Current Opioid Misuse Measure (COMM) Tool

Download the Current Opioid Misuse Measure (COMM) tool here.

The Current Opioid Misuse Measure (COMM)™ is a brief patient self-assessment to monitor chronic pain patients on opioid therapy. The COMM™ was developed with guidance from a group of pain and addiction experts and input from pain management clinicians in the field. Experts and providers identified six key issues to determine if patients already on long-term opioid treatment are exhibiting aberrant medication-related behaviors:

  • Signs & Symptoms of Intoxication
  • Emotional Volatility
  • Evidence of Poor Response to Medications
  • Addiction
  • Healthcare Use Patterns
  • Problematic Medication Behavior


Governor signs several bills into law that deal with opioid crisis

STATE HOUSE – Today, at a ceremonial bill signing held at The Providence Center-Recovery Navigation Program, Governor Gina Raimondo signed several bills into law that will help combat the state’s opioid crisis. In attendance at the ceremony were the legislative sponsors of the five bills and Department of Health Director Dr. Nicole Alexander-Scott…

10th Annual C. Everett Koop Addiction Medicine Symposium:

Reducing Behavioral Health Stigma

in Healthcare Systems and Communities

December 8th, 2016, 8:30 am – 4:00 pm

Auditorium G, Dartmouth Hitchcock Medical Center, Lebanon, NH

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Are You Pregnant and Do You Want Treatment for Alcohol or Drug Use Flyer

Articles on Opioid Use

Beyond the Pill: Effective Strategies for Managing Chronic Pain and Reducing Opioid Usage

Beyond the Pill: Effective Strategies for Managing Chronic Pain and Reducing Opioid Usage SOURCE: National Council for Behavioral Health



CDC 2017 Grand Rounds: Addressing the Unique Challenges of Opioid Use Disorder in Women

Deaths from drug overdoses are the number one cause of injury death in the U.S. Most of these deaths are related to the misuse of prescription opioids and heroin. While men were more likely than women to die of opioid overdose, the number of overdose deaths from opioids among women has increased substantially. Since 1999, women’s deaths have quadrupled from prescription opioid overdose.

Core Competencies For Integrated Behavioral Health And Primary Care

Does Addiction Affect Men Different Than Women? Q&A with Pamela Shultz, MD, Hazelden Betty Ford Foundation

Download the PDF: Does_Addiction_Affect_Men_Different_Than_Women?


A physician and educator, Dr. Pamela Shultz oversees medical programs and leads multidisciplinary care teams at the Hazelden Betty Ford Foundation’s campus in Center City, Minnesota. Dr. Shultz earned her medical degree at the University of Illinois and completed fellowships in nephrology at Case Western Reserve University and in addiction medicine at the University of Minnesota. She has served on the staffs of the U.S. Department of Veterans Affairs in Minneapolis, Hazelden Betty Ford Foundation’s treatment center for teens and young adults in Plymouth, Minnesota, and Meridian Behavioral Health. Dr. Shultz also serves as an adjunct faculty member at the University of Minnesota’s Department of Family Medicine and at the Hazelden Betty Ford Graduate School of Addiction Studies and is a Fellow of the American Society of Addiction Continued on back Medicine.


Epidemiological Profile: The Hepatitis C Epidemic In Rhode Island

Gender-Based Differences in Pain Perception and Treatment

This review highlights research on sex-based differences in pain perception and treatment. We sought to illuminate the complex factors contributing to differences in pain and analgesic responses between males and females, ranging from psychosocial to biological processes. 

Naloxone (Narcan) rescue for drug overdose with opiates, prescription pain killers or heroin.

National Pain Strategy: A Comprehensive Population Health-Level Strategy for Pain

Neonatal Abstinence Syndrome

Some babies born to opioid using pregnant women may experience Neonatal Abstinence Syndrome (NAS). Populations of women who may give birth to infants with NAS include women who use heroin, women who use or misuse prescription opioids (e.g. prescription pain medications), or women undergoing MAT for opioid use disorders. The resources below offer additional information.

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Neonatal Abstinence Syndrome

Pain Treatment Resources

Rhode Island Overdose Prevention And Intervention Task Force Action Plan

“Drug overdoses represent a public health crisis that is as urgent as any we have ever confronted in Rhode Island. Over the last five years, we have lost more than 1,000 people to drug overdoses, and they have come from almost every community in the state.

As a parent, my heart breaks for the hundreds of Rhode Island families who have lost loved ones to addiction and overdose. We must demand and make swift change to address this crisis and promote treatment, prevention and recovery.”

Gina M. Raimondo, Governor



SAMHSA Opioid Overdose Prevention TOOLKIT: Information for Prescribers

SAMHSA Substance Use General Resources

Addressing substance use is critical to providing quality care in integrated treatment settings. Many individuals who suffer from a substance use disorder also suffer from other chronic comorbid health conditions. Integrated treatment planning that includes substance use screening and treatment is key to providing better health outcomes in integrated care.

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SAMHSA: Clinical Education Opportunities in Recovery-oriented Practice

This two-course series offers information and resources for providers serving individuals with serious mental illness and co-occurring substance use disorder.

The Cannabis Withdrawal Scale

Instructions: This version of the CWS asks about symptoms experienced over the last 24 hours,
and can be administered by an interviewer OR by self report.

Read the PDF

The Language of Recovery

For more than two centuries, addicted and recovering people in America have been the object of language created by others. People experiencing severe and persistent alcohol and other drug problems have inherited a language not of their own making that has been ill suited to accurately portray their experience to others or to serve as a catalyst for personal change.


VIDEO: Choose Physical Therapy for Safe Pain Management

What’s In Grandma’s Cocktail?

Screening for alcohol and substance misuse is necessary to detect the complicated and highly risky behavior of addiction in the elderly population. The guidelines to identify, screen, assess, and treat an elderly person struggling with addiction must address the complex presentations that occur with aging. Co-morbid conditions, such as depression and anxiety, increase the vulnerability of misuse as well as misdiagnosis. Additionally, heavy drinking can worsen health conditions, such as diabetes, high blood pressure, congestive heart failure, liver problems, osteoporosis, impaired motor functioning and fall risks, and neurological/degenerative cognitive disorders. Both alcohol and substance misuse can cause significant and severe interactions with existing medication regimens that include: aspirin, acetaminophen, cold and allergy medicine, cough syrup, sleeping pills, pain medication, and anxiety or depression medicine. Unfortunately, detection of misuse does not occur at an early stage of misuse, but more often at critical and acute stages of medical interventions. Hospitalized adults over the age of 40 with a diagnosis of alcoholism have an estimated cost of $60 billion per year.

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White Paper: Opioid Use, Misuse, and Overdose in Women

This paper was prepared for the U.S. Department of Health and Human Services Office on Women’s Health with contract support from NORC at the University of Chicago.