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Screening for Substance Misuse and Mental Health Conditions & Linkage to Services – Provider Resources

Provider-facing resources on screening tools to evaluate substance use disorder risk, actions to take for patients with a positive substance use disorder screen, and linkages to service for substance use disorders and /or co-occurring mental health disorders.

Screening Tools for Evaluation of Substance Use Disorder Risk (Self- and Provider-Administered)

DAST – 10, Drug Abuse Screening Test

  • This 10-item self-report instrument can be administered in approximately 5 minutes and provides a valid, quick index of drug abuse problems

CRAFFT

  • A well-validated behavioral health screening tool designed for children under the age of 21 to access for drug and alcohol use.

NIDA Quick Screen for Drug Use

  • NIDA Quick Screen and NIDA-modified ASSIST are appropriate scales for patients 18 or older. You may deliver it as an interview and record patient responses, or read the questions aloud and have the patient fill out responses on a written questionnaire.

NIDA Chart of Evidence-Based Screening Tools and Assessments for Adults and Adolescents

  • Find screening tools and assessment resources for patients based on substance type, patient age, and how tool is administered.

Evaluation for Acute Opioid Withdrawal

 

Clinical Opiate Withdrawal Scale

  • An 11-item scale administered by a clinician to help determine the stage or severity of opiate withdrawal and physical dependence

Objective Opioid Withdrawal Scale (OOWS) and Subjective Opiate Withdrawal Scale (SOWS)

  • Valid and reliable indicators of opioid withdrawal syndrome severity.

For more screening tools, visit the Assessment Tools for Pain & Related Conditions section of this toolkit.

 

Actions to Take With a Positive SUD Screen

 

Resources for Screening, Brief Intervention, and Referral to Treatment (SBIRT)

  • Visit this site to find a collection of SAMHSA’s SBIRT resources

SAMHSA: Behavioral Health Treatment Services Locator

  • Locate treatment facilities in the United States or U.S. Territories for substance abuse/addiction and/or mental health problems.

Consider Medication For Opioid Use Disorder

  • Find out more about medication for opioid use disorder (MOUD) from the MOUD section of this toolkit.

Linkage to Services

 

Licensed Provider Map

  • Use this interactive map to locate licensed providers in foster care, child care, health care, and substance use disorder care in the state of Michigan.

Michigan Opioid Health Home

  • The OHH will provide comprehensive care management and coordination services to Medicaid benificiaries with OUD.

MI Bridges

  • Connect patients to state and local resources for healthcare coverage, food assistance, child development & care, cash assistance, and state emergency relief.

SAMHSA: Finding quality treatment for substance use disorders / Spanish version

  • Learn about the three steps to accessing care and the five signs of quality treatment in English or Spanish.

    Washtenaw Health Initiative Opioid Project Treatment Resources

    • Use this website to locate local addiction therapists, medication-assisted treatment facilities, abstinence-based recovery facilities, 12-step programs, and other peer-support groups.

    Co-Occurrence of Mental Heath Disorders & Substance Use Disorders

     

    Please note: National surveys have found that about 50% of those who experience a mental illness during their lives will also experience a substance use disorder and vice versa (Ross & Peselow, 2012); (Kelly & Daley, 2013). It is recommended that patients with a co-occurrence of mental health and substance use disorders should receive further specialty medical and therapeutic treatment for both disorders at the same time.

    For 24/7, free and confidential support for people in distress, prevention and crisis resources, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or for the Crisis Text Line, text HOME to 741741.

    SAMHSA: Mental Health and Substance Use Disorders

    • Learn how mental illnesses are defined and about the coexistence of mental health and substance use disorders.

    NIH/NIDA: Common Comorbidities with Substance Use Disorders

    • Visit this site to learn about the connection between substance use disorders and mental illness.

    Dual Diagnosis

    • Access information on dual diagnoses –how common are they, symptoms, and how they are treated.

    NIH/NIDA: Research Report Series – Comorbidity: Addiction and Other Mental Illnesses

    • Review this 12-page handout to learn more about the comorbidity of addition and mental illnesses including examples of promising behavioral therapies for patients with comorbid conditions.

    Co-Occurring Disorders Treatment Guide

    • Mental illness and Substance Use Disorders can occur together, often times exacerbating each other; for this reason, integrated treatment is recommended.

    APA’s PTSD Assessment Instruments

    • Follow this link to find various interview and self-report assessments for PTSD

    Generalized anxiety scale (GAD) –GAD 7

    • Screening tool that identifies if a complete assessment for anxiety is recommended

    Patient Health Question (PHQ-9)

    • 9 item depression assessment to determine severity of depressive symptoms and indicate if a depressive disorder should be considered.

    Additional Resources

     

    CDC Module: Assessing and Addressing Opioid Use Disorder (training video)

    Patient/Provider handout describing the costs of prescription drug misuse

    • This one-page handout provides information on the impact of prescription drug misuse on communities and the economy along with three ways to help reduce misuse.

    Federal Resources for Rural Communities to Help Address Substance Use Disorder and Opioid Misuse

    • Access a list of federal resources for rural communities in addressing substance use disorder and opioid misuse.

    Opioid Overdose Crisis

    • Overview of the current opioid crisis including  statistics and related resources

    SAMHSA: Facts and Recommendations for States, Local, and Tribal Governments

    • This fact sheet provides information on what is means to take a public health approach to substance misuse and substance use disorders, what strategies can be implemented, and what state, local and tribal governments can do to help.

    For more information on linkages to service, tailored toward patients and families: