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Center for Substance Abuse Treatment. Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2012. (Treatment Improvement Protocol (TIP) Series, No. 54.)

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Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders.

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Appendix BAssessment Tools and Resources

Exhibit B-1Tools To Assess Pain Level

Exhibit B-2Tools To Assess Several Dimensions of Pain

ToolResource
Brief Pain Inventoryhttp://www​.mdanderson.org (long and short forms)
McGill Pain QuestionnaireCentre for Evidence Based Physiotherapy
http://www​.cebp.nl/vault_public​/filesystem/?ID=1400 (long form)

Center for Gerontology & Health Care Research at Brown University
http://www​.chcr.brown​.edu/pcoc/SHORTMCGILLQUEST.PDF (short form)

Exhibit B-3Tools To Assess Pain Interference and Functional Capacities

ToolResource
Katz Basic Activities of Daily Living ScaleUniversity of Texas School of Nursing at Houston
http://son​.uth.tmc.edu​/coa/FDGN_1/RESOURCES/ADLandIADL.pdf
Pain Disability IndexPain Balance
http://www​.painbalance​.org/pages/search.aspx?q​=pain+disability+index
Roland-Morris Disability QuestionnaireNational Primary Care Research and Development Centre, University of Manchester, UK
http://www​.rmdq.org
WOMAC indexhttp://www​.womac.org

Exhibit B-4Tools To Screen for Substance Use Disorder

ToolResource
Alcohol, Smoking, and Substance Involvement Screening TestWorld Health Organization
http://www​.who.int/substance_abuse​/activities​/assist/en/index.html
Alcohol Use Disorders Identification Test (AUDIT)World Health Organization, Department of Mental Health and Substance Dependence
http://whqlibdoc​.who​.int/hq/2001/who_msd_msb_01.6a.pdf
AUDIT-CDepartment of Veterans Affairs
http://www​.hepatitis​.va.gov/vahep?page=prtop03-audit_c
CAGE Adapted to Include Drugs (CAGE-AID)Michigan Quality Improvement Consortium
http://www​.mqic.org/pdf​/CAGE_CAGE_AID_QUESTIONNAIRES.pdf
Drug Abuse Screening TestProject Cork
http://www​.projectcork​.org/clinical_tools/html/DAST.html
Michigan Alcoholism Screening Test (MAST) (MAST-G for older patients)National Institute on Alcohol Abuse and Alcoholism
http://pubs​.niaaa.nih​.gov/publications/assesing%20alcohol​/instrumentpdfs​/42_mast.pdf

Exhibit B-5Tools To Assess Emotional Distress, Anxiety, Pain-Related Fear, and Depression

ToolResource
Beck Depression Inventory (BDI)It is possible to download the 1961 BDI version, the copyright for which is held by the American Psychological Association rather than Pearson Education. The original BDI is widely available to academic researchers via interlibrary loan, under fair use provisions of international copyright law: Beck, Ward, Mendelson, Mock, & Erbaugh, 1961.

Order BDI-II through Pearson at http:​//pearsonassess​.com/HAIWEB/Cultures/en-us/default
Brief Patient Health QuestionnaireDepartment of Defense/Veterans Health Administration
http://www​.pdhealth.mil​/guidelines/downloads/appendix1.pdf
Center for Epidemiologic Studies Depression ScaleCounselling Resource
http:​//counsellingresource​.com/quizzes/cesd/index.html
Geriatric Depression ScaleStanford University
http://www​.stanford.edu/~yesavage/GDS​.html (long form)
http://www​.stanford.edu/~yesavage/GDS​.english.short.html (short form)
Profile of Chronic Pain: Screenhttp://shop​.goalistics​.com/products/profile-of-chronic-pain
Clinician Administered PTSD ScaleU.S. Department of Commerce National Technical Information Service
http://www​.ntis.gov/search/product​.aspx?ABBR=AVA21105CDRM
Davidson Trauma ScaleMulti-Health systems, Inc.
http://www​.mhs.com/product​.aspx?gr=cli&prod​=dts&id=overview
Posttraumatic Diagnostic ScalePearson Assessments
http://www​.pearsonassessments.com
State-Trait Anxiety InventoryMind Garden
http://www​.mindgarden​.com/products/staisad.htm
Tampa Scale for Kinesiophobiahttp://www​.medicalpanels​.vic.gov.au/wps/wcm​/connect/wsinternet​/worksafe/home/forms+and+publications​/educational+material​/tampa+scale+for+kinesiophobia

Exhibit B-6Tools To Assess Coping

ToolResource
Chronic Pain Acceptance Questionnairehttp://www​.somasimple​.com/pdf_files/acceptance_pain.pdf (appendix to McCracken, Vowles, & Eccleston, 2004)
Fear-Avoidance Beliefs QuestionnaireWorkSafe Victoria
http://www​.workcover.vic.gov.au

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