1. Provider Toolkit Products Key Points - single page bullet cards – Primary Care – Specialty Care Pocket Guide – Primary Care – Specialty Care – Pharmacotherapy Key Points - single page bullet cards – Primary Care – Specialty Care Pocket Guide – Primary Care – Specialty Care – Pharmacotherapy

2. Provider Toolkit Products Summary Guideline –key points, algorithm, abbreviated annotations Summary Guideline –key points, algorithm, abbreviated annotations

3. Specialty Care Pocket Guide Biopsychosocial assessment of SUD’s Motivational Enhancement Techniques Goals of Rehabilitation and Care Management Evidence-based psychosocial interventions Biopsychosocial assessment of SUD’s Motivational Enhancement Techniques Goals of Rehabilitation and Care Management Evidence-based psychosocial interventions

4. Specialty Care Pocket Guide Indications for pharmacotherapy Treatment of co-occurring disorders Continuing Care and discharge planning Indications for pharmacotherapy Treatment of co-occurring disorders Continuing Care and discharge planning

5. Pharmacotherapy Pocket Guide Simplified algorithm Agonist therapy for opioid dependence Naltrexone therapy for opioid dependence Pharmacotherapy for alcohol dependence – Naltrexone – Disulfiram Simplified algorithm Agonist therapy for opioid dependence Naltrexone therapy for opioid dependence Pharmacotherapy for alcohol dependence – Naltrexone – Disulfiram

6. www.oqp.med.va.gov/cpg/cpg.htm or www.cs.amedd.army.mil/Qmo/ or Ask your facility education point of contact

7. Specialty Care Key Points ASSESSMENT AND DIAGNOSIS Identify the patient's current problems, relevant history, and life context as a basis for the integrated summary and initial treatment plan. Identify patients with nicotine dependence for which cessation treatment may be effective. Identify the patient's current problems, relevant history, and life context as a basis for the integrated summary and initial treatment plan. Identify patients with nicotine dependence for which cessation treatment may be effective.

8. Specialty Care Key Points ASSESSMENT AND DIAGNOSIS Identify the patient who does not require specialty care and coordinate with primary care. Integrate and prioritize biopsychosocial assessment information as a basis for formulating the diagnosis and treatment recommendations. Identify the patient who does not require specialty care and coordinate with primary care. Integrate and prioritize biopsychosocial assessment information as a basis for formulating the diagnosis and treatment recommendations.

9. Specialty Care Key Points TREATMENT Ensure the patient is actively involved in the creation of a treatment plan. Determine, along with the patient, the most appropriate treatment approach. Clarify and/or promote patient commitment to change. Ensure the patient is actively involved in the creation of a treatment plan. Determine, along with the patient, the most appropriate treatment approach. Clarify and/or promote patient commitment to change.

10. Specialty Care Key Points TREATMENT Address barriers and promote patient readiness for rehabilitation goals. Identify the least restrictive level of initial treatment intensity that will safely help the patient achieve early remission and prevent relapse. Address barriers and promote patient readiness for rehabilitation goals. Identify the least restrictive level of initial treatment intensity that will safely help the patient achieve early remission and prevent relapse.

11. Specialty Care Key Points TREATMENT Facilitate access to treatment and promote a supportive recovery environment. Initiate addiction-focused psychosocial treatment Consider addiction-focused pharmacotherapy for all patients Facilitate access to treatment and promote a supportive recovery environment. Initiate addiction-focused psychosocial treatment Consider addiction-focused pharmacotherapy for all patients

12. Specialty Care Key Points TREATMENT Provide comprehensive individualized treatment to address co-morbid conditions. Maximize the patient's chances for achieving his/her rehabilitation goals by summarizing, simplifying, and solidifying the recovery plan. Provide comprehensive individualized treatment to address co-morbid conditions. Maximize the patient's chances for achieving his/her rehabilitation goals by summarizing, simplifying, and solidifying the recovery plan.

13. Specialty Care Key Points FOLLOW-UP Periodically reassess response to treatment, change in treatment goals, or other indications for change in the treatment plan. Provide appropriate continuity of care with primary medical or behavioral health care providers. Promote abstinence or reduced use. Periodically reassess response to treatment, change in treatment goals, or other indications for change in the treatment plan. Provide appropriate continuity of care with primary medical or behavioral health care providers. Promote abstinence or reduced use.