However, they should never be used as a substitute for clinical judgement. Providers are responsible for assessing the unique circumstances and needs of each case. Adherence to these guidelines will not ensure successful treatment in every situation.
A Caring Culture in Healthcare
TOOL: Cultivating a caring culture in healthcare for people who use drugs
A Patient-Centered, Rapid Access Approach to Substance Use Disorder
GUIDE: Prioritize timely medication access, improve care effectiveness, and expand on a ‘low-threshold’ model
Acute Care Treatment of Alcohol Use Disorder
GUIDE: Guidance incorporating treatment for alcohol use disorder into emergency department and inpatient settings
Acute Pain Management in Emergency Department and Critical Care
PROTOCOL: Clinical acute pain management guide for EDs patients undergoing buprenorphine treatment for opioid use disorder
Acute Pain Management in Medical Surgical Units
PROTOCOL: Clinical acute pain management guides for MedSurg patients undergoing buprenorphine treatment for opioid use disorder
Alcohol Use Disorders Identification Test (AUDIT)
TOOL: The Alcohol Use Disorders Identification Test (AUDIT) is a 10-item screening tool to assess alcohol consumption, drinking behaviors, and alcohol-related problems
Blueprint for Hospital Opioid Use Disorder Treatment
TOOLKIT: Focuses on the implementation of hospital-based opioid use disorder treatment programs
Bup XR Sample Discharge Instructions
PATIENT MATERIALS: Sample discharge instructions to personalize, focus on extended release injectable buprenorphine
Buprenorphine and Pharmacy Frequently Asked Questions
FAQ: Pharmacy related questions on buprenorphine, prescribing, substance use navigators and prescription insurance questions
Buprenorphine Emergency Department Quick Start
PROTOCOL: Clinical guide for the treatment of acute withdrawal and opioid use disorder utilizing buprenorphine for ED-based starts
Buprenorphine Extended Release: What You Need to Know
PATIENT MATERIALS: For patients who are interested in extended release injectable buprenorphine
Buprenorphine Frequently Asked Questions
FAQ: Buprenorphine pharmacology and medications for opioid use disorder treatment
Buprenorphine Quick Start in Pregnancy
PROTOCOL: Clinical guide for pregnant patients with opioid use disorder in need of treatment in any setting
Buprenorphine Sample Discharge Instructions
PATIENT MATERIALS: Sample discharge instructions to personalize, focus on buprenorphine (also available in Spanish, Tagalog, Vietnamese, and traditional and simplified Chinese)
Buprenorphine Self-Start
PATIENT MATERIALS: Guidance for patients starting buprenorphine outside of hospitals or clinics (also available in Spanish, Tagalog, Vietnamese, and traditional and simplified Chinese)
Buprenorphine: What You Need to Know
PATIENT MATERIALS: Information for patients about buprenorphine and what to anticipate upon starting (also available in Spanish, Tagalog, Vietnamese, and traditional and simplified Chinese)
CA Bridge 100: Build Your Foundation
TOOL: This ‘quick start’ guide walks through exactly what you need to do to get going and start saving lives now.
CA Bridge 200: Grow Your Program
TOOL: Solidify the foundation of your program, smooth out processes, and build sustainability.
CA Bridge 300: Rise Above
TOOL: Take your site to the next level by addressing psychosocial factors.
California MAT Telehealth Providers
TOOL: MAT Telehealth providers in California
Care for Patients with Opioid Use Disorder Who Are in Custody
GUIDE: Evidence-based practices to treat patients in custody for opioid use disorder, opioid overdose, and opioid withdrawal
Caring for Youth with Substance Use Disorders
TOOL: Clinical guide for providers treating pediatric patients with substance use disorder, including considerations about consent
Clinical Considerations for Order Sets
GUIDE: Evidence-based sample order sets for prescribing buprenorphine in acute care settings
Clinical Opioid Withdrawal Score
TEMPLATE: Example Clinical Opioid Withdrawal Scale (COWS) for providers reference when identifying a patient in opioid withdrawal
Core Elements of Substance Use Disorder Treatment in Acute Care Settings
TOOL: The ideal model for providing care to people who use drugs in acute care settings
Culture of Care
NURSING RESOURCE: Nurse specific education addressing the culture of healthcare and people who use drugs
DATA 2000 X-Waiver for Buprenorphine Prescribing
GUIDE: Information on DATA 2000 X-waiver and buprenorphine prescribing
Decriminalization of Personal Use and Possession of Small Quantities of Drugs
PUBLIC POLICY POSITION: Policy statement advocating investing in public health strategies to address substance use disorder as a health issue.
Discharge Considerations for Nurses
NURSING RESOURCE: Key patient discharge topics to address for nurses who may not have a SUN on shift
Documentation Examples for Procedure Code G2213
SITE EXAMPLE: Example prescriber documentation for procedure code G2213
Drug Abuse Screening Test (DAST)
TOOL: Drug Abuse Screening Test (DAST-10) is a 10-item brief screening tool to assess drug use, excluding alcohol or tobacco use, in the past 12 months
Engagement of Emergency Medical Services
PROJECT: This is a collection of actionable EMS resources
Enhanced Care Practice: Precipitated Withdrawal 90-Minute Bundle
SITE EXAMPLE: Treatment guideline for the initial treatment of precipitated withdrawal
Epic Dot Phrases for Substance Use Navigators
CA BRIDGE – SITE EXAMPLE – Epic Dot Phrases for SUNs – December 2020 Download ...
Equity and Harm Reduction for Communities of Color
TOOL: Understanding the racist history of drug policy and advancing equity for communities of color
Example Order Sets
SITE EXAMPLE: Screenshots of example order sets used at Zuckerberg San Francisco General Hospital
Extended Release Buprenorphine
GUIDE: Provider focused information about extended release injectable buprenorphine
Fentanyl Frequently Asked Questions
FAQ: Treating patients with substance use disorder who use fentanyl
First Steps for Advancing Diversity, Equity, and Inclusion in Your Emergency Department
This resource helps providers and administrators in hospital emergency departments address diversity, equity, and inclusion at the departmental level.
Guide to Naloxone Distribution
GUIDE: How to apply for and set up a naloxone distribution program
Guide to Translated Patient Materials
Patient materials are available in Spanish, Tagalog, Vietnamese, Chinese (traditional), and Chinese (simplified)
Harm Reduction Kit
SITE EXAMPLE: Itemized inventory for harm reduction safe injection kits
Harm Reduction Sample Discharge Instructions
PATIENT MATERIALS: Sample discharge instructions to personalize, focus on harm reduction (also available in Spanish, Tagalog, Vietnamese, and traditional and simplified Chinese)
Harm Reduction Strategies for the Hospital Setting
GUIDE: How to incorporate harm reduction strategies into the hospital setting
Harm Reduction Supplies Order Set
SITE EXAMPLE: Screenshots of example harm reduction Epic order sets used at Montefiore Medical Center
Hiring a Substance Use Navigator
GUIDE: Information and guidance about hiring a substance use navigator
Hospital Education
TOOL: Flyer for promoting your OUD treatment program within your hospital
How to Apply to Get Your X Waiver
Step-by-step instructions on how to get your X Waiver certification
How to Use Naloxone to Reverse an Overdose
PATIENT MATERIALS: Information about naloxone, including instruction on administration (also available in Spanish, Tagalog, Vietnamese, and traditional and simplified Chinese)
How to Use Your New X-Waiver
TOOL: Education on starting and prescribing buprenorphine, buprenorphine FAQs, and provider resources
Insurance Details Related to the Treatment of Substance Use Disorder
GUIDE: Information about navigating insurance landscapes for substance use disorder treatment
MAT and Trauma-Informed Care in Pregnancy
FAQ: Information regarding MAT and trauma-informed care for pregnant patients
MAT Toolkit for Nurses
TOOLKIT: Nurse specific education focusing on emergency department-based MAT
Medication for Addiction Treatment Courses for CME Credit
GUIDE: Prioritize timely medication access, improve care effectiveness, and expand on a ‘low-threshold’ model
Medicines for Treating Opioid Use Disorder: What You Need to Know
PATIENT MATERIALS: Overview of medications used in MAT (also available in Spanish, Tagalog, Vietnamese, and traditional and simplified Chinese)
Methadone Hospital Quick Start
PROTOCOL: Clinical guide for methadone for opioid use disorder treatment in the acute care setting
Naloxone: What You Need to Know
PATIENT MATERIAL: Flyer to distribute post-overdose reversal with naloxone
Nurse Initiated Buprenorphine Hospital Quick Start
PROTOCOL: Nursing treatment protocol to be used in parallel with Bup Hospital Quick Start
Nurse Initiated Buprenorphine Sample Order Set
SITE EXAMPLE: Sample nursing order set for nurse initiated buprenorphine starts
Options for Post-Acute MAT Treatment
GUIDE: Information on community-based MAT treatment options
Options to Support Substance Use Navigators in Emergency Departments
REPORT: Different pathways for financial support for substance use navigators
Outpatient Treatment Options After Hospital MAT Initiation
REPORT: Ensure patients have ongoing treatment after hospital initiated MAT
Patient Intake Form
TOOL: Substance use navigators guide to conversations and collecting patient information; adapt to fit needs of hospital/community
Patient-Facing Flyer
TEMPLATE: Patient patient-facing flyers designed for general awareness and outreach within hospitals
Patient-Facing Signage
TEMPLATE: Signage for hospital waiting rooms and triage supports patient awareness of treatment availability
Police in the Emergency Department
TOOLKIT: Safeguard patients’ rights, comply with privacy laws, and navigate law enforcement interactions in ways that protect patients
Prevent & Treat Opioid Withdrawal in Your Baby
PATIENT MATERIALS: Postpartum care, focus on preventing and treating infant opioid withdrawal
Prevent Overdose With Fentanyl Test Strips
PATIENT MATERIALS: Education on how to use fentanyl test strips (also available in Spanish, Tagalog, Vietnamese, and traditional and simplified Chinese)
Quick Reference for Nurses
NURSING RESOURCE: High-level CA Bridge overview with key nursing assessment and intervention guidelines
Racial Disparities in Access to Medication for Addiction Treatment
REPORT: This paper addresses the question of whether racial disparities in access to buprenorphine exist in California
Rapid Implementation of Opioid Use Disorder Treatment in the Hospital Nationwide
TOOLKIT: Focuses on the nationwide implementation of hospital-based opioid use disorder treatment programs
Starting Buprenorphine After Finishing Withdrawal
PATIENT MATERIALS: For patients who completed active withdrawal and need buprenorphine treatment
Starting Buprenorphine Immediately after Reversal of Opioid Overdose
PROTOCOL: Clinical guide for administering buprenorphine following an overdose reversal using naloxone
Starting Buprenorphine with Microdosing and Cross Tapering
SITE EXAMPLE: Example treatment guidelines and considerations for buprenorphine microdosing and cross tapering
Statewide Solutions for Ending the Overdose Crisis
REPORT: This report addresses the importance of integrating our nation's emergency departments into the addiction treatment system
Substance Use and Possession Policy
SITE EXAMPLE: Example policy regarding a non-punitive approach to substance use and possession
Substance Use Disorder Treatment for Inpatients
PROJECT SUMMARY: Hospitalizations are an ideal opportunity to start effective medication treatment for addiction and ...
Substance Use Navigation at California Hospital
TOOL: Success stories of substance use navigation at California Hospital
Substance Use Navigation at Northern Inyo
TOOL: Success stories of substance use navigation at Northern Inyo Hospital
Substance Use Navigation at UC Davis
TOOL: Success stories of substance use navigation at UC Davis Medical Center
Substance Use Navigation Introduction Handout
TEMPLATE: Handout for SUNs to introduce self and program to various hospital units
Substance Use Navigation Toolkit
TOOLKIT: Comprehensive guide for anyone engaging patients with SUD in acute settings and connecting to ongoing outpatient care
Substance Use Navigator & Clinician Champion Collaboration
GUIDE: Create strong collaborations between clinical champions and substance use navigators
Substance Use Navigator Frequently Asked Questions
FAQ: Information about substance use navigators, and acute based MAT
Substance Use Navigator Job Description
TEMPLATE: Substance use navigator job description template, designed to be individualized to match hospital needs
Substance Use Navigators and Prescriptions
FAQ: Substance use navigators and prescriptions related to opioid use disorder treatment
Substance Use Treatment Consultation Hotlines
TOOL: Telephone support lines for providers seaking MAT guidance
Telehealth in California
GUIDE: Telehealth MAT services guidance for acute sites and bridge
Trauma-Informed Care for Opioid Use Disorder
TOOL: Integrate trauma-informed approaches in medication for opioid use disorder treatment.
Treatment of Substance Use Disorders in Association with COVID-19
GUIDE: How to support people who use drugs during the COVID-19 pandemic
Treatment Starts Here: Photos of Patient Facing Signage
SITE EXAMPLE: Photos of patient-facing signs in various healthcare settings
Welcome to Your Role as a Substance Use Navigator
Starting Your Role as a CA Bridge Navigator As a Navigator, you are stepping into ...
Words Matter
TOOL: Use non-stigmatizing language when talking with or about patients
Youth-Facing Signage
TEMPLATE: Signage to promote awareness of treatment availability for youth (also available in Spanish and Chinese (Taiwan))