Education

Additional Resources for Practice Support

Resource Links

The resources listed below are meant to be a general guide to the materials available for primary care physicians and clinicians on addiction related topics. This list includes materials from the 2015 ASAM Fundamentals Live Course pre-course assignments as well as additional resources. All links will take you to external sites. ASAM does not own the resources and materials on this webpage unless noted.

We do our best keep up with web address changes and keep all resources as up to date as possible with recent developments in the field of addiction medicine. If you notice any problems, please email education@asam.org

 Overview

The National Institute on Drug Abuse (NIDA) and QuantiaMD partnered to create an Expert Practice Series on Addiction Medicine in Primary Care consisting of eight lectures. The following four have been selected to introduce course participants to several important aspects on the topic of addiction and substance use disorders. To view the complete list of videos in this series please visit the NIDA website.

Addiction as a Brain Disease: What Every PCP Should Know (Video: 10 min, 29 sec)

Presented by Nora D. Volkow, MD, Director of the National Institute on Drug Abuse, National Institutes of Health.

Drug and Alcohol Abuse: Detection and Intervention (Video: 11 min, 33 sec)

Presented by Richard Saitz, MD, MPH, FACP, FASAM, Professor of Medicine and Epidemiology, Boston University Schools of Medicine and Public Health.(Video based on DSM-IV)

Medications for the Treatment of Addictive Disorders (Video: 9 min, 1 sec)

Presented by Charles P. O’Brien, MD, PhD, Kenneth E. Appel Professor of Psychiatry, University of Pennsylvania Treatment Research Center.

Responsible Opioid Prescribing & Prescription Drug Abuse (Video: 7 min, 20 sec)

Presented by Scott M. Fishman, MD, Chief of the Division of Pain Medicine, Professor of Anesthesiology, University of California, Davis


 Neurobiology of Addiction

Dopamine and Addiction (Video: 4 min, 59 sec)

​Brainfacts.org. Learn how drugs affect the brain as told from the viewpoint of a dopamine-producing cell in the brain's reward center. A brief, entertaining video reinforcing the role of dopamine and the ventral tegmental area. 

Neuroscience of Psychoactive Substance Use and Dependence (Report, 264 pages)

World Health Organization. A comprehensive overview of the biological factors related to substance use and dependence summarizing important findings from the past 20-30 years.

Neurobiology of Addiction: A Reward Deficit, Stress Surfeit and Executive Function Disorder (Video: 49 min, 22 sec)

Alberta Family Wellness Initiative.  This presentation was delivered as part of the Recovery from Addiction (RFA) symposium, held in October 2012. Dr. Koob explains drug addiction as a complex disorder comprised of elements of impulse control and compulsive disorders.


 Screening & Assessment for Substance Use Disorders

RESOURCES AND INFORMATION

SBIRT Primary Care (Website)

Department of Family Medicine at Oregon Health and Science University. A site with video demonstrations of SBIRT, practice management tools and clinic workflow. 

Screening, Brief Intervention, and Referral to Treatment for Alcohol (Training Modules)

SECSAT (Southeastern Consortium for Substance Abuse Training). SECSAT produced a series of videos addressing  various scenarios and stages of alcohol brief interventions, brief interventions for drug use, pain management interviews, and nurse pre-screens.

Brief Intervention for Problem Drug Use in Safety-Net Primary Care Settings - A Randomized Clinical Trial (Article)

The Journal of the American Medical Association. The purpose of this study was to determine whether a brief intervention using motivational interviewing would reduce problem drug use in safety-net primary care patients and increase admission to specialist substance abuse treatment compared with enhanced care as usual.

Screening and Brief Intervention for Drug Use in Primary Care - The ASPIRE Randomized Clinical Trial (Article)

The Journal of the American Medical Association. The purpose of this study was to test the efficacy of 2 brief counseling interventions for unhealthy drug use (any illicit drug use or prescription drug misuse)—a brief negotiated interview (BNI) and an adaptation of motivational interviewing (MOTIV)—compared with no brief intervention.

The Alcohol Use Disorders Identification Test (AUDIT): Guidelines for Use in Primary Care (Manual, 41 pages, WHO 2001 2nd Edition)

World Health Organization, Department of Mental Health and Substance Dependence. The AUDIT was developed by the World Health Organization (WHO) as a simple method of screening for excessive drinking and to assist in brief assessment. 

NIAAA Clinician's Guide Online Training: Helping Patients Who Drink Too Much (Videos: 4 Total, 10 min each)

National Institute on Alcohol Abuse and Alcoholism. A program offering four interactive, 10-minute video cases featuring patients with varying levels of severity and readiness to change. 

Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients (Article, JAMA Pediatrics 2002, Vol 156, No. 6)

John R. Knight, MD; Lon Sherritt, MPH; Lydia A. Shrier, MD, MPH; Sion Kim Harris, PhD; Grace Chang, MD, MPH. A criterion standard validation study to determine the accuracy of the CRAFFT in screening adolescents for substance-related problems and disorders.

A Single-Question Screening Test for Drug Use in Primary Care (Article, JAMA Internal medicine 2010, Vol 170, No. 13)

Peter C. Smith, MD, MSc; Susan M. Schmidt, BA; Donald Allensworth-Davies, MSc; Richard Saitz, MD, MPH. A study to determine the accuracy of using a single screening question to identify drug use in primary care patients. 

Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide (Manual, 47 pages)

National Institute on Alcohol Abuse and Alcoholism (NIAAA). A simple, quick, empirically derived tool for identifying youth ages 9-18 year at risk for alcohol-related problems. Produced in collaboration with the American Academy of Pediatrics.


EXAMPLES OF SCREENING AND ASSESSMENT TOOLS


Alcohol Use Disorders Identification Test (AUDIT)

World Health Organization. ​A simple 10-question instrument to screen and identify people at risk of alcohol problems.

AUDIT-C

World Health Organization. A 3-item modified version of the AUDIT used to identify patients who are hazardous drinkers or have active alcohol use disorders.

CRAFFT Screening Tool 

The Center for Adolescent Substance Abuse Research. A 6-question behavioral health screening tool to screen adolescents for high risk alcohol and other drug use disorders simultaneously. Recommended by the American Academy of Pediatrics' Committee on Substance Abuse for use with adolescents under the age of 21.

NIDA Modified ASSIST Drug Use Screening Tool 

National Institute on Drug Abuse. A short screening tool to assess a patient's risk level based on a Substance Involvement (SI) score. 

Online Screening Tool: Alcohol Screening

Join Together (a project of The Partnership at DrugFree.org and Boston University School of Public Health). A short, confidential online screening tool which helps individuals assess their own alcohol consumption patterns to determine if their drinking is likely to be harming their health or increasing their risk for future harm.

Online Screening Tool: Drug Screening 

Join Together (a project of The Partnership at DrugFree.org and Boston University School of Public Health). A short, confidential online screening tool for individuals to assess likely risks of their drug use, and advice about when and where to seek more information, evaluation, and help.

Online Assessment Measures: Cross-Cutting Symptom Measures 

American Psychiatric Association (APA). Level 2- Substance Use- Adult; Adapted from the National Institute on Drug Abuse (NIDA) Modified ASSIST.  

SBIRT Clinical Tools

Department of Family Medicine at Oregon Health and Science University. Three SBIRT tools for primary care available for download: Readiness Ruler, Reference Sheet and Billing Reference Card.

 


  Motivational Interviewing

Empathy: The Human Connection to Patient Care (Video: 4 min, 23 sec)

Cleveland Clinic. An inspirational video about building a connection with patients that encompasses all aspects of healthcare- mind, body, and soul.

Motivational Interviewing: A Brief Introduction (Video: 17 min, 22 sec)

Presented by Bill Matulich, PhD, Clinical Psychologist, Member of the Motivational Interviewing Network of Trainers. A presentation discussing the basics of Motivational Interviewing.

Motivational Interviewing for Busy Clinicians (Video: 9 min, 59 sec)

Presented by Damara Gutnick, MD, Assistant Professor of Medicine & Psychiatry, NYU Langone Medical Center, Member of the Motivational Interviewing Network of Trainers. A personal story about Mr. Smith, a heavy smoker who was uninterested in quitting until the incorporation of Motivational Interviewing in his clinical encounters.

Can Listening Save Time? A Story from Dr. Ng Min Yin (Video: 7 min, 56 sec)

Presented by Stephen Rollnick, PhD and Fiona McMaster, PhD. A personal story that demonstrates the effectiveness of Motivational Interviewing.

Motivational Interviewing Network of Trainers (Website)

Motivational Interviewing Network of Trainers (MINT). A website dedicated to Motivational Interviewing including general information about the approach, as well as links, training resources, and information on reprints and recent research. 

Motivational Interviewing for Addictions: Increasing Importance in Motivational Interviewing (Video: 5 min, 35 sec)

Presented by Cathy Cole, LSCW. Learn how Motivation Interviewing is applied to working with addictions

 

Expert Practice Series: Addiction as a Brain Disease: What Every PCP Should Know

Presented by Nora D. Volkow, MD, Director of the National Institute on Drug Abuse, National Institutes of Health

 

 

Expert Practice Series: Drug and Alcohol Abuse: Detection and Intervention 

Presented by Richard Saltz, MD, MPH,FACP, FASAM, Professor of Medicine and Epidemiology, Boston University Schools of Medicine and Public Health.

 

  

Expert Practice Series: Medications for the Treatment of Addictive Disorders

Presented by Charles, P. O’Brian, MD, PhD, Kenneth E. Appel Professor of Psychiatry, University of Pennsylvania Treatment Research Center.

 

 

Expert Practice Series: Responsible Opioid Prescribing & Prescription Drug Abuse

Presented by Scott M. Fishman, MD, Chief of the Division of Pain Medicine, Professor of Anesthesiology, University of California, Davis

 

 

 

Expert Practice Series: Addiction as a Brain Disease: What Every PCP Should Know

Presented by Nora D. Volkow, MD, Director of the National Institute on Drug Abuse, National Institutes of Health

 

 

Expert Practice Series: Drug and Alcohol Abuse: Detection and Intervention 

Presented by Richard Saltz, MD, MPH,FACP, FASAM, Professor of Medicine and Epidemiology, Boston University Schools of Medicine and Public Health.

 

  

Expert Practice Series: Medications for the Treatment of Addictive Disorders

Presented by Charles, P. O’Brian, MD, PhD, Kenneth E. Appel Professor of Psychiatry, University of Pennsylvania Treatment Research Center.

 

 

Expert Practice Series: Responsible Opioid Prescribing & Prescription Drug Abuse

Presented by Scott M. Fishman, MD, Chief of the Division of Pain Medicine, Professor of Anesthesiology, University of California, Davis

 

 


 Diagnosis & Treatment Planning for Substance Use Disorders

Case Studies (Videos)

Safe and Competent Opioid Prescribing Education (SCOPE). Seven case studies on various aspects involved in using opioids as a treatment. Part of an extensive website. 

Diagnostic and Statistical Manual of Mental Disorders: DSM-5 Replaces DSM-IV(Article)

Boston University School of Medicine/Boston Medical Center, Clinical Addiction Research and Education Program (CARE). ​A summary of the changes made in the DSM-5 to the diagnostic criteria for substance-related disorders. 

Helping Patients Who Drink Too Much: A Clinicians Guide (Training Publication, 40 pages)

National Institute on Alcohol Abuse and Alcoholism (NIAAA).  A how-to guide for primary care and mental health clinicians on approaching alcohol screening and intervention. 2005 Edition.

Medications in the Treatment of Substance Use Disorders (Review Article)

Christina M. Delos Reyes. A 3 page article discussing the best practices for incorporating medication into primary addiction treatment settings as well as primary psychiatric treatment settings. 

Use of Pharmacotherapies in the Treatment of Alcohol Use Disorders and Opioid Dependence in Primary Care (Review Article)

Jinhee Lee, Thomas F. Kresina, Melinda Campopiano, Robert Lubran, and H. Westley Clark. A brief, but in-depth article that addresses screening, care and treatment, and relapse prevention in primary care patients with a focus on and discussion of each the pharmacotherapies available to treat alcohol and opioid use disorders.

Prescribe to Prevent (Website)

Prescribe to Prevent. Information for prescribing and dispensing naloxone rescue kits.