For Providers

Nicotine Use Disorder

• Treating Tobacco Use and Dependence, 2008 Update: Clinical Practice Guideline
  A comprehensive document, this guideline contains evidence-based strategies and recommendations designed to assist clinicians, tobacco dependence treatment specialists, and others in delivering and supporting effective treatments for tobacco use and dependence.
• Help for Smokers and Other Tobacco Users
  Available in both English and Spanish, this booklet is a companion of the Treating Tobacco Use and Dependence: 2008 Update Clinical Practice Guideline. It is written in an easy-to-understand format and includes educational and motivational messages and resources to help patients/consumers quit smoking.
• Quick Reference Guide for Clinicians
  This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline, in particular, the guideline strategies for providing appropriate treatments for every patient.
• Helping Smokers Quit: A Guide for Clinicians
  This pocket guide outlines the 5 A’s (Ask, Advise, Assess, Assist, Arrange) that clinicians can employ to encourage patients to quit tobacco use.
• Tips From Former Smokers® campaign materials for healthcare settings
  Free materials from the CDC’s Tips from Former Smokers campaign. Includes handouts, posters, and videos that can be shared with patients.
• Clinicians can order free notepads or download and print single pages
  • 1-800-QUIT-NOW notepads

Alcohol Use Disorder

• Using Alcohol Screening and Brief Intervention to Address Patients' Risky Drinking
  Outlines how to integrate alcohol screening and brief intervention (aSBI) into your practice in three steps: establishing a workflow, incorporating aSBI prompts into your EHR system, and ensuring appropriate coding to receive payment.
• Underage college drinking guide for clinicians
  Guide from the National Institute on Alcohol Abuse and Alcoholism that provides information about potential interventions to address harmful and underage college student drinking.
• NCQA Unhealthy Alcohol Use Screening and Follow-Up
  Describes the Unhealthy Alcohol Use Screening and Follow-Up rates reported on the Healthcare Effectiveness Data and Information Set (HEDIS) and why these measures are important in clinical practice.

Opioid & Other Substance Use Disorder

• Elimination of the X Waiver
  Effective immediately, all clinicians with valid DEA registration to prescribe Schedule III medications can now use buprenorphine to treat OUD without patient panel size limits and in person or via telehealth. A one-time, 8-hour training on OUD and other SUD prevention and treatment for all DEA registrants is required by June 21, 2023.
• Quick Start Guide
  Includes protocols and forms to facilitate rapid incorporation of buprenorphine OBOT into primary care practices.
• Substance Use Clinician Warmline
  The HRSA-supported Substance Use Warmline provides clinician-to-clinician consultation (via phone or online), assisting primary care clinicians and health center staff in addressing the issues related to treating SUD, chronic pain, and behavioral health.
• Provider Clinical Support Services (PCSS)
  This SAMHSA-sponsored service provides a comprehensive set of resources, trainings, and tools on opioid treatment, including pain management. PCSS also provides access to coaching and mentoring services and offers buprenorphine waiver training for clinicians (physicians, nurse practitioners, and physician assistants).
• SAMHSA TIP 63: Medications for Opioid Use Disorder
  A comprehensive review with practical information, tools, and resources on screening, assessment of appropriate level of care, MOUD with dosing guidelines, behavioral health therapy, and peer supports.
• Overdose Education and Naloxone Distribution Resource
  Order up to 108 boxes (two doses per box) of naloxone per month, conveniently shipped to your practice for FREE through this UT Health San Antonio School of Nursing sponsored website. Access free opioid overdose and naloxone distribution trainings and additional resources.
• CDC Guideline for Prescribing Opioids for Chronic Pain
  Resources and materials for health professionals prescribing opioid pain medication for patients 18 and older in primary care settings.

Implementing Practice Change

Implementation modules

• Incorporating Alcohol Screening and Brief Intervention Into Practice
  Learn to integrate alcohol screening and brief intervention seamlessly into your practice’s current workflow, keeping physicians’ and practice team members’ work to a minimum.
• Medication Treatment Models of Care for OUD in Primary Care Settings
  This technical brief from AHRQ is a go-to resource for MOUD models of care delivery in primary care, including the Massachusetts nurse care manager model and the Vermont hub-and-spoke model.
• SBIRT (Screening, Brief Intervention, Referral to Treatment) Oregon
  This website presents information and tools for primary care clinics to overcome common perceived barriers using a team-based approach to implementing SBIRT.
• Implementing MOUD in Rural Primary Care Practices
  This document from AHRQ summarizes tools and resources for implementing MOUD in a rural primary care setting.

Toolkits

• Tobacco Cessation Tools & Resources
  This is an AAFP collection of toolkits, coding and payment information, and patient education materials to support patient care strategies for decreasing tobacco and nicotine use.
• SAMHSA Opioid Overdose Prevention Toolkit
  This toolkit offers strategies to health care providers, communities, and local government officials for developing practices and policies to help prevent and manage opioid-related overdoses and deaths.
• Practical Tools for Prescribing and Promoting Buprenorphine in Primary Care Settings
  This is the latest SAMHSA publication to provide an all-in-one toolkit for treating patients with opioid use disorder in the primary care practice.
• SBIRT & Medicare booklet
  This booklet gives the following information about Medicare and Medicaid coverage of SBIRT services:
  • Eligible providers
  • Covered SBIRT services
  • Documenting SBIRT services
  • Billing SBIRT services
  • Dually eligible Medicare-Medicaid beneficiaries
  • Resources
• UCSF SBIRT app
  Free application for incorporating SBIRT into clinical practice.