Our resources have been developed by an interdisciplinary team based on published evidence and expert opinion.

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.

Toolkit Quick Links:

Access 24/7 provider support lines

Any provider seeking support for treating patients with MAT may utilize these Substance Use lines.

California Substance Use Hotline:
CA providers only, service of CA Poison Control System & National Clinician Consultation Center
24 hours a day, 7 days a week.
Focused on rapid access to advice for acute care bup starts
(844) 326-2626

National Clinician Consultation Center Substance Use Warmline
M-F 6am-5pm PT. Voicemail 24 hours a day, 7 days a week.
Specialty addiction medicine consultation
(855) 300-3595

Toolkit Quick Links:

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)

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

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

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 ...

Youth-Facing Signage

TEMPLATE: Signage to promote awareness of treatment availability for youth

Access 24/7 provider support lines

Any provider seeking support for treating patients with MAT may utilize these Substance Use lines.

California Substance Use Hotline:
CA providers only, service of CA Poison Control System & National Clinician Consultation Center
24 hours a day, 7 days a week.
Focused on rapid access to advice for acute care bup starts
(844) 326-2626

National Clinician Consultation Center Substance Use Warmline
M-F 6am-5pm PT. Voicemail 24 hours a day, 7 days a week.
Specialty addiction medicine consultation
(855) 300-3595