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 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 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 Hospital Quick Start
PROTOCOL: Clinical guide for the treatment of acute withdrawal and opioid use disorder using buprenorphine in any setting
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
Buprenorphine: What You Need to Know
PATIENT MATERIALS: Information for patients about buprenorphine and what to anticipate upon starting
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
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
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
Gentle Buprenorphine Home Start
PATIENT MATERIALS: Buprenorphine home start for people with major medical issues or with lower opioid tolerance
Guide to Naloxone Distribution
GUIDE: How to apply for and set up a naloxone distribution program
Harm Reduction Sample Discharge Instructions
PATIENT MATERIALS: Sample discharge instructions to personalize, focus on harm reduction
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
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
Methadone Hospital Quick Start
PROTOCOL: Clinical guide for methadone for opioid use disorder treatment in the acute care setting
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 Signage
TEMPLATE: Signage for hospital waiting rooms and triage supports patient awareness of treatment availability
Prevent & Treat Opioid Withdrawal in Your Baby
PATIENT MATERIALS: Postpartum care, focus on preventing and treating infant opioid withdrawal
Quick Reference for Nurses
NURSING RESOURCE: High-level CA Bridge overview with key nursing assessment and intervention guidelines
Rapid Buprenorphine Home Start
PATIENT MATERIALS: Buprenorphine home start for people familiar with buprenorphine or who have a higher opioid tolerance
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
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
Welcome to Your Role as a Substance Use Navigator Starting Your Role as a ...