AUDIENCE: INTRODUCTORY
Fundamentals of Addiction Medicine
Learn the basics of addiction, which covers how to screen, diagnose, treat and/or refer patients with addiction.
About the Resources
Explore a collection of resources below that have been especially selected and compiled to meet the needs of healthcare providers new to treating patients with addiction. The collection includes resources on: Neurobiology of Addiction; Screening and Assessment; Diagnosis and Treatment Planning; and Motivational Interviewing. The resources are meant to be a general guide on addiction-related topics.
Neurobiology of Addiction
- Neurobiology of Addiction: A Reward Deficit, Stress Surfeit and Executive Function Disorder (Video: 49 min, 22 sec) Alberta Family Wellness Initiative. This presentation was delivered as part of the Recovery from Addiction (RFA) symposium, held in October 2012. Dr. Koob explains drug addiction as a complex disorder comprised of elements of impulse control and compulsive disorders.
Screening & Assessment
- AUDIT-C World Health Organization. A 3-item modified version of the AUDIT used to identify patients who are hazardous drinkers or have active alcohol use disorders.
- At-a-Glance Sample Workflow for Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) National Institute on Alcohol Abuse and Alcoholism This simplified model shows the general elements in an alcohol SBIRT workflow using an alcohol use disorder (AUD) symptom checklist as an assessment tool.
- CollegeAIM - the College Alcohol Intervention Matrix National Institute on Alcohol Abuse and Alcoholism This is an easy-to-use and comprehensive booklet and website to help schools identify effective alcohol interventions.
- Core Resource on Alcohol List of Resources National Institute on Alcohol Abuse and Alcoholism This webpage offers a comprehensive range of resources to aid professionals in caring for patients with alcohol use disorder.
- CRAFFT Screening Tool Boston Children’s Hospital. A 6-question behavioral health screening tool to screen adolescents for high risk alcohol and other drug use disorders simultaneously. Recommended by the American Academy of Pediatrics' Committee on Substance Abuse for use with adolescents under the age of 21.
- Implementing SBIRT (Screening, Brief Intervention and Referral to Treatment) in primary care: lessons learned from a multi-practice evaluation portfolio National Library of Medicine This publication offers practical insights for providers on implementing Screening, Brief Intervention, and Referral to Treatment (SBIRT) in primary care settings, leveraging its potential to identify patients at risk for substance-use disorders and mental health conditions early in their healthcare journey.
- Outcomes and lessons learned from an interprofessional student training program in Screening, Brief Intervention, and Referral to Treatment (SBIRT) at an academic health sciences center National Library of Medicine This puplication presents the outcomes and insights gained from an interprofessional student training initiative focused on Screening, Brief Intervention, and Referral to Treatment (SBIRT) within an academic health sciences center, aiming to equip future healthcare providers with the skills to effectively address substance use disorders and risky behaviors in clinical practice.
- NIDA Modified ASSIST Drug Use Screening Tool National Institute on Drug Abuse. A short screening tool to assess a patient's risk level based on a Substance Involvement (SI) score.
- NIAAA Publications on Alcohol's Effect on Health National Institute on Alcohol Abuse and Alcoholism This webpage offers a selection of publications detailing the impact of alcohol on health, available for order.
- Online Screening Tool: Alcohol Screening Join Together (a project of The Partnership at DrugFree.org and Boston University School of Public Health). A short, confidential online screening tool which helps individuals assess their own alcohol consumption patterns to determine if their drinking is likely to be harming their health or increasing their risk for future harm.
- Online Assessment Measures: Cross-Cutting Symptom Measures American Psychiatric Association (APA). Level 2- Substance Use- Adult; Adapted from the National Institute on Drug Abuse (NIDA) Modified ASSIST.
- SBIRT Clinical Tools Department of Family Medicine at Oregon Health and Science University. Three SBIRT tools for primary care available for download: Readiness Ruler, Reference Sheet and Billing Reference Card.
- SBIRT Primary Care (Website) Department of Family Medicine at Oregon Health and Science University. A site with video demonstrations of SBIRT, practice management tools and clinic workflow.
- Brief Intervention for Problem Drug Use in Safety-Net Primary Care Settings - A Randomized Clinical Trial (Article) The Journal of the American Medical Association. The purpose of this study was to determine whether a brief intervention using motivational interviewing would reduce problem drug use in safety-net primary care patients and increase admission to specialist substance abuse treatment compared with enhanced care as usual.
- Screening and Brief Intervention for Drug Use in Primary Care - The ASPIRE Randomized Clinical Trial (Article) The Journal of the American Medical Association. The purpose of this study was to test the efficacy of 2 brief counseling interventions for unhealthy drug use (any illicit drug use or prescription drug misuse)—a brief negotiated interview (BNI) and an adaptation of motivational interviewing (MOTIV)—compared with no brief intervention.
- Strategies to promote the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) in healthcare settings: a scoping review National Library of Medicine This publication examines strategies aimed at promoting the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) across various healthcare settings, highlighting the diversity of approaches used and their associated outcomes, with a focus on addressing the underutilization of SBIRT in practice.
- The Alcohol Use Disorders Identification Test (AUDIT): Guidelines for Use in Primary Care (Manual, 41 pages, WHO 2001 2nd Edition) World Health Organization, Department of Mental Health and Substance Dependence. The AUDIT was developed by the World Health Organization (WHO) as a simple method of screening for excessive drinking and to assist in brief assessment.
- Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients (Article, JAMA Pediatrics 2002, Vol 156, No. 6) John R. Knight, MD; Lon Sherritt, MPH; Lydia A. Shrier, MD, MPH; Sion Kim Harris, PhD; Grace Chang, MD, MPH. A criterion standard validation study to determine the accuracy of the CRAFFT in screening adolescents for substance-related problems and disorders.
- A Single-Question Screening Test for Drug Use in Primary Care (Article, JAMA Internal medicine 2010, Vol 170, No. 13) Peter C. Smith, MD, MSc; Susan M. Schmidt, BA; Donald Allensworth-Davies, MSc; Richard Saitz, MD, MPH. A study to determine the accuracy of using a single screening question to identify drug use in primary care patients.
- Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide(Manual, 47 pages) National Institute on Alcohol Abuse and Alcoholism (NIAAA). A simple, quick, empirically derived tool for identifying youth ages 9-18 year at risk for alcohol-related problems. Produced in collaboration with the American Academy of Pediatrics.
Diagnosis & Treatment Planning
- MAT Advocacy Center (Advocacy Toolkit) Legal Action Center. Guidelines and helpful documents for Medication-Assisted Treatment for patients.
- Benzodiazepines: How they work and how to withdraw, aka "The Ashton Manual" (Article) Newcastle University, The Institute of Neuroscience. A patient- and provider-centered resource to understand and taper benzodiazepines. This multi-chapter manual walks one through step-by-step for decreasing the use of benzodiazepines.
- Prescribe to Prevent (Website) Prescribe to Prevent. Information for prescribing and dispensing naloxone rescue kits.
- Lifesaving Naloxone (Website) Center for Disease Control and Prevention The webpate provides comprehensive insights into naloxone, encompassing its definition, usage instructions, and supplementary resources and instructional videos.
Motivational Interviewing
- Motivational Interviewing Workshop (Course) These 90-minute mini courses are great for those who've already taken the virtual workshop and want to brush up on their skills.
- Empathy: The Human Connection to Patient Care (Video: 4 min, 23 sec) Cleveland Clinic. An inspirational video about building a connection with patients that encompasses all aspects of healthcare- mind, body, and soul.
- Motivational Interviewing: A Brief IntroductionMotivational Interviewing: A Brief Introduction (Video: 17 min, 22 sec) Presented by Bill Matulich, PhD, Clinical Psychologist, Member of the Motivational Interviewing Network of Trainers. A presentation discussing the basics of Motivational Interviewing.
- Motivational Interviewing for Busy Clinicians (Video: 9 min, 59 sec) Presented by Damara Gutnick, MD, Assistant Professor of Medicine & Psychiatry, NYU Langone Medical Center, Member of the Motivational Interviewing Network of Trainers. A personal story about Mr. Smith, a heavy smoker who was uninterested in quitting until the incorporation of Motivational Interviewing in his clinical encounters.
- MI Skills - Tobacco Cessation - Ambivalent Client www.teachproject.ca This video shows various motivational interviewing skills with a client who is ambivalent.\
- Can Listening Save Time? A Story from Dr. Ng Min Yin (Video: 7 min, 56 sec) Presented by Stephen Rollnick, PhD and Fiona McMaster, PhD. A personal story that demonstrates the effectiveness of Motivational Interviewing.
- Motivational Interviewing Network of Trainers (Website) Motivational Interviewing Network of Trainers (MINT). A website dedicated to Motivational Interviewing including general information about the approach, as well as links, training resources, and information on reprints and recent research.
- Motivational Interviewing for Addictions: Increasing Importance in Motivational Interviewing (Video: 5 min, 35 sec) Presented by Cathy Cole, LSCW. Learn how Motivation Interviewing is applied to working with addictions
- Motivational Interviewing - Good Example (Video: 9 min, 23 sec) Presented by Alan Lyme, LISW, MACA Learn how to apply good examples of effective motivational interviewing.
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