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Clinical Tools


  • Talking with your Patients about Substance Misuse and Substance Use Disorders

    Conversation Starters for Patients and Their Doctors
    CDC released four new fact sheets to encourage patients and doctors to discuss pain management options and the potential risks of opioid medication. The four resources cover the important questions and information that patients and healthcare providers should cover when they talk about acute pain, chronic pain, prescription opioids, and reducing risk of opioid addiction.

    How to talk with your patients about substance use disorders 
    Talking with patients about potential substance misuse can be challenging. This overview and video from AMA demonstrates how one physician approaches this conversation during her addiction consultations with patients.

    The Power of Perceptions & Understanding: Changing How We Deliver Treatment & Recovery Services 
    This four-part webcast series from SAMHSA educates healthcare professionals about the importance of using approaches that are free of discriminatory attitudes and behaviors in treating individuals with substance use disorders (SUDs) and related conditions, as well as patients living their lives in recovery.

    Language Guide 
    A list of links to guides and resources on changing the language around substance use disorder recovery and treatment.
  • Opioid Overdose Prevention Toolkit (SAMHSA)
    This toolkit offers strategies to health care providers, communities, and local governments for developing practices and policies to help prevent opioid-related overdoses and deaths.

Screening Tools

Treatment Guidelines

Substance Use Disorders

  • Patient wants to stop taking buprenorphine
    Dr. Edwin Salsitz, a Providers Clinical Support System Clinical (PCSS) expert, speaks to a patient who has been on buprenorphine and has done well and now wants to taper off buprenorphine.

Medication Assisted Treatment (MAT)

Communicating without Stigma

Pain Management

  • CDC Guideline Resources: Clinical Tools
    These clinical tools have been developed with the primary care provider, in mind, to help carry out the complex task of balancing pain management with the potential risks that prescription opioids pose.
  • SCOPE of Pain
    Find information, resources and tools about safe and competent opioid prescribing for patients with chronic pain.
  • SCOPE of Pain Trainer's Toolkit
    Interactive Trainer's Toolkit that you can use to train all the clinicians in your facility, practice or health system on all facets of opioid prescribing. 
  • AAFP Chronic Pain Management Toolkit
    Designed to help family physicians identify gaps in practice flow, standardize evaluation and treatment of chronic pain patients, and facilitate conversations surrounding pain and treatment goals, as well as identify and mitigate risk.
  • Pain Management Fact Sheet (NIH)
    This fact sheet tells the story of research discovery, current treatment status, and future expectations for the prevention and management of pain.


Specific Populations

A Physician’s Practical Guide to Culturally Competent Care - for physicians, nurse practitioners, and physician assistants
As healthcare disparities among cultural minority groups persist in our country, culturally and linguistically appropriate services (CLAS) are increasingly recognized as an important strategy for improving quality of care to diverse populations. This e-learning program from U.S. Department of Health & Human Services' Think Cultural Health program will equip you with the knowledge, skills, and awareness to best serve all patients, regardless of cultural or linguistic background.

Racial/Ethnic Groups

  • Black or African American
    National survey reports, agency and federal initiatives, and related behavioral health resources from SAMHSA. 
    The Opioid Crisis and the Black/AA Population: An Urgent Issue 
    Recent data on prevalence of opioid misuse and death rates in the Black/African American population; contextual factors and challenges to prevention and treatment; innovative outreach and engagement strategies to connect people to evidence-based treatment; and the importance of community voice

  • Hispanic or Latinx
    National survey reports, agency and federal initiatives, and related behavioral health and Spanish-language resources from SAMHSA.


  • White Paper: Opioid Use, Misuse, and Overdose in Women 
    Developed to serve as a starting point for a September 2016 national meeting hosted by the U.S. Department of Health and Human Services (HHS) Office on Women’s Health (OWH) to examine prevention, treatment, and recovery issues for women who misuse, have use disorders, and/or overdose on opioids. 

Pregnancy & Parenting


  • Additional Resources from SAMHSA
    Resources on the LGBT population include national survey reports, agency and federal initiatives, and related behavioral health resources.

Older Adults

People in the Criminal Justice System

  • Drug Court Resources
    Webinars and pocket guides for providing addiction treatment in drug court settings.

People Experiencing Homelessness

 People with Cognitive & Physical Disabilities

Suicide Prevention

Substance Use and Suicide: A Nexus Requiring a Public Health Approach 

SAMHSA's In Brief summarizes the relationship between substance use and suicide and provides state and tribal prevention professionals with information on the scope of the problem, an understanding of traditional barriers to collaboration and current programming, and ways to work together on substance misuse and suicide prevention strategies.

Risk Factors for Suicide among People with Chronic Pain 

Current evidence suggests that people who experience chronic pain are at increased risk for a number of adverse health outcomes, including opioid overdose and suicide.

Screening Tools for Suicide Risk, and Mental and Substance Use Disorders

Provides links to a variety of screening tools on SAMHSA's website to identify trauma, suicide, substance use disorders, and other mental disorders.

Suicide Prevention Resource Database

An extensive, searchable resource (e.g., articles, tools, fact sheets, reports) and program database developed by SPRC and other suicide prevention organizations and experts.

Local Crisis Hotlines - Maryland Coalition of Families

Maryland’s Crisis Hotline is available 24 hours/7 days a week to provide support, guidance and assistance. Call 211, press 1.




Outcomes for patients receiving telemedicine-delivered medication-based treatmen
A group of MACS Consultants and their colleagues at the University of Maryland School of Medicine co-authored this retrospective review.

Opioid Prescribing in the Midst of Crisis - Myths and Realities 
With the opioid-prescribing debate remaining hopelessly polarized — opioids are either industrially sponsored weapons of mass addiction or a misunderstood last hope for alleviating suffering — persistent myths contribute to overprescribing or underprescribing.

Using Telemedicine to Treat Opioid Use Disorder in Rural Areas
This JAMA Medical News story discusses the use of telemedicine to treat opioid use disorder in rural areas and features MACS Consultant, Dr. Eric Weintraub.

Expanding low-threshold buprenorphine to justice-involved individuals through mobile treatment: Addressing a critical gap in care
MACS Consultant, Dr. Michael Fingerhood, is an author of this journal article.

Rethinking Opioid Dose Tapering, Prescription Opioid Dependence, and Indications 
Tapering long-term opioid therapy is challenging, starting with determining whose dose to taper. This article published in the Annals of Internal Medicine discusses achieving effective, safe, and compassionate tapers.

New program helps doctors treat people with substance use disorders
As a part of Talbot Goes Purple, Easton's local newspaper, Star Democrat, interviewed MACS Consultant, Dr. Eric Weintraub, about Medication-Assisted Treatment and services provided by MACS.

Primary Care for Persons Who Inject Drugs
Article in American Family Physician, co-authored by MACS Consultant, Aaron Greenblatt, MD

Moving Addiction Care to the Mainstream - Improving the Quality of Buprenorphine Treatment
Perspective in The New England Journal of Medicine

Methadone in Primary Care - One Small Step for Congress, One Giant Leap for Addiction Treatment
Perspective in The New England Journal of Medicine

Primary Care and the Opioid-Overdose Crisis -- Buprenorphine Myths and Realities
Perspective in The New England Journal of Medicine

The Next Stage of Buprenorphine Care for Opioid Use Disorder 
Article in The Annals of Internal Medicine


Integrating Substance Use Disorder Treatment and Primary Care
Publication from The National Academy for State Health Policy

Data & Reports

Key Substance Use and Mental Health Indicators in the United States 
This report from SAMHSA summarizes key findings from the 2018 National Survey on Drug Use and Health (NSDUH) for national indicators of substance use and mental health among people aged 12 years old or older in the civilian, noninstitutionalized population of the United States.

Drug Overdose Deaths in the United States
NORC at the University of Chicago and the U.S. Department of Agriculture’s USDA Rural Development have created this tool to allow users to map overdose hotspots and overlay them with data that provide additional context to opioid addiction and death - including the strength and diversity of local economies, ethnicity, educational attainment, and disability status of residents. 

Maryland Opioid Operational Command Center Annual Report 
The Center develops operational strategies that implement the recommendations of the Governor's Heroin and Opioid Emergency Task Force. While ensuring the privacy and security of sensitive personal information, the Center collects, analyzes, and facilitates sharing data with State and local sources.