Over the last two years, PCSS clinical experts have been working with local champions and multi-disciplinary teams in five states (New Hampshire, Pennsylvania, Virginia, North Carolina, and Maryland) on implementing evidence-based practices and overcoming barriers to medication assisted treatment (MAT) within their system. PCSS has provided access to lessons learned as well as trainings and resources that were shared with each of the participating clinical sites to help support their overall implementation. Please reference the information below to also make use in your practice.
- Business Plan for Medication Assisted Treatment (MAT)
- Clark et al., 2011, The Evidence Doesn’t Justify Steps By State Medicaid Programs To Restrict Opioid Addiction Treatment With Bup: compared spending, services and mortality of 33,923 MA Medicaid beneficiaries receiving bup, methadone, drug-free tx, or no tx (2003-2007). Bup was associated with more services but $1330 lower mean annual spending than methadone. Mortality rates were similar for bup and methadone, but mortality was 75% higher among those receiving drug-free tx and more than twice as high as those receiving no treatment.
- Haddad et al., 2014, Bup Maintenance Treatment Retention Improves Preventive Primary Care Screenings when Integrated into Urban FQHCs: examined quality health indicators (screenings for HCV, HIV, STIs, breast cancer, etc.) from 9 FQHC of 266 OUD patients initiating buprenorphine (2007-2008). Achieving greater than 80% (recommended) of QHIs was positively and independently associated with 3 month or greater bup retention and bup prescription by PCP rather than addiction psychiatrist.
- National Council for Behavioral Health Training: Financing Factors for Implementing Medication Assisted Treatment
Learn more about the PCSS Core Curriculum on Pain
Learn more about the PCSS Mentor Program
- Assessment: DSM-5 Worksheet Opioids and Alcohol (BMC-OBAT)
- The ASSIST Project Tool
- ATTC’s SBIRT Tool Kit
This toolkit is designed for practitioners and organizations who are using (or considering using) Screening, Brief Intervention & Referral to Treatment in a variety of settings.
- Instrument: TAPS Tool – This link is a good tool for alcohol, tobacco, and drug screening, very brief, and specifically developed for primary care settings.
- PCSS SBIRT Training Modules:
- SAMHSA Resources for Screening, Brief Intervention, and Referral to Treatment (SBIRT)
- “SBIRT Model” for primary care: The Addiction Professional’s Guide to Screening, Brief Intervention, Brief Intervention and Referral to Treatment (SBIRT)
- SBIRT Pocket card
- Systems-Level Implementation of Screening, Brief Intervention, and Referral to Treatment Tips 33
- What is SBIRT (Video)
- AUDIT C – Cards Male Norms (PDF)
- AUDIT C – Cards Female Norms (PDF)
- AUDIT C – Measuring and Scoring (PDF)
- The CAGE Questionnaire (More in depth screening)
- The Clinicians Screening Tool for Drug Use in General Medical Settings from the National Institute for Drug Abuse (NIDA)
This tool guides clinicians through a series of questions to identify risky substance use in their adult patients. At the end of the question and answer, it provides the clinician and patient with a list of information including: treatment options and vulnerabilities for the drug associated with the high score throughout the test. In addition, withdrawal symptoms to the particular drug and its symptoms when combined with alcohol are listed. At the end, the patient will be given a “substance involvement score – risk level” which will determine the next steps. (which include: 1) provide feedback on the screening results, 2) advise, assess and assist, 3) arrange referral, and 4) offering continuing support).
- Drug Abuse Screening Test (DAST)
- Guideline for Alcohol and Substance Use Screening, Brief Intervention, Referral to Treatment (SBIRT)
- Screening for Drug Use in General Medical Settings Resource Guide (NIDA)
Provides screening tools and procedures necessary to conduct screening, brief intervention, and/or treatment referral for patients who may have or may be at risk of developing a substance use disorder. Gives an introductory example which then leads into questions about the patients drug use. In addition, it gives sample templates at the end which hubs can reference as a guideline.
Learn more on the MAT Waiver Training page.