Need to refer

Description: 
This study found that specialists and PCPs perceive the quality of their communications with each other differently regarding referral and consultations. Physicians who did not receive timely communications regarding referrals or consultation reported that it impacted their ability to provide high quality care. This highlights the importance of effective referral as a clinical skill, and the need to improve inter-profession communication between primary care physicians and specialists.
Source: 
Archives of Internal Medicine (Jan 10, 2011)
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CTI Referral Form for Substance Abuse Treatment

Description: 
Form3used for referral to substance abuse treatment or counseling.

This form is for use by a primary care provider to refer a patient for substance abuse treatment. It could also be used to refer the patient for counseling.

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Buprenorphine y el embarazo – que usted necesita saber (en Español)

Description: 
This patient handout sheet explains concerns and risks for buprenorphine treatment of patients who are or wish to become pregnant.

Suboxone y el embarazo – que usted necesita saber

Abusar la heroína o los analgésicos recetados mientras usted está embarazada es muy peligroso –
ambos para su propia salud y para la salud del bebé. La mejor acción que usted puede tomar es entrar
en un programa de tratamiento y dejar de consumir drogas.

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Unlikely Candidates for Office-Based Treatment

Description: 
This is a list of factors or issues that may make a certain patient unsuitable for office-based buprenorphine treatment.

Certain circumstances and/or issues can make a patient a less-than-ideal candidate for office-based buprenorphine treatment, including the following:

  • Multiple previous failed treatment attempts and relapses

  • No response to buprenorphine during past attempts

  • High level of physical dependence and the resulting risk for severe withdrawal

  • Dependence on high doses of benzodiazepines, alcohol, or other central nervous system depressants

  • Significant psychiatric comorbidity

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DSM-5 Criteria for Opioid Withdrawal

Description: 
Lists DSM-5 Criteria for Opioid Withdrawal

Opioid withdrawal occurs in opioid-dependent individuals who reduce or stop their opioid use or who take an opioid antagonist (precipitated withdrawal). Because of its high affinity but low activity at opioid receptors, buprenorphine can act as an antagonist in some patients.

DSM-5 Criteria for Opioid Withdrawal


A. Either of the following:

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DSM 5 Criteria for Opioid Withdrawal

Description: 
Lists the clinical criteria for opioid withdrawal.

DSM 5 Criteria for Opioid Withdrawal (APA, 2013)

A. Either of the following:

  1. cessation of (or reduction in) opioid use that has been heavy and prolonged (several weeks or longer)
  2. administration of an opioid antagonist after a period of opioid use

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Buprenorphine and Pregnancy -- What You Need to Know

Description: 
This patient handout sheet explains concerns and risks for buprenorphine treatment of patients who are or wish to become pregnant.

Buprenorphine and Pregnancy -- What You Need to Know

Abusing heroin or prescription painkillers while you are pregnant is very dangerous --both for your own health and for the health of the baby you are carrying. The best action you can take is to get into treatment and stop using drugs.

What happens if you are pregnant (or want to become pregnant) and want to start taking buprenorphine?

Methadone maintenance treatment and buprenorphine monotherapy are both appropriate choices for pregnant women with opioid use disorder.

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Listing of State Agencies and Organizations

Description: 
A listing of websites and other contact information for state agencies that regulate substance dependence treatment. Many provide resources to assist patients or physicians in identifying treatment providers.
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Common Side Effects of Buprenorphine

Description: 
Patient Handout

These Are The Common Side Effects of buprenorphine

Buprenorphine is safe to use for most patients. Some people do experience side effects, but most of buprenorphine's side effects are not dangerous --they're just unpleasant.

Common minor side effects include:
Nausea Sweating
Constipation Headache
Drowsiness Depression
Disturbed sleep

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