Clinical Practice Guidance and Tools

Screening instruments

• AUDIT: alcohol screen (PDF)
• CRAFFT: youth substance screen (PDF)
• DAST (Drug Screening Questionnaire) (PDF)
• GAD-7: anxiety screen (PDF)
• Opioid Risk Tool (PDF)
• PHQ-2: depression screen (PDF)
• PHQ-9: depression screen (PDF)
• SOAPP: screener and opioid assessment in pain patients (PDF)
• TAPS (Tobacco, Alcohol, Prescription medications, and other Substance) (PDF)

Monitoring tools

• BAM (Brief Addiction Monitor) (PDF)
• COMM (Current Opioid Misuse Measure)

Standards, guidelines and best practices

• ASAM: Guideline on Alcohol Withdrawal Management
  American Society of Addiction Medicine guidelines on clinical decision making and management of patients experiencing alcohol withdrawal syndrome
• Dartmouth Health guidelines:
  • Anxiety Management in Adults in Primary Care: Clinician Guide (PDF)
  • Anxiety Management in Adults in Primary Care: Clinical Practice Guideline (PDF)
  • Behavioral Health Integration into Adult Primary Care Model Guideline (PDF)
  • Depression Management: Adult, Ambulatory Clinical Practice Guideline (PDF)
  • Primary Care Based Treatment of Opioid Use Disorder (PDF)
  • Unhealthy Alcohol and Drug Use Clinician Guide (PDF)
• Dartmouth Trauma Interventions Research Center resources:
  • Calming and De-escalation Strategies (PDF)
  • Childhood Trauma and Parental Substance Use (PDF)
  • Secondary Trauma, Burnout and Staff Resiliency (PDF)
• U.S. Health and Human Services Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics (PDF)
• IRETA: "You Have Options for Dealing with Alcohol Withdrawal"
  Institute for Research, Education and Training in Addictions details new alcohol withdrawal clinical guidelines
• New Hampshire DHHS, Bureau of Drug and Alcohol Services guidance on medication assisted treatment

Organizations providing clinical resources

Regional resources

• New England Institute of Addiction Studies
• Center on Rural Addiction (CORA), University of Vermont
• New Hampshire Board of Medicine
  Rules and resources relevant to prescribing of opioids, cannabis and other controlled substances
• New Hampshire Medical Society:
  • Opioid Prescribing Resources
    Prescribing information, resources and tools
  • Unhealthy Alcohol Use Resources

National resources

• The Academy: Integrating Behavioral Health and Primary Care, Agency for Healthcare Research and Quality (AHRQ)
• National Council on Mental Wellbeing
  State associations of addiction services
• NIDAMED
  National Institutes on Drug Abuse clinician website with extensive drug information and screening and intervention information and tools
• National Institute on Alcohol and Alcoholism:
  • Alcohol Treatment Navigator
    Advice for patients, friends and loved ones for treatment options and how to find treatment
  • Core resource on alcohol
• Providers' Clinical Support System for Opioid Therapies
• Information, education and practice support opioid prescribing for pain, including access to mentors and live advice
• SAMHSA, Medication and Counseling Treatment, Buprenorphine
• SAMHSA SBIRT
  Substance Abuse and Mental Health Services Administration Screening, Brief Intervention, and Referral to Treatment website with information and tools for screening and brief intervention and referral for substance treatment