Provider Information


Screening for mental health and substance use disorders may be indicated prior to prescribing opioids. Screening may help to identify patients suffering from behavioral conditions and provide an indicator of the appropriateness of recommending cognitive behavioral therapy as a form of pain control. The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Human Resources Services Administration (HRSA) have compiled a list of screening tools that are effective in identifying behavioral conditions. The list is available at:

The most common screening tools include:

  • Screening, Brief Intervention, Referral to Treatment (SBIRT) to identify potential substance use disorders.
  • CAGE-AID questionnaire to identify potentially problematic use of drug and alcohol.
  • Patient Health Questionnaire 9 (PHQ-9) to identify depression.
  • Acute and Chronic Pain Flows. A variety of advisory groups, such as Oregon Pain Guidance, are issuing office-based flow charts to encourage local adoption.


Many resources exist to support providers and patients in the management of opioids. The following have been cited as helpful for providers: