BMC MAT Quick Start vs HIV Care Tools

This app offers healthcare providers the latest evidence-based guidance for treating opioid and alcohol use disorders (OUD and AUD) assisting in the initiation of medications such as buprenorphine and naltrexone. This is an essential tool for those starting patients on these medications, providing step-by-step clinical decision trees and valuable resources for managing not only AUD and OUD but acute and chronic pain for patients already on buprenorphine or naltrexone. With interactive tools, treatment protocols, and patient messaging features, this app empowers clinicians to deliver life-saving care while improving while improving treatment outcomes for substance use disorders. More than 46 million people aged 12 or older (or 16.5% of the US population) met the DSM-5 criteria for having a substance use disorder (SUD) in the past year based on the latest data from the 2021 National Survey on Drug Use and Health (NSDUH). However, only about 6% of people received any treatment for their SUD. Providing addiction treatment, including the use of FDA- approved medications and behavioral health therapies, has been shown to save lives and increase retention in treatment. The interactive clinical algorithms in this app walk you through each step of the clinical decision- making process to help you care for patients with an OUD or AUD. The clinical algorithms are also available in PDF format for easy viewing along with ability to securely text message patient tools to get started on buprenorphine. Additionally, several other clinical tools and resources related to SUD are included. BMC MAT QUICK START FEATURES: CLINICAL ALGORITHMS * Buprenorphine Initiation Guide: Decision trees for starting patients with an opioid use disorder on buprenorphine who are not currently physically dependent on opioids, opioid-dependent and not yet in withdrawal, and opioid-dependent and in active withdrawal. * Initiation of Extended-Release Injectable Buprenorphine: Guidance for starting a patient on new weekly and monthly formation formulations of extended-release injectable buprenorphine. * Naltrexone Initiation for Alcohol Use Disorder: Guidance for starting a patient on naltrexone for the treatment of alcohol use disorder. * Naltrexone Initiation for Opioid Use Disorder: Guidance for starting a patient on naltrexone for the treatment of opioid use disorder. Includes strategies for managing opioid withdrawal during the required “washout period” prior to starting naltrexone and avoiding precipitated withdrawal. * Pain Management While on Buprenorphine for Opioid Use Disorder: Guidance for managing acute and chronic pain in patients already on buprenorphine for opioid use disorder. * Pain Management While on Naltrexone: Guidance for managing acute pain (both anticipated and unanticipated) and chronic pain in patients already on naltrexone for opioid use disorder. * New! List of medication classes to assist in the management of opioid withdrawal symptoms. CLINICAL TOOLS * DSM-5 criteria for diagnosis of an opioid use disorder * Clinical Opiate Withdrawal Scale (COWS) to measure the severity of opioid withdrawal * Alcohol Use Disorders Identification Test (AUDIT-C) to identify risky drinking patterns PATIENT HANDOUTS * Buprenorphine Initiation Guide: A guide to give to patients who are starting buprenorphine in the home or community setting. Note: This app is designed exclusively for the use of healthcare providers. This app is not intended for use to diagnose a disease or to cure, mitigate, treat, or prevent any condition or disease. It is the responsibility of the treating clinician to rely on their own experience and knowledge about their specific patient to determine dosages and the best treatment for that patient.

HIV Care Tools features free point‐of‐care tools for clinicians caring for people with – or at risk for – HIV infection. • A new ARV interactions checker gives quick, simple management recommendations for all documented ARV medications. • Quick guides provide essential information for HIV testing, pre‐exposure prevention (PrEP), post‐exposure prevention (PEP), rapid start of antiretroviral treatment (ART) for those testing HIV positive, and resources to help pay for HIV medications. • Easy‐to‐use, secure, clinical calculators and screeners for common co‐occurring conditions are provided, these include BMI, CrCl, FIB-4, PHQ-2, AUDIT-C, and others. • One-touch access to phone‐based, free, national clinician warmlines for expert support with HIV prevention and care, substance use, and hepatitis C. • Local and regional contact information for AIDS Education and Training Center Program experts who offer free training and capacity building support for the clinical care team. All app content is accessible without Internet access but can only be installed and updated when the device is connected to the internet. AETC Care Tools is a project of the National AETC Support Center (NASC, formerly AETC National Coordinating Resource Center) and funded by the HIV/AIDS Bureau (HAB) of the Health Resources and Services Administration (HRSA), under the U.S. Department of Health and Human Services (HHS). Support was provided under grant number U10HA49824 awarded to the François‐Xavier Bagnoud Center, Rutgers University School of Nursing. The project was implemented in partnership with the University of California, San Francisco under subcontract with Rutgers. No percentage of this project was financed with non‐governmental sources. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. The NASC is a program of HRSA HAB's Ryan White HIV/AIDS Program.