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BMC MAT Quick Start vs Waco Guide- Psychopharmacology Usage & Stats
This app offers healthcare providers the latest evidence-based guidance for treating opioid and alcohol use disorders (OUD and AUD) assisting in the initiation of medications such as buprenorphine and naltrexone. This is an essential tool for those starting patients on these medications, providing step-by-step clinical decision trees and valuable resources for managing not only AUD and OUD but acute and chronic pain for patients already on buprenorphine or naltrexone. With interactive tools, treatment protocols, and patient messaging features, this app empowers clinicians to deliver life-saving care while improving while improving treatment outcomes for substance use disorders.
More than 46 million people aged 12 or older (or 16.5% of the US population) met the DSM-5 criteria for having a substance use disorder (SUD) in the past year based on the latest data from the 2021 National Survey on Drug Use and Health (NSDUH). However, only about 6% of people received any treatment for their SUD. Providing addiction treatment, including the use of FDA- approved medications and behavioral health therapies, has been shown to save lives and increase retention in treatment.
The interactive clinical algorithms in this app walk you through each step of the clinical decision- making process to help you care for patients with an OUD or AUD. The clinical algorithms are also available in PDF format for easy viewing along with ability to securely text message patient tools to get started on buprenorphine. Additionally, several other clinical tools and resources related to SUD are included.
BMC MAT QUICK START FEATURES:
CLINICAL ALGORITHMS
* Buprenorphine Initiation Guide: Decision trees for starting patients with an opioid use disorder on buprenorphine who are not currently physically dependent on opioids, opioid-dependent and not yet in withdrawal, and opioid-dependent and in active withdrawal.
* Initiation of Extended-Release Injectable Buprenorphine: Guidance for starting a patient on new weekly and monthly formation formulations of extended-release injectable buprenorphine.
* Naltrexone Initiation for Alcohol Use Disorder: Guidance for starting a patient on naltrexone for the treatment of alcohol use disorder.
* Naltrexone Initiation for Opioid Use Disorder: Guidance for starting a patient on naltrexone for the treatment of opioid use disorder. Includes strategies for managing opioid withdrawal during the required “washout period” prior to starting naltrexone and avoiding precipitated withdrawal.
* Pain Management While on Buprenorphine for Opioid Use Disorder: Guidance for managing acute and chronic pain in patients already on buprenorphine for opioid use disorder.
* Pain Management While on Naltrexone: Guidance for managing acute pain (both anticipated and unanticipated) and chronic pain in patients already on naltrexone for opioid use disorder.
* New! List of medication classes to assist in the management of opioid withdrawal symptoms.
CLINICAL TOOLS
* DSM-5 criteria for diagnosis of an opioid use disorder
* Clinical Opiate Withdrawal Scale (COWS) to measure the severity of opioid withdrawal
* Alcohol Use Disorders Identification Test (AUDIT-C) to identify risky drinking patterns
PATIENT HANDOUTS
* Buprenorphine Initiation Guide: A guide to give to patients who are starting buprenorphine in the home or community setting.
Note: This app is designed exclusively for the use of healthcare providers. This app is not intended for use to diagnose a disease or to cure, mitigate, treat, or prevent any condition or disease. It is the responsibility of the treating clinician to rely on their own experience and knowledge about their specific patient to determine dosages and the best treatment for that
patient.
- Apple App Store
- Free
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The Waco Guide to Psychopharmacology in Primary Care is a tool developed by faculty of the Waco Family Medicine Residency in consultation with faculty of the Massachusetts General Hospital Psychiatry Academy.
Tools combine top-level evidence and expert opinion from world-renowned psychiatrists with primary care expertise from one of the nation’s premier family medicine training programs.
This resource is intended for use in communities where the mental and behavioral health needs outpace psychiatric specialty resources. Ideal for primary care clinicians, including physicians, nurse practitioners, and physician assistants.
The tools succinctly reflect standard and advanced primary care mental health practices and psychopharmacology for:
• Adult
• Pediatric & Adolescent
• Geriatric
• Perinatal and Women’s Mental Health
• Substance Use Disorders
Special Population considerations offering individually tailored pharmacotherapy recommendations include:
• Obesity
• Cardiac Impairment
• Renal Impairment
• Hepatic Impairment
• Geriatric
Why use The Waco Guide?
• High-yield, evidence-based psychopharmacology
• In office usability at the point-of-care to enhance medical decision making
• Common language and framework for integrated and collaborative care practices
• Tools account for cost and medication availability
• Titration schedules, monitoring recommendations, and a list of side effects accompany each tool
Treatment recommendations for the following disorders:
Adult:
• Major Depressive Disorder
• Anxiety Disorders— Panic Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder
• Bipolar Disorder
• Posttraumatic Stress Disorder
• Acute and Chronic Insomnia
• Schizophrenia Spectrum and Other Psychotic Disorders
• Acute Stress Disorder
• Anorexia Nervosa
• Antipsychotic Side Effect Management
• Binge Eating Disorder
• Bulimia Nervosa
• Fibromyalgia
• Intermittent Explosive Disorder
• Neuropsychiatric Dementia
• Obsessive-Compulsive Disorder
• Tobacco Use Disorder
• ADHD
Pediatric & Adolescent Decision Support Tools
• ADHD
• Depression
• Generalized anxiety
• Bipolar disorder
• Psychosis
• Anorexia Nervosa
• Binge Eating
• Bulimia Nervosa
• Autism Spectrum Disorder
• Opioid Use Disorder
Perinatal (Preconception, Antepartum, and Postpartum)/Women’s Mental Health:
• Sexual Interest/Arousal Disorder
• Obsessive Compulsive Disorder
• Premenstrual Dysphoric Disorder
• SSRI-Induced Sexual Dysfunction
• Antepartum Tobacco Use Disorder
Substance Use Disorders:
• Alcohol Use Disorder
• Antepartum Alcohol Use Disorder
• Tobacco Use Disorder
• Benzodiazepine Deprescribing
• Opioid Use Disorder
• Stimulant Use Disorder
The decision support tools included are designed to be informational and to reflect current accepted practices at the time of publication. These tools are not intended to replace professional medical judgment or treatment of specific conditions. Heart of Texas Community Health Center (dba Waco Family Medicine) and the authors accept no responsibility for any damages, obligations, losses, liabilities, costs or expenses arising from use of the decision support tools contained herein. By using this app, you acknowledge that you have reviewed the above and accept these terms.
- Apple App Store
- Free
- Medical
Store Rank
- -
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BMC MAT Quick Start VS.
Waco Guide- Psychopharmacology
December 26, 2024