Topic: Buprenoprine
Buprenorphine is a medication used to treat addiction to opioid drugs, including heroin and narcotic painkillers.
The tools on this page include materials for recruiting and treating patients with buprenorphine. They were contributed largely by participants in the SPNS Buprenorphine Initiative which studied the effectiveness of using this drug to treat opioid abuse in HIV primary care settings (2004-2009).
Tools and Publications
- The CORE Buprenorphine Project – Program Materials
Source: The CORE Center, an entity of the Cook County Health and Hospitals System
This collection of program materials contains the education materials, tools and forms developed by the CORE Center, an entity of the Cook County Health and Hospitals System for the CORE Buprenorphine Project. They include 1) BUP Patient Face Sheet, 2) BUP Script, 3) BUP Patient Flyer, and 4) BUP Provider Flyer - Clinical Opiate Withdrawal Scale (COWS) (PDF)
Source: National Alliance of Advocates for Buprenorphine Treatment
Flow sheet for measuring symptoms over a period of time during buprenorphine induction. PDF includes fact sheet: Precipitated Withdrawal. What it is. How to avoid it - Buprenorphine/naloxone (Suboxone) Treatment Agreement
Source: Oregon Health and Science University (OHSU) and the Multnomah County HIV Health Services Center (HHSC)
A buprenorphine treatment agreement that the counselor or provider would review with the patient prior to initiating buprenorphine - BEEHIVE Buprenorphine Program Recruitment Materials
Source: University of California, San Francisco
This collection of program recruitment materials contains the tools, forms, and resources either developed or utilized by the University of California San Francisco integrated buprenorphine–HIV/AIDS program. They include 1) San Francisco DPH’s Integrated Buprenorphine Intervention Services Brochure, 2) Patient Brochure, 3) Patient Flyer, and 4) Program Exam Room Laminate Card - BEEHIVE Buprenorphine Program Treatment Materials
Source: University of California, San Francisco
This collection of program treatment materials contains the tools, forms, and resources either developed or utilized by the University of California San Francisco integrated buprenorphine–HIV/AIDS program. They include 1) Authorization to Exchange Health Information, 2) Consent to Treatment With Buprenorphine, 3) Take-Home Dose Agreement, 4) Documentation of Clinical Eligibility, 5) Worksheet for DSM–IV Criteria for Diagnosis of Opioid Dependence and 6) Prescribers’ Direct Dispensing Log Information - BEEHIVE Buprenorphine Program Protocols
Source: University of California, San Francisco
This collection of program treatment materials contains the tools, forms, and resources either developed or utilized by the University of California San Francisco integrated buprenorphine–HIV/AIDS program. They include 1) Program Description, 2) Provider–Patient Expectations, 3) Referral Procedures for HIV/AIDS Patients, 4) Clinical Guidelines for Prescribing Buprenorphine in the Office-Based Treatment of Opioid Dependence, 5) Jail Health Services Buprenorphine Inventory - Patient Agreement to Participate in Suboxone Treatment (PDF)
Source: The Miriam Hospital Immunology Center
A buprenorphine treatment agreement that the counselor or provider would review with the patient prior to initiating buprenorphine - Suboxone Treatment Record (PDF)
Source: The Miriam Hospital Buprenorphine Program
A table that helps clinicians document patient visits, treatments, prescriptions - Patient Education Checklist (PDF)
Source: The Miriam Hospital Immunology Center
A checklist of items to review with patient during a buprenorphine treatment session - Buprenorphine Patient Education PowerPoint Slides (PPTX) (PDF)
Source: The Miriam Hospital Immunology Center
A Microsoft PPT slide show aimed at educating patients about opiate addiction and treatment. 24 slides - Buprenorphine Program Patient Face Sheet (PDF)
Source: The Miriam Hospital Immunology Center
A buprenorphine treatment program's Face Sheet sample
