Information Resources for Treatment

Acute Pain Management - Meeting the Challenges: A VA Clinician's Guide

Provides information and recommendations on safe and effective methods for acute pain management for Veterans Health Administration (VHA) healthcare providers to promote safe opioid prescribing and decrease the number of veterans who develop opioid use disorder (OUD). Covers the Stepped Care model to manage acute pain including opioid use risks, opioid free and non-pharmacological approaches for pain management, and medication-assisted treatment (MAT).

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Alternative Pain Management and Treatment for Opioid Use Disorder – Federal Employees' Compensation Act Bulletin NO. 18-06

Announces a policy guiding the authorization of alternative, non-opioid pain management treatments and treatment for opioid use disorder (OUD) for federal workers receiving workers' compensation. Aims to reduce barriers to non-opioid pain treatment, such as alternative pain medication, cognitive behavioral therapy (CBT), physical therapy, transcutaneous electrical nerve stimulation (TENS), and other treatment without medication, as well as in-patient pain management programs. Increases patient access to OUD treatments, including medication-assisted treatment (MAT), opioid treatment programs, in-patient, out-patient, and emergency services.

Sponsor: Office of Workers' Compensation Programs (OWCP)
Clinical Practice Guideline for the Management of Substance Use Disorders

Offers evidence-based information, recommendations, guides, and tools to Department of Veterans Affairs (VA) and Department of Defense (DoD) healthcare providers and patients to assist in the decision making process to improve the treatment and outcomes for patients with substance use disorder (SUD), including opioid use disorder (OUD) and methamphetamine use, and co-occurring mental health conditions. Describes best practices to help patients avoid preventable complications, reduce substance use, and improve their overall health and wellness.

Sponsor: Veterans Health Administration (VHA)
CMS Letter to State Medicaid Directors: Leveraging Medicaid Technology to Address the Opioid Crisis

Offers states information and advice regarding strategies to combat the opioid crisis using technology, as well as potential funding opportunities for these efforts. Discusses implementing prescription drug monitoring programs (PDMPs) to track and facilitate the safe prescription of opioid medications and increasing data-driven approaches, interoperability, and telehealth services to improve care coordination among healthcare professionals.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
CMS Letter to State Medicaid Directors: Strategies to Address the Opioid Epidemic

Describes treatment and prevention strategies aimed at increasing healthcare quality, availability, and outcomes for Medicaid recipients with opioid use disorder (OUD) and other substance use disorders (SUDs). Discusses long-term objectives focused on enhancing states' ability to track and implement evidence-based services to help beneficiaries with OUD and SUDs.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
CMS Roadmap: Strategy to Fight the Opioid Crisis

Describes the Centers for Medicare & Medicaid Services (CMS) activities to address the opioid epidemic related to prevention, treatment, and data. Highlights program successes, innovative approaches, and future goals of CMS efforts to address the opioid crisis.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
Evidence-Based Strategies for Preventing Opioid Overdose: What's Working in the United States

Offers evidence-based opioid overdose prevention practices for community leaders, local and regional organizers, nonprofit groups, law enforcement, public health and other members of the public. Provides summaries of effective strategies to prevent opioid overdose and the context in which they are most effective. Discusses targeted naloxone distribution, including Good Samaritan laws, syringe services programs, criminal justice settings, and medication-assisted treatment (MAT) and initiating MAT in emergency departments. Summarizes the major research on each practice and offers examples of organizations that have successfully used the strategies to reduce the risk of overdose.

Sponsor: Centers for Disease Control and Prevention (CDC)
Guide to VA Mental Health Services for Veterans and Families

Details the mental health services Veterans Health Administration (VHA) hospitals and clinics offer for veterans and their families and describes the VHA guiding principles for mental healthcare. Discusses the resources available for veterans and family members, and instructions on locating mental healthcare facilities and providers, including suicide prevention services and telemedicine visits. Covers treatment options for common mental health concerns, such as depression, substance abuse, and post traumatic stress disorder. Offers information on specific programs available to veterans with special needs, including women, those experiencing homelessness, veterans involved with the criminal justice system, and seniors.

Sponsor: Veterans Health Administration (VHA)
HRSA Behavioral Health Workforce Development Grants and Programs

Provides information on multiple grants and programs to support the development and education of the behavioral health workforce to meet the needs of rural, underserved, and other vulnerable populations. Includes a focus on expanding training programs for substance abuse prevention and treatment services.

Sponsor: Bureau of Health Workforce (BHW)
Indian Health Service (IHS) Opioid Use Disorder and Pain

Offers comprehensive information and resources on the use of prescription opioids, managing chronic pain, and opioid use disorder (OUD) for patients and providers, specifically for American Indian and Alaska Native (AI/AN) communities and Indian Health Service (IHS) providers. Includes online tools, technical assistance resources, guides, and training for patients and providers on topics such as opioid crisis data, opioid prevention, COVID-19 response and opioids, proper pain management, opioid prescribing/stewardship, maternal health, syringe services programs, child health and wellness, medication-assisted treatment (MAT), tele-MAT, trauma informed care, best practices, wellness courts, and training opportunities. Resource is an initiative of the IHS Alcohol and Substance Abuse Program (ASAP).

Sponsor: Indian Health Service (IHS)
Indian Health Service (IHS) Opioids and the COVID-19 Pandemic: Addressing the Opioid Crisis during the COVID-19 Pandemic

Outlines the impact that the COVID-19 pandemic is having on the opioid crisis in Native American and Alaskan Native families and communities across the U.S. Provides information, federal resources, programs, and services to address opioid misuse and opioid use disorder (OUD) for Native American and Alaskan Native populations during the COVID-19 crisis. Focuses on key issues and challenges, including treatment options for OUD; telehealth and remote services; prescribing requirements for buprenorphine; provider training and support; and the prevention of coronavirus transmission in high-risk environments.

Sponsor: Indian Health Service (IHS)
Medicare Coverage of Services in Opioid Treatment Programs

Describes a new benefit that covers opioid use disorder (OUD) treatment services under Medicare Part B medical insurance. Enables the Centers for Medicare & Medicaid Services (CMS) to make bundled payments to certified opioid treatment programs (OTPs) for OUD treatment services for an episode of care provided to Medicare Part B beneficiaries. Covers the following services under the new benefit: opioid agonist and antagonist medication-assisted treatment (MAT) medications approved by the U.S. Food and Drug Administration (FDA), substance use counseling, individual and group therapy, toxicology testing, intake activities, and periodic assessments.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
Medications for Opioid Use Disorder (OUD)

Provides information on methadone, buprenorphine, and naltrexone and how they are used to provide medication-assisted treatment (MAT) for opioid use disorder (OUD). Covers the signs of an overdose and answers questions about each medication.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Office of National Drug Control Policy COVID-19 Fact Sheet

Summarizes policy changes made by federal National Drug Control Program agencies in response to the COVID-19 pandemic. Outlines program and policy changes designed to ensure individuals with substance use disorders (SUDs) can continue to safely access important treatment and recovery support services during the pandemic. Addresses several priority areas, including guidance for prevention, treatment, and recovery services; use of telemedicine and electronic prescribing, flexibility for methadone and buprenorphine treatment, access to prescribed controlled substances, support for rural and tribal communities; and relief opportunities for individuals, providers, and small businesses. Provides links to programs and agencies for additional details related to specific policy changes.

Sponsor: Office of National Drug Control Policy (ONDCP)
Opioid Safety Initiative Toolkit

Contains field guidance, evidence-based to the extent possible, in the form of documents and presentations to support clinical decisions about starting, continuing, or tapering opioid therapy, and other challenges related to safe opioid prescribing. Includes patient and provider education, clinical tools, and other resources.

Sponsor: Veterans Health Administration (VHA)
Pain Education Materials Catalog

Provides a collection of pain-related instructional items cataloged by the U.S. Department of Veterans Affairs (VA) Pharmacy Benefits Management (PBM) Academic Detailing Service (ADS). Helps providers assist patients with pain management by providing tools, resources, guides, and other informational materials on topics such as pain, opioid safety, headaches, opioid use disorder (OUD), opioid overdose education and naloxone distribution, and suicide.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Rural Health Research Center Publications on Substance Use and Treatment

Lists policy briefs, working papers, journal articles, and other publications on substance use and treatment in rural areas published by federally-funded Rural Health Research Centers. Includes links to upcoming and archived webinars on the topic and other related projects. Product of the Rural Health Research Gateway funded by a cooperative agreement through HRSA's Federal Office of Rural Health Policy.

Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Prevention and Treatment of Substance Use Disorders Toolkit

Highlights evidence-based and promising models and related resources to implement, evaluate, and sustain substance use disorders prevention and treatment in rural communities. Identifies barriers to substance use disorder prevention and treatment in rural areas. Product of the Rural Health Information Hub funded by a cooperative agreement through HRSA's Federal Office of Rural Health Policy.

Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Response to the Opioid Crisis Topic Guide

Provides an overview of the opioid crisis in rural America and includes information and resources on initiatives and funding opportunities to address the crisis. Covers successful rural model program examples, events, and other tools for prevention, harm reduction, and treatment. Product of the Rural Health Information Hub funded by a cooperative agreement through HRSA's Federal Office of Rural Health Policy.

Sponsor: Federal Office of Rural Health Policy (FORHP)
SAMHSA Criminal and Juvenile Justice Programs

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to address the challenges incarcerated and justice system-involved individuals face when attempting to seek treatment for and recover from mental illness and substance use disorders (SUDs). Seeks to increase access to behavioral health services, minimize costs, and other consequences related to the unnecessary and repetitive incarceration of people with behavioral health issues. Discusses strategies to identify individuals with mental illness and SUDs and how to implement diversion programs, evidence-based practices, screening and assessments, and more.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Data and Dissemination

Provides access to data, reports, and other information on various aspects of behavioral health, including substance use and mental health treatment services. Includes data on household substance use and mental health; treatment, admissions, and discharges; mental health facilities; substance abuse facilities; emergency departments; client-level mental health information; and uniform reporting system statistics.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Evidence-Based Practices Resource Center

Provides communities, healthcare professionals, policymakers, and others with reports, guides, toolkits, and other resources to implement evidence-based practices for mental illness and substance use disorders (SUDs). Focuses on opioid use disorder (OUD) and other SUD prevention, treatment, and recovery options.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Faith-Based and Community Initiatives (FBCI)

Provides information to support partnerships between faith-based and community organizations and federal programs to offer effective programs and activities for substance abuse prevention, mental health services, and addiction treatment. Offers resources for training, technical assistance, publications, and existing faith-based coalitions and collaborations focused on decreasing violence, combating substance abuse, improving behavioral health, and providing crisis counseling to those in need.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Medication-Assisted Treatment (MAT) Programs

Provides an overview of medication-assisted treatment (MAT) and information on opioid treatment programs (OTPs). Describes the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, which allows physicians and other practitioners to provide MAT to a larger patient population. Includes information and training resources for healthcare providers, researchers, and patients.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Workforce Programs

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to increase the supply of trained, culturally aware behavioral health professionals, including psychiatrists, therapists, addiction counselors, homeless outreach specialists, recovery coaches, and other professionals in fields related to prevention, healthcare, and social services. Includes links to programs and resources to help address workforce shortages and provide culturally competent care to individuals with mental illness and substance use disorders (SUDs).

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Summary of VA Treatment Programs for Substance Use Problems

Provides an overview of treatment options for veterans experiencing substance use issues. Includes information on therapy, medications to reduce opioid and other substance use, intensive outpatient treatment, residential care, continuing care and relapse prevention, self-help groups, and more.

Sponsor: Veterans Health Administration (VHA)
Teens Linked to Care (TLC)

Details a school-centered pilot project that examined implementing strategies to prevent youth substance abuse and risky sexual behaviors in high-risk rural communities in Ohio, Kentucky, and Indiana. Highlights efforts to address related issues of HIV, sexually transmitted diseases (STDs), teen pregnancy, and high-risk substance use through education, primary prevention, and early detection screening. Program activities included implementing new health curricula, partnering with health departments and community drug-free coalitions, and developing and distributing informational products and video campaigns.

Sponsor: Centers for Disease Control and Prevention (CDC)
VA PBM: Academic Detailing Service (ADS) Resources

Provides access to education materials advocating for evidence-based treatments to help providers improve the health of veterans. Offers provider and patient education tools and outreach resources to encourage evidence-based decision making for a variety of medical conditions and diseases, including opioid use disorder (OUD) and substance use disorders (SUDs), pain, suicide, dementia, depression, HIV, PTSD, and more.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
VA Substance Use Resources

Provides an overview of alcohol and drug misuse, screening, treatment options, and programs and services for veterans. Covers evidence-based psychotherapy, cognitive behavioral therapy (CBT) for substance use disorders (SUDs), medication-assisted treatment (MAT) for opioid use disorder (OUD) and other SUDs, motivational interviewing and enhancement therapy, and more. Includes additional resources to help veterans and family members access SUD treatment and recovery support services.

Sponsor: Veterans Health Administration (VHA)