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.


Outpatient alcohol withdrawal management protocol (Version date: 03 April 2020)

Opioid agonist treatment guidelines (Version date: 22 March 2020) – In collaboration with the Centre for Addiction and Mental Health and the Ontario Medical Association

Strategies for reducing COVID-19 risk to RAAM clinic patients and providers (Version date: 20 March 2020)

Pharmacies that deliver OAT – Google doc created by Dr. Leah Steele


Emergency department protocols for alcohol- and opioid-related presentations (Version date: 10 June 2019)

Safe prescribing practices for addictive medications and management of substance use disorders in primary care: A pocket reference for primary care providers (Version date: 13 May 2019) – Endorsed by the College of Family Physicians of Canada

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)

Clinical best practices in addiction medicine: A guide for RAAM clincians (Version date: 03 December 2019)

Strategies for brief counselling and support for patients with SUD in a RAAM clinic (Version date: 10 June 2019)

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

Point-of-care 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

Opioid Manager – EMR 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)

RAAM clinic intake form – An intake form template for new RAAM clinic patients (PDF version for printing)

Pocket cards

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

Medical issues in the office management of alcohol use disorders: Addiction care is primary care – A pocket card published by Families for Addiction Recovery and endorsed by the College of Family Physicians of Canada