Course 4: Assessing Risk for Opioid Substance Use Disorder
Last Reviewed: July 1, 2019
What You’ll Learn
- Integrate routine and universal formal risk assessment for substance use disorder when considering or using opioid therapy in people with serious illness
- Distinguish substance use disorder from the under-treatment of pain in people with serious illness
- Risk stratify for substance use disorder management
What You’ll Earn
CAPC members can earn the following free continuing education credits:
- Case Management: 1.00 CE
- Licensed Professional Counselors: 1.00 CE
- Medicine: 1.00 CME, 1.00 ABIM MOC (Medical Knowledge Only)
- Nursing: 1.00 CNE, 0.80 Pharmacotherapy
- Social Work: 1.00 CE (NASW)
- Social Work: 1.00 CE (NYSED)
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Tools & Resources
Course 4: Patient Stories
Case examples used in the CAPC curriculum to illustrate pain management techniques.members login
Course 4 References: Assessing Risk for Opioid Substance Use Disorder
Course citations. Center to Advance Palliative Care, 2015.members login
Substance Use Disorder Specialists
Opioid treatment specialists by state, and resources for substance use disorder from the Substance Abuse and Mental Health Services Administration (SAMHSA).view
Sample Treatment Agreement/Informed Consent Form
Documentation of patient and clinician goals and expectations for safe and effective opioid treatment.members login
Sample protocol for managing constipation. Organizations can create similar protocols in collaboration with referring clinicians and pharmacists. Lee Health, 2013.download
Pain Management Glossary
Key terms related to pain and pain management. Center to Advance Palliative Care, 2015.download
Opioid Risk Tool (ORT)
Validated 5-question assessment tool designed to predict which patients are at risk for opioid substance use disorder.view
Substance Use Disorder. American Psychiatric Association 2013: DSM-V
The DSM-V lists 11 clinical criteria for substance use disorders of which two or more may be indicative of the disorder.view
Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN. Consultant, Center to Advance Palliative Care.
Jaime Goldberg, MSW, LCSW, ACHP-SW. PhD student, University of Wisconsin-Madison School of Social Work.
Philip Higgins, PhD, LICSW. President, Lighthouse Counseling of Salem, Inc.
Lynn Hill Spragens, MBA. Partner, Spragens & Gualtieri-Reed.
Jay R. Horton, PhD, ACHPN, FNP-BC, MPH, CENP. Director of Nursing Safety, Quality, and Performance Improvement Mount Sinai Hospital. Assistant Professor Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai.
Khadidjatou Kane, MD. Oncology Hospitalist, Assistant Professor of Hospital Medicine, Northwestern University Feinberg School of Medicine.
Lolita Melhado, MSN, ARNP, FNP-BC. Family Nurse Practitioner/Palliative Care, Gulf Coast Medical Center - Lee Memorial Health System.
Bridget Montana, MSN, APRN, FPCN, MBA. Hope HealthCare Services, Chief Operating Officer.
Colleen Mulkerin, MSW, LCSW. Director Palliative Care Consult Service, Hartford Hospital.
Drew Rosielle, MD, FAAHPM. Palliative Care, Fairview Health Services, University of Minnesota Medical School.
David Weissman, MD. President, Palliative Care Education, LLC.
Sherika S. Newman, DO. Hospice & Palliative Medicine, Family Medicine Piedmont Healthcare.*
Karl Bezak, MD. Clinical Assistant Professor of Medicine, Palliative Care and Medical Ethics, University of Pittsburg (UPMC).*
Sivan Ben-Moshe, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Sachin Kale, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Katie Wang, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
*indicates ABIM Peer Reviewer
Course 1: Comprehensive Pain Assessment
Conducting a comprehensive pain assessment to guide safe and effective treatment.
Course 2: Matching the Drug Class to the Pain
Selecting a safe and appropriate analgesic for patients with serious illness based on the pain asse…
Course 3: Patient Factors that Influence Prescribing Decisions
Patient and family factors that influence prescribing decisions for patients with serious illness.