- Next Steps: Get Started Prescribing Buprenorphine!
- How to Assess and Treat Patients with Comorbid Health Issues
- How to Conduct Buprenorphine Induction
- How to Establish and Manage a Buprenorphine Practice
- How to Manage Challenging Patients
- Talking to Patients About Substance Use and Other Sensitive Issues
- The Physician's Role in Preventing Abuse and Diversion
- Identifying Abuse and Diversion
- Preventing Abuse and Diversion
- Taking Action when Abuse or Diversion is Suspected
- Using a Patient Contract During Buprenorphine Treatment
- Dealing with Negative or Disruptive Behaviors of Opioid Dependent Patients
- Taking Action when a Patient Violates the Patient Contract
- Patient Management Issues Specific to Rural Practices
- How to Comply with Rules, Regulations, and Recordkeeping
- How to Understand Insurance and Billing Issues
- How to Screen for Substance Abuse
- How to Refer Patients to an Addiction Specialist
- Review: What is Buprenorphine?
Discussing rules and expectations is an important step when starting a patient on buprenorphine treatment. Some providers choose to use a printed patient contract that clearly spells out the rules and terms of treatment. Such a document protects both the patient and the provider; it explains privacy and confidentiality and outlines the patient's responsibilities in treatment, as well as the consequences for breaking the rules of the contract.
When writing a patient contract, be sure to spell out the offenses that are allowable to some extent (e.g., a patient who misses one appointment can continue in treatment) and those that are not allowable (e.g., a patient who steals from or vandalizes the office will be discharged from treatment).
Patient contract that can be used to set expectations and guidelines before beginning buprenorphine treatment.
Substance Abuse and Mental Health Services Administration (SAMHSA)