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Face the Facts: Opiates in Ohio

Gov. Kasich's message to prescribers

Opioid Prescribing Guidelines

Many opioid addicts were first exposed to these drugs through prescriptions for legitimate pain issues. Health care providers can play a critical role for their patients by adopting consensus-based opioid prescribing guidelines. Multiple state health care organizations and interested professionals have developed these resources to assist prescribers in making safe choices for their patients. The three sets of guidelines on this page can be used to supplement and not replace the prescriber's clinical judgment.

GCOAT Prescribing Guidelines Fact Sheet
GCOAT Prescribing Guidelines Summary
Guidelines Development Partner Organizations

Prescriber Resources and Screening Tools

​Acute Pain Opioid Prescribing Guidelines Infographic
Patient Education Letter for Acute Pain Treatment (Word)  (PDF)

Patient Education Letter for Chronic Pain Management (Word) (PDF)
Patient and Provider Responsibilities (National Institute on Drug Abuse)
Pain Management/Treatment Overview (University of Wisconsin School of Medicine and Public Health)

Screening, Brief Intervention and Referral to Treatment (SBIRT)
Overview (Substance Abuse and Mental Health Services Administration)
Ohio SBIRT Project (OhioMHAS)

Patient Screening Tools
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NIDA Quick Screen V1.0 and NIDA-Modified ASSIST V2.0  (National Institute on Drug Abuse)
CAGE-AID Questionnaire (Clinical Tools, Inc.)
Chronic Pain – Screener and Opioid Assessment for Patients with Pain® Version 1.0-14Q  (Inflexxion, Inc.)
SOAPP® Monitoring Recommendations (Inflexxion, Inc.)
Oswestry Low Back Pain Disability Questionnaire (Fairbank, et. al.)

Ohio Automated Rx Reporting System (OARRS)
OARRS website
Requirements prior to prescribing opioids and benzodiazepines
Morphine Equivalent Dose Calculator

Acute pain management

The Ohio Guideline for the Management of Acute Pain Outside of Emergency Departments provides a general approach in the outpatient management of acute pain.

Chronic, non-terminal pain

The Ohio Guidelines for Prescribing Opioids for the Treatment of Chronic, Non-Terminal Pain use 80 mg morphine equivalency dosing (MED) as a “trigger threshold,” as the odds of an overdose are higher above that dose.

Emergency care settings

The Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines​ offer clinical guidance for the acute care environment where there is no established patient-doctor relationship.