These simple tools and references are for clinicians working with people with substance use disorders in emergency department and primary care settings. If there is something you would like to see here, please e-mail Sarah Clarke.

Emergency department tools

Clinical Institute Withdrawal Assessment for Alcohol, Revised (CIWA-Ar) Scale – For emergency department assessment of alcohol withdrawal (5 minutes)

Clinical Opioid Withdrawal Scale (COWS) – For emergency department assessment of opioid withdrawal

Sample pre-printed orders for alcohol withdrawal – For adaptation and use on emergency department EMRs

Sample pre-printed orders for opioid withdrawal – For adaptation and use on emergency department EMRs

Emergency department protocols for alcohol- and opioid-related presentations

Complete document (Version date: 10 June 2019)
Alcohol intoxication
Alcohol withdrawal
Alcohol-related presentations
Opioid withdrawal
Opioid overdose prevention
Opioid-related presentations

Primary care tools

Essential Clinical Skills for Opioid Prescribers – A pocket card produced by Women’s College Hospital and the Institute for Safe Medication Practices Canada

Opioid Manager – Point-of-care tool based on the Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain (distributed through the Michael DeGroote National Pain Centre, McMaster University)

Buprenorphine/Naloxone Microdosing Guide – A summary of the Bernese method of buprenorphine/naloxone microdosing, created by Payal Patel PharmD (Thames Valley Family Health Team), Katie Dunham NP (London RAAM clinic), and Ken Lee MD (London RAAM clinic)

Safe prescribing practices for addictive medications and management of substance use disorders in primary care: A pocket reference for primary care providers – Endorsed by the College of Family Physicians of Canada

Complete document (Version date: 13 May 2019)
Part 1: Working with patients
Part 2: Alcohol
Part 3: Opioids
Part 4: Tobacco
Part 5: Cannabis
Part 6: Benzodiazepines

RAAM clinic tools

RAAM clinic intake form (Version date: 27 June 2019) – An intake form template for new RAAM clinic patients (PDF version for printing)

Strategies for brief counselling and support for patients with SUD in a RAAM clinic (Version date: 10 June 2019) – A short guide on supporting RAAM clinic patients through counselling and education

Community worker tools

Serving clients who use substances: A guide for community workers (Version date: 07 May 2019) – Guidelines for working with community service clients who use substances and list of residential addiction treatment programs in Ontario