient as high or low risk for misusing/abusing opioids prescribed for pain. A new modification of the original Opioid Risk Tool (ORT).
PACSLAC Pain Assessment Checklist for Seniors with Limited Ability to Communicate
PAINAD Pain Assessment in Advanced Dementia Scale
PCS Pain Catastrophizing Scale
PEG Pain intensity, Enjoyment of life, General Activity assessment. Derived from the Brief Pain Inventory
PHQ-2 The purpose of the PHQ-2 is to screen for depression in a “first-step” approach.
PHQ-9 The Patient Health Questionnaire is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
SF-36 Functional Assessment
SOAPP An assessment tool to help determine how much monitoring a patient on long-term opioid therapy might require There are four versions of SOAPP (with 5, 14, or 24 questions). If you suspect an issue, consider using the extended version. To achieve a shorter form, the sensitivity, specificity, and predictive value are lower than the full versions. Document which version of the tool selected.
5-question version: takes less than 5 minutes to complete

14-question version: takes about 8 minutes to complete

24-question version:  the original, takes about 10 minutes to complete

STORM Stratification Tool for Opioid Risk Mitigation. A suicide risk screening tool and safety initiative developed by the VA (more information)
TAPS Tobacco, Alcohol, Prescriptions Medication and Other Substances Tool
Tool Reviews NIDA chart comparing screening tools

Review of Pain Assessment  (for nonverbal, older adults)

From the FDA

Item Description
FDA Blueprint The FDA’s blueprint for education on opioid analgesic REMS
FDA Listing Product and prescribing information listing of all medications in the Opioid Analgesic REMS (searchable and filtered)
FDA Reporting Tool Form for reporting serious adverse events and medication errors
Patient Counseling Guide New patient counseling guide from the FDA

Patient Education and Counseling

Item Description
Informed Consent Sample Informed Consent and Agreement from the New Hampshire Medical Society
Patient Counseling Document In English
Patient Counseling Document In Spanish
CRAFFT Patient Provider Agreement

Referrals

Item Description
AAAP Find a specialist
ASAM Resource Locator
SAMSHA National Helpline
SAMHSA Locator For referrals and treatment centers

Video Resources

Item Description
Naloxone Administration Videos How to administer:

Nasal Spray

Auto-injector

Intramuscular Kit

Other Resources

Item Description
CDC Calculating Opioid Dosage  A guide to calculating total daily dose from the CDC
CDC Guideline The CDC publication to provide recommendations for the prescribing of opioid pain medication for patients 18 and older in primary care settings.
CIN Toolkit Strategies to Help Primary Care teams treat SUD
DEA Resource Guide, 2020 Edition A reliable resource on the most commonly abused and misused drugs in the U.S.
Equianalgesic Dose Calculator
Guide for Clinicians on Dose Reduction or Discontinuation of Long-Term Opioid Analgesics Published by the U.S. Department of Health and Human Services in September 2019
HHS Guide for Dose Reduction or Discontinuation of Long-term OA Published by the U.S. Department of Health and Human Services in October 2019
OUD Point of Care Tool Online version of the print reference guide published by the AANP (2022)
TIP 63 SAHMSHA Treatment Improvement Protocol