临床支持、工具和指南
CIAO 团队整理了这些资源，旨在为学术专家、初级保健提供者以及任何参与慢性疼痛患者护理和使用阿片类药物的人员提供支持。我们希望本页面能够帮助您找到有用的临床文献、指南和工具，以支持阿片类药物和慢性疼痛管理的临床决策和患者护理。
为医疗服务提供者提供临床支持
UCSF Substance Use Warmline: Free, confidential, peer-to-peer consultation from physicians, clinical pharmacists, and nurses with expertise in substance use evaluation and management for clinicians across the nation.
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Monday – Friday, 9 a.m. – 8 p.m. ET
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(855) 300-3595
California Substance Use Line: Staffed by experienced physicians and pharmacists who can answer confidential questions about substance use evaluation and management, including medications to treat opioid use disorder, the California Substance Use Line provides fast, reliable, patient-tailored guidance and resources to facilitate substance use prevention and treatment efforts for California-based clinicians.
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Open 24 hrs a day, 7 days a week
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(844) 326-2626
California Bridge: Develops hospitals and emergency rooms into primary access points for substance use disorder treatment. The program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.
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Resources page: CA Bridge lists a variety of resources related to substance use management, treatment, and care. Resources are included for clinicians, patients, and substance use navigators.
A patient-centered, rapid access approach to substance use disorders: Recommendations to help clinicians provide rapid, low-threshold, and patient-centered substance use disorder treatment.
医疗服务提供者临床工具（阿片类药物管理、减量和 MOUD）
Pain, Enjoyment, General activity (PEG) scale (pdf): A simple 3-question tool for addressing pain intensity and interference.
Opioid Management
Clinical Opioid Withdrawal Scale (COWS) (pdf): 11-item scale administered by a clinician to determine the stage and severity of opiate withdrawal.
Opioid risk tool: A brief, self-report screening tool designed to assess the risk of developing an opioid use disorder among patients being considered for or already receiving a prescription opioid for pain relief in primary care settings.
CDC Opioid Overdose Clinical Tools for Primary Care Providers: A set of clinical tools from the CDC to help primary care providers carry out the complex task of balancing pain management with the potential risks that prescription opioids pose.
Working With HIV Clinics to Adopt Addiction Treatments Using Implementation Facilitation (WHAT-IF?) Toolkit: Resources and websites for any HIV or primary care clinic seeking to integrate treatments for Tobacco, Alcohol, Opioid, and other substance use disorders into their clinical practice and care models.
MME Conversion Table: Tool for calculating milligram morphine equivalents (MME) for opioids.
GlobalRPH: Provides medical calculators and clinical resources to clinicians related to in drug therapy.
Transforming Opioid Prescribing in Primary Care (myTOPCARE): Resources for a novel system change in delivery of primary care services to decrease prescription opioid misuse for patients with chronic pain.
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Resources for prescribers for assessing risk and starting, continuing, and stopping opioids.
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Illicit Screening Test Cross-Reference Table for urine drug screening interpretation.
Opioid Tapering
Veteran's Health Administration: Opioid taper decision tool (pdf): Designed to assist primary care providers in determining if an opioid taper is necessary, in performing the taper, and in providing follow-up and support during the taper.
CDC Pocket Guide: Tapering Opioids for Chronic Pain (pdf)
Medications of Opioid Use Disorder
Buprenorphine home induction guides:
临床指南
CDC 慢性疼痛阿片类药物处方指南：截至 2022 年更新的 CDC 指南。
DEA：管制物质电子处方 (EPCS) ：（ 位于页面中间）。
SAMHSA：常见问题解答：在 COVID-19 紧急情况下提供美沙酮和丁丙诺啡（2020 年 4 月）（pdf）
有关怀孕和哺乳期间用药的信息和支持： 包括与怀孕和哺乳期间使用阿片类药物有关的重要资源，包括指向我们基于证据的情况说明书的链接。
加强药物过量预防的学术细节：组织实施指南： 本指南是与 NaRCAD 合作开发的，旨在帮助州和地方卫生部门、社区组织和其他项目实施者规划、实施和评估学术细节，以支持他们的过量预防工作。
阿片类药物管理（文档建议、管制物质协议、CSMP/PDMP 信息等）
Opioids for Chronic Pain: Documentation Template: A template and example of a medical chart for a clinician documenting their decision-making rationale when treating patients with chronic pain and who use opioids.
Example Epic SmartPhrase for Comprehensive Assessment of Chronic Pain Treated with Opioids
Controlled substance agreement templates
Drugabuse.gov: Includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other controlled substances.
Prescription Drug Monitoring Programs Evaluation: A Systematic Review of Reviews: A systematic review to describe and identify the methods and outcome measures used to evaluate PDMPs, and summarize existing evidence on outcomes and factors that influence PDMP success or benefit realization.
Controlled Substance Monitoring Programs (CSMP/PDMP)
California’s Controlled Substance Monitoring Program (CURES):
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(916) 210-3187
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Register here
Prescription Drug Monitoring Training and Technical Assistance Center: A comprehensive array of services, support, resources, and strategies to PDMPs, federal partners and other stakeholders to further the efforts and effectiveness of PDMPs.