Post-Overdose Care in the
Screening for Opioid Use Disorder (OUD)
Interacting with patients who you suspect may have an opioid use disorder (OUD) can be stressful to both the clinician and the patient. Using an evidence based, standardized approach can help optimize care, avoid emotional confrontations, and reduce stigma.
Screening Tools for Evaluation of Acute and Chronic Pain
- A comprehensive history, physical, and psychological examination performed during a chronic pain patient’s initial assessment is vitally important and will guide the proper diagnosis and treatment plan. Find information on commonly used pain, disability, emotional, and global scales.
- A brief assessment scale that includes measurement of pain-related functioning. The score is best used to track an individual’s changes over time. The initiation of therapy should result in the individual’s score decreasing over time.
- Please note: The CDC states that a 30% improvement from baseline represents clinically meaningful change in PEG score. A 30% improvement may not be meaningful for all patients, providers should determine improvement thresholds depending on the individual.
- A simple and rapid instrument for measuring the impact that pain has on the ability of a person to participate in essential life activities. This can be used to evaluate patients initially to monitor them over time and to judge the effectiveness of interventions.
Screening Tools for Substance Use and Opioid Use Disorders
General Drug and Alcohol Risk Screening Tools
- Access the AUDIT, a simple, 10 question method of screening for excessive drinking and alcohol use disorders.
- Or use the AUDIT-C, a modified 3-item or the 10 question AUDIT instrument.
- This instrument is used to assess primary care patients for tobacco, alcohol, prescription drug, and illicit substance use and problems related to their use, and is available for self-administration and interviewer-administration to detect substance use, sub-threshold substance use disorder (i.e., at-risk, harmful, or hazardous use), and substance use disorders.
Opioid-Specific Risk Assessments
- A brief, self-report screening tool designed for use with adult patients in primary care settings to assess risk for opioid abuse before and after patients are initiated on opioids for treatment of chronic pain.
- A brief, 17-item patient self-assessment to monitor chronic pain patients on opioid therapy and to determine if patients already on long-term opioid treatment are exhibiting aberrant medication-related behaviors.
Assessment Tools for Co-morbid Mood Disorders