Please feel free to print and use in your practice.
Below are documents and tools that are found in the 2010 and 2015 Interagency Guideline on Prescribing Opioids for Pain. While the guideline contains other useful tools, we feel these are the most valuable and efficient.
| Assessing Function and Pain |
| Title |
Description |
 |
Pain, Enjoyment of life, General Activity (PEG) |
Include two citations by Krebs when using tool:
|
|
Two Item Graded Chronic Pain Scale |
Clinician or patient self-report, takes about 1 minute |
| Risk of Transitioning to Chronic Pain |
|
StarTBack Screening Tool (for evaluating back pain disability) |
STarT Back Screening Tool website and instructions:
View here
Patient self-report, takes about 5 minutes
|
|
Functional Recovery Questionnaire (FRQ) |
Copyright University of Washington, but available for public use with proper citations.
View here
Clinician or patient self-report, takes less than 5 minutes
|
| Screening for Risk of Opioid Addiction and Substance Abuse |
|
Opioid Risk Tool (ORT) |
Clinician or patient self-report, takes about 1 minute.
|
|
CAGE Adapted to Include Drugs (CAGE-AID) |
Instructions here
Clinician interview, takes less than 5 minutes
|
 |
Screener and Opioid Assessment for Patients with Pain - Revised (SOAPP-R) |
You must get this tool from the painedu.org site, requires account registration
Patient self-report, takes less than 10 minutes
|
|
Current Opioid Misuse Measure (COMM) |
You must get this tool from the painedu.org site, requires account registration
Patient self-report, takes less than 10 minutes
|
|
DIRE: Risk assessment that addresses the risks of maintaining long-term opioid treatments in chronic pain patients. |
Source: University of Colorado, Denver
View here
Clinician interview, takes less than 2 minutes
|
|
Alcohol Use Disorders Identification Test (AUDIT) |
Clinician or patient self-report, takes about 10 minutes
|
| Screening for Mental Health Disorders |
|
Patient Health Questionnaire 9 (PHQ-9) |
Instructions here
Patient self-report, takes less than 5 minutes
|
|
GAD-7 Generalized Anxiety Disorder Questionnaire |
Patient self-report, takes less than 5 minutes
|
|
PC-PTSD (Primary Care Post Traumatic Stress Disorder) |
Instructions here
Clinician interview, takes less than 5 minutes
|
| Patient Tools |
|
WA State Labor and Industries� �Patient�s Activity Diary� |
Patient self-report, 7-day diary
|
|
WA State Labor and Industries� Opioid Treatment Agreement |
Patient self-report, time varies
|
|
WA State Department of Corrections� Chronic Pain Management Agreement |
Patient self-report, time varies
|
