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


Pocket Cards from the Eating Disorders in Women Workshop Spring (2015)

SCOFF Screening for eating disorders.

Pocket Cards from the Socioeconomic Stressors Workshop (2013)

Resolving Socioeconomic Stressors: When providers recommend healthcare practices like exercise and safe behaviors, they make assumptions that their patients live in safe neighborhoods, are not in abusive relationships, have stable employment and can read the instructions on their medications. This card provides resources for a wide range of socioeconomic assistance

Affordable Care Act: Patient opportunities, including specific benefits for women that lower costs, improves care, improves access and helps families afford good insurance.

Affordable Care Act Timeline: This timeline from 2010 to 2014 shows when key provisions become effective that give more healthcare control back to doctors and their patients.

Resources for Addressing Socioeconomic Stressors

Resolving Socioeconomic Stressors Poster: This 11 inch x 17 inch poster is packed with Rhode Island Resources for patients with stressors related to socioeconomic issues.

Food Insecurity: A screening designed to identify food insecurity in a family as a whole.

Pocket Cards from the Adolescent Girls’ Healthcare Workshop (2012)

Strengths-Based-Approach: This pocket card combines questions that “get into adolescent heads” with prompts to strengthen their resiliency indicators throughout the psychosocial screening.

CRAFFT: Helps determine the probability of substance abuse and dependency; from the Children’s Hospital in Boston.

Pocket Cards from the Physical & High-Risk Behavioral Health Workshop (2012)

Screening for Depression Physical and Behavioral Health: Details why clinicians should screen for depression, groups at greater risk for experiencing depression, and the patient self-assessment PHQ-9 clinicians can use to further understand a patient’s experience with mental health and wellness.

Screening for Suicide: Includes the most common list of questions used to determine patient’s risk of suicide. In mnemonic form, this list is known as “IS PATH WARM?”

Bridging Physical and Behavioral Health: Shows how depression affects both physical and behavioral health; includes an infographic illustrating the multiple external risk factors that are correlated to adverse health behaviors and outcomes.

Safe-T Suicide Assessment Five Step Evaluation and Triage: Provided by the National Suicide Prevention Lifeline, this card details risk factors, protective factors, suicidality patterns, and possible interventions.

Pocket Cards from the Smoking Cessation & Prevention Workshop (2011)

Smoking Cessation, Smoking Prevention: A series of 7 cards expand on the traditional Ask & Advise, Assess, Assist protocol (Assist: Positive ReinforcementAssist: Pregnant Women Who SmokeAssist: Second Hand Smoke). These cards include the kinds of tobacco use to look for, the stages of readiness to quit (Assist: Unwilling to QuitAssist: Willing to Quit) how to move a patient towards quitting and how to help when they’re ready. Cards also address how to help pregnant women who smoke quit, and the risks of second hand smoke



Pocket Cards from the Intimate Partner Violence Workshop (2011)

Intimate Partner Violence 1: Initial screening questions to use before a patient has disclosed that they are being abused, because providers have great influence in directing a victim to places for intervention.

Intimate Partner Violence 2: Follow-up screening and trust-building statements once a patient has disclosed that they are being abused.

Pocket Cards from Inaugural Quality Conference (2010)

Pregnancy as a Window to Future Health: What long-term health issues to watch for based on a patient’s pregnancy history.