SUMMIT
Procedures for Medication-Assisted Treatment of Alcohol or Opioid Dependence in Primary Care
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Medical providers in primary care settings can play an important role in treating patients who have a substance use problem. FDA-approved medications are now available for primary care doctors in their offices to treat appropriate patients. The addition of these medications to a standard drug or alcohol counseling program or self-help program may improve outcomes over counseling or support alone. This guide is divided into three parts: Part I reviews the approach that primary care providers should take in discussing alcohol or opioid dependence with their patients. Part II is a step-by-step guide to treating alcohol-dependent patients with extended-release, injectable naltrexone in primary care settings. Part III is a reference guide for primary care practitioners administering buprenorphine/naloxone to patients with opioid dependence.
Table of Contents
Part I
Introduction to Medication-Assisted Treatment of Alcohol or Opioid Dependence in Primary Care
Part II
Administering Extended-Release, Injectable Naltrexone for Patients with Alcohol Dependence: A Step-by-Step Guide for Primary Care Practitioners
Section One
Quick Guide for Administering Extended-Release, Injectable Naltrexone
Section Two
Determining Patient Appropriateness for Treatment with Extended-Release, Injectable Naltrexone: Visit 1
Section Three
Administering Extended-Release, Injectable Naltrexone: Visit 1 or 2
Section Four
Assessing Treatment Progress and Adverse Events and Administering Medication, If Appropriate: Follow-Up Visits
Appendix A
Pre-Injection Checklist for Appropriateness for Extended-Release, Injectable Naltrexone
Appendix B
Introduction to the Risks of Extended-Release, Injectable Naltrexone Worksheet (English and Spanish Versions)
Appendix C
Step-By-Step Instructions for the Preparation and Injection of Extended Release, Injectable Naltrexone
Appendix D
Follow-Up Visit Pre-Injection Checklists
Appendix E
DSM-IV Alcohol Dependence Diagnosis Worksheet
Appendix F
CIWA-Ar Worksheet
Appendix G
Wallet Cards
Appendix H
Local Referral Resources
Part III
Administering Buprenorphine/Naloxone to Patients with Opioid Dependence: A Quick Reference Guide for Primary Care Practitioners
The research described in this report was sponsored by the National Institute on Drug Abuse and conducted by RAND Health.
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