Clinical Resources

South Dakota Resource Hotline 1-800-920-4343

Addressing opioid use in the clinical setting is key. In this section, you'll find:

  • Screening tools to evaluate opioid use disorder (OUD)
  • Clinical and prescribing guidelines
  • Discharge instructions
  • Linkages to care for patients with OUD and/ore co-occuring mental health disorders
Pain Assessment & Treatment

Flowchart for Treating Chronic Pain
Designed especially for providers prescribing opiates to patients with chronic and acute pain.

Assessing Social Determinants of Health (SDOH)

SDOH Assessment
Inform treatment plans, improve patient care, and connect individuals with community resources.

Screening Tools

NIDA Quick Screen (PDF)
Identify risky substance use in adult patients.

SOAPP-R Assessment Tool (PDF)
Evaluate a patient’s relative risk for developing problems when placed on long-term opioid therapy.

COWS (PDF)
Determine a patient’s stage or severity of opiate withdrawal and assess the level of their physical dependence on opioids.

COMM (PDF)
Evaluate a patient’s relative risk for developing problems when placed on long-term opioid therapy.

Prescribing Guidelines & Naloxone Resources

Naloxone Co-Prescribing Guidelines (PDF)
Refer to these guidelines from Health & Human Services for information about prescribing and co-prescribing naloxone. 

Checklist for Prescribing Opiates for Chronic, Non-Cancer Pain (PDF)

South Dakota Naloxone Standing Order (PDF)
Review information about South Dakota’s standing order for naloxone, which allows pharmacies to dispense pre-packaged naloxone kits to anyone at risk of an opioid overdose.

7 Steps to Dispense Naloxone Under Statewide Standing Order
South Dakota pharmacies can dispense naloxone under the statewide standing order after meeting these educational and administrative requirements.

Acute Pain Guidelines
Recommendations from the Ad Hoc Committee on Pain Management and Prescription Drug Abuse

PDMP

Daily Dose Calculator

Click the link to use an opioid dosage calculator.

CDC (PDF)
Review the guidelines about safely prescribing a patient’s daily dose of opioids.

Reducing Stigma
  • When a patient presents to the ED requesting help for SUD, room them right away so they can have more privacy and do not have to sit in the waiting area.
  • Have nurses wear buttons or pins that say “Ask me if you need help with addiction.”
  • Have signage in the ED waiting and exam rooms that have similar messages as the buttons to convey a safe, accepting environment and that patients can ask for help.

The Power of Perceptions and Understanding: Changing How We Deliver Treatment and Recovery Services—Resource Guide (PDF)
A summary of research and approaches to reducing discriminatory practices in clinical settings.

Combating Stigma
Words matter. Learn about beneficial language to reduce stigma throughout treatment and recovery. 

The Power of Perceptions and Understanding: Changing How We Deliver Treatment and Recovery Services—Webcast
This four-part series covers the importance of using approaches that are free of discriminatory attitudes and behaviors when treating individuals with substance use disorders and related conditions, as well as patients in recovery.

Quality Improvement

Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain (PDF)
This resource offers primary care providers, practices, and healthcare systems a framework for managing patients who are on long-term opioid therapy.

Colorado ALTO Project, Quality Improvement Training Materials (PDF)
The Colorado ALTO Project Quality Improvement (QI) Toolkit provides information and resources to assist in the education and integration of Alternatives to Opioids into your organization.

Evidence-Based Literature

Journal Articles
Access peer-reviewed literature that addresses opioid use statistics as well as prevention, screening and treatment approaches.

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