Universal Screening
FPQC recommends using one of the following validated screening tools:
- NIDA Quick Screen: Three question online tool. Validated in patients ≥18 years old.
- 5P’s Screening Tool & Follow-up Questions: Designed specifically for pregnant women, this tool asks about substance use by women’s parents, peers, partner, during pregnancy, and in her past.
- CRAFFT: This provider guide for the CRAFFT (a mnemonic acronym for the first letters of key words in the six questions) screening tool offers information on how to use the screen. The CRAFFT is specifically for use with patients under 21 years of age.
References:
- AIM Opioid Screening Tool Chart: A comparison of 11 screening tools with description, pros and cons, sensitivity/specificity developed by Alliance for Innovation for Maternal Health
- Accuracy of Three Screening Tools for Prenatal Substance Use: This article assesses the accuracy of 4P’s Plus, NIDA Quick Screen-ASSIST (Modified Alcohol, Smoking and Substance Involvement Screening Test), and the SURP-P (Substance Use Risk Profile-Pregnancy) screening tools.
- AIM Screening Slides: Discusses SBIRT. Weighs benefits and disadvantages of the following screening tools: 4Ps Plus, Integrated 5P’s, Substance Use Risk Profile – Pregnancy (SURP-P), NIDA Quick Screen, CRAFFT). Also covers Brief Interventions (including motivational interviewing), and Referral to Treatment (MAT, residential treatment, other ambulatory services). Includes state-specific referral resources.
Secondary Screening
References:
- Opioid Addiction with Medical Co-Morbidities: From Providers Clinical Support System (PCSS). Encourages treatment for substance use to reduce HCV and HIV risk. Discusses how individuals with chronic pain can avoid non-prescribed opioid use through MAT.
- Opioid Addiction with Psychiatric Co-Morbidities: (PCSS). Brief, print-friendly document discussing how adults with mental illness are at higher risk for concomitant drug use.
- ACOG Committee Opinion No. 757: Screening for Perinatal Depression: ACOG. Consensus opinion stating obstetric care providers should screen pregnant women for anxiety and depression.
Screening tools:
Brief Intervention
Safe Discharge
Staff Education Modules
- Safe Plans of Care with Erin Hough
- Supporting Safe Plans of Care with Dixie Morgese
(PDFs can be downloaded here.)
Comprehensive Discharge Planning
POSC templates
FPQC is working to create a single-PDF document for our newly launched Community Provider Screening and Resources Folder/Binder. Please check back in early 2022!
FPQC Mapping Tool for Services
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NAS
Trauma-Informed Care Staff Education Modules with Heather Howard
- Introduction to Trauma-Informed Care (18 min)
- Pregnancy and Trauma-Informed Care (15 min)
- Tips on Providing Trauma-Informed Care to Women with Substance Use Disorder (15 min)
PDFs can be downloaded here.
The Nature of Addiction
Staff Education Modules
Physical Addiction Part 1 (12 min) and Physical Addiction Part 2 (12 min) with Jason Hunt
Psychological Addiction with Jason Hunt (24 min)
Treatment Options for Pregnant Women with Substance Use Disorder with Jason Fields (24 min)
PDFs can be downloaded here.
Motivational Interviewing Staff Education Modules with Heather Flynn
- Introduction to MI and Evidence for its Use with Women with Substance Use Disorder (20 min)
- Tips on Using Motivational Interviewing in Women with Substance Use Disorder (27 min)
(PDFs can be downloaded here.)
Staff Education Modules:
NAS Signs with Brenda Bugbee (12 min)
Scoring Systems for NAS and Importance of Inter-rater Reliability with Karen Fugate (16 min)
Non-Pharmacologic Treatment Techniques with Denise Maguire (10 min)
Non-Pharmacologic Treatment Techniques Demonstrated with Diane Allen (12 min)
PDFs can be downloaded here.
Obstetric Considerations Staff Education Modules
(PDFs can be downloaded here.)
Compliance with Hospital Pain Management Prescribing Practices
Download the MORE Hospital Folder items: