{"id":1145,"date":"2024-11-12T14:32:12","date_gmt":"2024-11-12T19:32:12","guid":{"rendered":"https:\/\/injurycenter.umich.edu\/michigan-safer-opioid-prescribing-toolkit\/?page_id=1145"},"modified":"2026-05-12T14:08:26","modified_gmt":"2026-05-12T18:08:26","slug":"screening-for-oud","status":"publish","type":"page","link":"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/screening-for-oud\/","title":{"rendered":"Screening for Opioid Use Disorder (OUD)"},"content":{"rendered":"<div class=\"gb-container gb-container-1833a59d contained\">\n<h1 class=\"gb-headline gb-headline-e60f161f gb-headline-text\">Screening for Opioid Use Disorder (OUD)<\/h1>\n\n\n<p class=\"gb-headline gb-headline-b100a93d gb-headline-text\"><strong>The <\/strong><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2766873\"><strong>US Preventive Services Task Force<\/strong><\/a><strong> recommends that all patients receiving prescription opioids should be screened for substance use disorder (SUD) and OUD<\/strong>.<\/p>\n\n<\/div>\n\n<div class=\"gb-container gb-container-a407738c contained\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-fb39be51\">\n<div class=\"gb-grid-column gb-grid-column-dabb40ca\"><div class=\"gb-container gb-container-dabb40ca container-blue-outline\">\n\n<p class=\"wp-block-paragraph\"><strong>Screening for SUD &amp; OUD within a general clinical practice can:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Identify patients at risk for problem substance use<\/li>\n\n\n\n<li>Guide brief interventions and treatment recommendations<\/li>\n\n\n\n<li>Identify patients in need of treatment for a SUD<\/li>\n\n\n\n<li>Provide opportunities for prevention by reinforcing healthy behaviors<\/li>\n\n\n\n<li>Inform prescribing practices to avoid overdose and medication interactions<\/li>\n<\/ul>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-a34cffc2\"><div class=\"gb-container gb-container-a34cffc2 container-blue-outline\">\n\n<p class=\"wp-block-paragraph\"><strong>Screening for OUD can include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Checking the Prescription Drug Monitoring Program (PDMP, MAPS) report<\/li>\n\n\n\n<li>Interviewing the patient and including one of the screens listed below<\/li>\n\n\n\n<li>Urine drug screening to confirm the use of the prescribed opioid and detect other substances that might be of concern<\/li>\n<\/ul>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-92b40943\"><div class=\"gb-container gb-container-92b40943 container-blue-outline\">\n\n<p class=\"wp-block-paragraph\">Screening for OUD in clinical settings should be performed using <strong>validated screening tools<\/strong> followed by a formal diagnostic evaluation for patients with positive results.<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-065038b0 contained\">\n\n<h2 class=\"gb-headline gb-headline-4f06d6ec gb-headline-text\">Screening Tools and Approach<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Several validated instruments can identify patients at risk for OUD. <a href=\"https:\/\/nida.nih.gov\/nidamed-medical-health-professionals\/screening-tools-resources\/chart-screening-tools\">NIDA<\/a> offers an interactive chart that includes commonly used tools, and more tools are linked in the resources section of this page.<\/p>\n\n\n\n<h4 class=\"gb-headline gb-headline-74e544bd gb-headline-text type-loop-title\">Brief tools are most feasible in busy primary care settings.<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">These include:<\/p>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-42b58bef\">\n<div class=\"gb-grid-column gb-grid-column-c55864be\"><div class=\"gb-container gb-container-c55864be bg-gray rounded-block\">\n<div class=\"gb-container gb-container-62b5d277\">\n\n<h4 class=\"gb-headline gb-headline-af485a4b gb-headline-text type-loop-title\"><a href=\"https:\/\/nida.nih.gov\/nidamed-medical-health-professionals\/screening-tools-resources\/chart-screening-tools\">single-question screen<\/a><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?&#8221; (any answer \u22651 is positive, with 100% sensitivity and 73.5% specificity)<\/p>\n\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-5df40472\"><div class=\"gb-container gb-container-5df40472 bg-gray rounded-block\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-3e598664\">\n<div class=\"gb-grid-column gb-grid-column-be02b7e3\"><div class=\"gb-container gb-container-be02b7e3\">\n\n<figure class=\"gb-block-image gb-block-image-1a3f2fcd\"><img loading=\"lazy\" decoding=\"async\" width=\"699\" height=\"258\" class=\"gb-image gb-image-1a3f2fcd\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-screen.png\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-screen.png 699w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-screen-300x111.png 300w\" sizes=\"auto, (max-width: 699px) 100vw, 699px\" \/><\/figure>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-2d6beed3\"><div class=\"gb-container gb-container-2d6beed3\">\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/nida.nih.gov\/sites\/default\/files\/pdf\/nmassist.pdf\">NIDA Quick Screen<\/a>, which asks 4 questions about alcohol, tobacco, nonmedical prescription drug use, and illegal drugs<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-b1b06ca3\"><div class=\"gb-container gb-container-b1b06ca3 bg-gray rounded-block\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-a0f9d5cd\">\n<div class=\"gb-grid-column gb-grid-column-2eec02ab\"><div class=\"gb-container gb-container-2eec02ab\">\n\n<figure class=\"gb-block-image gb-block-image-5f4e1ac9\"><img loading=\"lazy\" decoding=\"async\" width=\"673\" height=\"444\" class=\"gb-image gb-image-5f4e1ac9\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-2.png\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-2.png 673w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-2-300x198.png 300w\" sizes=\"auto, (max-width: 673px) 100vw, 673px\" \/><\/figure>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-71fe30f2\"><div class=\"gb-container gb-container-71fe30f2\">\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/nida.nih.gov\/taps2\">TAPS<\/a> (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27595276\/\">Tobacco, Alcohol, Prescription Medication, and Other Substance Use<\/a>) tool is particularly useful when prescription opioid misuse is a concern (the interactive website gives providers resources and suggested actions for positive responses)<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4c5b1b21\"><div class=\"gb-container gb-container-4c5b1b21\">\n\n<figure class=\"gb-block-image gb-block-image-5da76443\"><img loading=\"lazy\" decoding=\"async\" width=\"983\" height=\"403\" class=\"gb-image gb-image-5da76443\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-1.png\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-1.png 983w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-1-300x123.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-1-768x315.png 768w\" sizes=\"auto, (max-width: 983px) 100vw, 983px\" \/><\/figure>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-bdbfaba0\"><div class=\"gb-container gb-container-bdbfaba0 bg-gray rounded-block\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-b9484493\">\n<div class=\"gb-grid-column gb-grid-column-10be6ae9\"><div class=\"gb-container gb-container-10be6ae9\">\n\n<figure class=\"gb-block-image gb-block-image-7bb23e2a\"><img loading=\"lazy\" decoding=\"async\" width=\"830\" height=\"691\" class=\"gb-image gb-image-7bb23e2a\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/opioid-wd-scale.png\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/opioid-wd-scale.png 830w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/opioid-wd-scale-300x250.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/opioid-wd-scale-768x639.png 768w\" sizes=\"auto, (max-width: 830px) 100vw, 830px\" \/><\/figure>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-f7fdceb9\"><div class=\"gb-container gb-container-f7fdceb9\">\n\n<h3 class=\"gb-headline gb-headline-546705e6 gb-headline-text type-loop-title\">Screening for opioid withdrawal<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It is also important to screen patients for <a href=\"https:\/\/www.asam.org\/docs\/default-source\/education-docs\/cows_induction_flow_sheet.pdf?sfvrsn=b577fc2_2\">opioid withdrawal<\/a>. This can be accomplished as part of the routine physical exam. If a patient is experiencing withdrawal, identifying the symptoms and discussing symptom control and treatment options can be useful in the conversation about management of OUD.<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-ed3833be contained\">\n\n<h2 class=\"gb-headline gb-headline-f1fec155 gb-headline-text\">Assessment and Evaluation After Positive Screening<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Not all patients with risky substance use or tolerance to opioids have a SUD. For this reason, patients with a positive screening result will require <strong>formal diagnostic assessment<\/strong> using <a href=\"https:\/\/www.cdc.gov\/overdose-prevention\/hcp\/clinical-care\/opioid-use-disorder-diagnosis.html\">DSM-5 criteria, which define OUD<\/a> based on at least 2 of 11 criteria within a 12-month period.&nbsp;<\/p>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-14424954\">\n<div class=\"gb-grid-column gb-grid-column-7f4693a5\"><div class=\"gb-container gb-container-7f4693a5 container-blue-outline\">\n\n<p class=\"wp-block-paragraph\">Primary Care Providers should consider consulting with an Addiction Medicine specialist and <a href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/linkage-to-services\/\">linking<\/a> the patient to specialized care for OUD. An approach to this is below:<\/p>\n\n\n<div class=\"gb-container gb-container-77ccf8c2 contained-top-btm-only\">\n<div class=\"gb-container gb-container-10b13032 the-accord gb-accordion\" data-accordion-multiple-open>\n<div class=\"gb-container gb-container-57cdcae2 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-3024eb70 gb-accordion__toggle type-loop-title\" id=\"gb-accordion-toggle-3024eb70\"><span class=\"gb-button-text\">Begin by asking permission to have a short discussion about the screening results.<\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-c81c6b42\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-c81c6b42\">\n\n<p class=\"wp-block-paragraph\">Clinicians should share the positive screen results along with their concerns without judgment to facilitate an honest discussion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example: <\/strong>\u201cThank you for answering those questions. I\u2019d like to share the screening results with you. Would that be ok with you?\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example:<\/strong> \u201cThe screening results indicated that you __________. I\u2019m here to help and would like to talk about this some more. Would that be ok with you?\u201d<\/p>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-82b89249 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-f224b7cd gb-accordion__toggle type-loop-title\" id=\"gb-accordion-toggle-f224b7cd\"><span class=\"gb-button-text\"><strong>Advise:<\/strong> Provide medical advice about the patient\u2019s medication misuse\/drug use.<\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-43a78dad\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-43a78dad\">\n\n<p class=\"wp-block-paragraph\">Explain that it is your role as a medical provider to convey health recommendations. Recommend quitting before problems (or more problems) develop. Give specific medical reasons that may be important to the individual patient.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example:<\/strong> \u201cBased on what I know about this medical condition, I have some concerns. Do you mind if we talk about that?\u201d<\/p>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-d45bf562 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-d62a4537 gb-accordion__toggle type-loop-title\" id=\"gb-accordion-toggle-d62a4537\"><span class=\"gb-button-text\"><strong>Assess:<\/strong> Assess the patient\u2019s readiness to quit.<\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-986397d0\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-986397d0\">\n\n<p class=\"wp-block-paragraph\">If the patient is unwilling to quit, raise awareness about opioid use\/drugs as a health problem. Let patients who are not ready know that you will revisit the issue at future visits and have resources available when they decide to pursue making a change. In the meantime, they can still receive medical care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example:<\/strong> \u201cGiven what we\u2019ve talked about, do you want to change your medication misuse\/drug use?\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example:<\/strong> \u201cOn a scale of 0-10, how likely are you to change your drug use?\u201d<\/p>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-7bf0ced6 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-e7655f76 gb-accordion__toggle type-loop-title\" id=\"gb-accordion-toggle-e7655f76\"><span class=\"gb-button-text\"><strong>Assist:<\/strong> If the patient is ready to quit, offer them support<\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-ead57212\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-ead57212\">\n\n<p class=\"wp-block-paragraph\">If the patient is ready to quit, reinforce current efforts and then assist the patient in their efforts to make changes that will help them reduce and\/or quit their drug use.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example:<\/strong> \u201cIt is great that you are ready to quit, this is a great step for your health\u201d<\/p>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-a6760e30 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-7a6d24db gb-accordion__toggle type-loop-title\" id=\"gb-accordion-toggle-7a6d24db\"><span class=\"gb-button-text\"><strong>Arrange:<\/strong> Link patients to services<\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" aria-hidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-a0f4b11d\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-a0f4b11d\">\n\n<p class=\"wp-block-paragraph\">You can link patients to services while reinforcing that you will partner with them to manage the situation.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example:<\/strong> \u201cI\u2019d like to share some organizations and resources that can help you as you quit. I will also be here to help you through this.\u201d<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-c217cea0\"><div class=\"gb-container gb-container-c217cea0\">\n<div class=\"gb-container gb-container-0f94c9a9 container-blue-outline\">\n\n<p class=\"wp-block-paragraph\"><strong>The comprehensive assessment should include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>History and physical examination focusing on withdrawal symptoms, chronic and acute pain, and prior experiences with substances<\/li>\n\n\n\n<li>Evaluation of psychiatric and medical comorbidities<\/li>\n\n\n\n<li>Urine drug testing to identify concurrent substance use and monitor adherence<\/li>\n\n\n\n<li>Review of prescription drug monitoring program (PDMP) data<\/li>\n\n\n\n<li>Assessment of social circumstances, including housing, legal issues, and family substance use<\/li>\n<\/ul>\n\n<\/div>\n\n<div class=\"gb-container gb-container-a508e6fd container-blue-outline\">\n\n<p class=\"wp-block-paragraph\">Patients with positive screens for OUD should receive compassionate care regardless of their readiness to discontinue use. Treatment options include <a href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/moud\/\">medications for OUD<\/a> (buprenorphine, methadone, naltrexone), harm reduction resources such as naloxone kits and safe use supplies, and referral to specialty care.<\/p>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-6d727dab contained\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-9a9c4dd3\">\n<div class=\"gb-grid-column gb-grid-column-798c88d6\"><div class=\"gb-container gb-container-798c88d6 rounded-block bg-gray\">\n\n<h2 class=\"gb-headline gb-headline-f84bd932 gb-headline-text\">Filters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting filters will auto-adjust the list.<\/p>\n\n\n<div class=\"facetwp-facet facetwp-facet-resource_type facetwp-type-checkboxes\" data-name=\"resource_type\" data-type=\"checkboxes\"><\/div>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-119e2de8\"><div class=\"gb-container gb-container-119e2de8\">\n<div class=\"facetwp-facet facetwp-facet-number_of_results facetwp-type-pager\" data-name=\"number_of_results\" data-type=\"pager\"><\/div>\n\n\n\n<p class=\"gb-headline gb-headline-fe5e361f gb-headline-text\">Type at least three characters, and the list will auto-filter.<\/p>\n\n\n<div class=\"facetwp-facet facetwp-facet-text_search facetwp-type-search\" data-name=\"text_search\" data-type=\"search\"><\/div>\n\n\n<div class=\"facetwp-facet facetwp-facet-audience facetwp-type-radio\" data-name=\"audience\" data-type=\"radio\"><\/div>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-a1afc7ae\">\n<div class=\"gb-grid-column gb-grid-column-2fc23986\"><div class=\"gb-container gb-container-2fc23986\">\n<div class=\"facetwp-selections\"><\/div>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4d3bcf68\"><div class=\"gb-container gb-container-4d3bcf68 reset-container\">\n<div class=\"facetwp-facet facetwp-facet-reset facetwp-type-reset\" data-name=\"reset\" data-type=\"reset\"><\/div>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-e0086e35\">\n<div class=\"gb-grid-column gb-grid-column-10e49984\"><div class=\"gb-container gb-container-10e49984\">\n\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-61663e47\"><div class=\"gb-container gb-container-61663e47 pager-col\">\n<div class=\"facetwp-facet facetwp-facet-pager_ facetwp-type-pager\" data-name=\"pager_\" data-type=\"pager\"><\/div>\n\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-4ac29783 facetwp-template gb-query-loop-wrapper\">\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2808 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"811\" height=\"1047\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/dast-10.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/dast-10.png 811w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/dast-10-232x300.png 232w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/dast-10-793x1024.png 793w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/dast-10-768x991.png 768w\" sizes=\"auto, (max-width: 811px) 100vw, 811px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.monash.edu\/__data\/assets\/pdf_file\/0015\/2333301\/OWLS-HCP-V.20-2020.pdf\">The OWLS, a Screening Tool for Measuring Prescription Opioid Use Disorder in Primary Care<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">A 10-item screening tool that screens for drug abuse during the past 12 months.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2809 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"1243\" height=\"1327\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/room.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/room.png 1243w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/room-281x300.png 281w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/room-959x1024.png 959w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/room-768x820.png 768w\" sizes=\"auto, (max-width: 1243px) 100vw, 1243px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.monash.edu\/medicine\/ehcs\/marc\/research\/completed\/room\">Routine Opioid Outcome Monitoring (ROOM) Tools<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">An expansion of the OWLS tool that identifies and measures outcomes with opioids, including domains such as pain, mood, opioid use, alcohol use, and constipation in a one-page screening tool.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2810 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"792\" height=\"1118\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/assist-st.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/assist-st.png 792w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/assist-st-213x300.png 213w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/assist-st-725x1024.png 725w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/assist-st-768x1084.png 768w\" sizes=\"auto, (max-width: 792px) 100vw, 792px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.sbirtoregon.org\/wp-content\/uploads\/Modified-ASSIST-English-pdf.pdf\">ASSIST Screening Tool<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">An 8-question screening tool that can be modified based on the substances being screened for, and can potentially reveal additional information about risk severity and comorbidities. Can be administered verbally by a health professional or self-administered electronically.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2812 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"2206\" height=\"1310\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/asam-engagement.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/asam-engagement.png 2206w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/asam-engagement-300x178.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/asam-engagement-1024x608.png 1024w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/asam-engagement-768x456.png 768w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/asam-engagement-1536x912.png 1536w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/asam-engagement-2048x1216.png 2048w\" sizes=\"auto, (max-width: 2206px) 100vw, 2206px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.asam.org\/quality-care\/clinical-recommendations\/asam-clinical-considerations-for-engagement-and-retention-of-non-abstinent-patients-in-treatment\">Engagement and Retention of Nonabstinent Patients in Substance Use Treatment: Clinical Consideration for Addiction Treatment Providers.<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">A clinical guide by the American Society of Addiction Medicine for providers and SUD treatment programs that highlights the complexities of patient nonabstinence during treatment, along with strategies that increase engagement, retention, and quality of care for nonabstinent patients.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2813 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"737\" height=\"958\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/vadod-guidelines.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/vadod-guidelines.png 737w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/vadod-guidelines-231x300.png 231w\" sizes=\"auto, (max-width: 737px) 100vw, 737px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.healthquality.va.gov\/guidelines\/Pain\/cot\/VADODOpioidsCPG.pdf\">VA\/DoD Clinical Practice Guideline for the Use of Opioids in the Management of Chronic Pain<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">A comprehensive guideline created by the Department of Veterans Affairs highlighting best practices for the use of opioids in chronic pain management.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2804 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-patient audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"817\" height=\"1057\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-sqs.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-sqs.png 817w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-sqs-232x300.png 232w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-sqs-791x1024.png 791w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-sqs-768x994.png 768w\" sizes=\"auto, (max-width: 817px) 100vw, 817px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/cde.nida.nih.gov\/system\/files\/SingleQuestion_SelfAdmin_v1.0_2013Nov18.pdf\">NIDA Single-Question Screening Tool for Drug Use<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">A single-question screening for drug use given to patient in a clinical setting, typically primary care.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2805 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"756\" height=\"1051\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-quickscreen.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-quickscreen.png 756w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-quickscreen-216x300.png 216w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nida-quickscreen-737x1024.png 737w\" sizes=\"auto, (max-width: 756px) 100vw, 756px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/nida.nih.gov\/sites\/default\/files\/pdf\/nmassist.pdf\">NIDA Quick Screening Tool for Substance Use<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">A substance use risk screening comprised of 4 questions about alcohol, tobacco, non-medical prescription drug use, and illegal drugs for providers to ask their patients in clinical settings.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2806 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"1004\" height=\"1173\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-tool.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-tool.png 1004w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-tool-257x300.png 257w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-tool-876x1024.png 876w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/taps-tool-768x897.png 768w\" sizes=\"auto, (max-width: 1004px) 100vw, 1004px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/nida.nih.gov\/taps2\">TAPS (Tobacco, Alcohol, Prescription Medication, and Other Substance Use)  Screening Tool<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">A combined screening and assessment tool that starts with a series of questions screening for frequency of substance use in the past 12 months, followed by a brief assessment of past 3 months problem use for those who screen positive.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2807 resource type-resource status-publish has-post-thumbnail hentry category-screening-assessment audience-provider resource-type-screening-and-assessment-tool\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"968\" height=\"1316\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/owls-validation.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/owls-validation.png 968w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/owls-validation-221x300.png 221w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/owls-validation-753x1024.png 753w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/owls-validation-768x1044.png 768w\" sizes=\"auto, (max-width: 968px) 100vw, 968px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32869062\/\">Validation of the OWLS, a Screening Tool for Measuring Prescription Opioid Use Disorder in Primary Care<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">Overview and validation of The OWLS, a screening tool for prescription opioid use disorder designed for use in primary care that measures 4 characteristics with prescribed opioid use: Overuse, Worry, Losing interest, and Sluggish\/slowed down\/sedated. Picco L, Middleton M, Bruno R, Kowalski M, Nielsen S. Validation of the OWLS, a Screening Tool for Measuring Prescription &#8230; <a title=\"Validation of the OWLS, a Screening Tool for Measuring Prescription Opioid Use Disorder in Primary Care\" class=\"read-more\" href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/resource\/validation-of-the-owls-a-screening-tool-for-measuring-prescription-opioid-use-disorder-in-primary-care\/\" aria-label=\"Read more about Validation of the OWLS, a Screening Tool for Measuring Prescription Opioid Use Disorder in Primary Care\">Read more<\/a><\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-screening-assessment\">Screening &amp; Assessment<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"gb-container gb-container-63b9b32e contained\">\n<div class=\"facetwp-facet facetwp-facet-pager_ facetwp-type-pager\" data-name=\"pager_\" data-type=\"pager\"><\/div>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Screening for Opioid Use Disorder (OUD) The US Preventive Services Task Force recommends that all patients receiving prescription opioids should be screened for substance use disorder (SUD) and OUD. Screening Tools and Approach Several validated instruments can identify patients at risk for OUD. NIDA offers an interactive chart that includes commonly used tools, and more &#8230; <a title=\"Screening for Opioid Use Disorder (OUD)\" class=\"read-more\" href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/screening-for-oud\/\" aria-label=\"Read more about Screening for Opioid Use Disorder (OUD)\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"1","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"focus-area":[],"class_list":["post-1145","page","type-page","status-publish"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Screening for Opioid Use Disorder (OUD) - Safer Prescribing Toolkit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/screening-for-oud\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Screening for Opioid Use Disorder (OUD) - Safer Prescribing Toolkit\" \/>\n<meta property=\"og:description\" content=\"Screening for Opioid Use Disorder (OUD) The US Preventive Services Task Force recommends that all patients receiving prescription opioids should be screened for substance use disorder (SUD) and OUD. Screening Tools and Approach Several validated instruments can identify patients at risk for OUD. NIDA offers an interactive chart that includes commonly used tools, and more ... 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