The guideline describes the critical decision points in the Rehabilitation of Lower Limb Amputation and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with lower limb amputations.

Clinical Practice Guideline: Rehabilitation of Lower Limb Amputation (2017)

CPG Clinical Support Tools

• Next Step - The Rehabilitation Journey After Lower Limb Amputation
100 page patient education handbook – covers the various phases of amputation rehabilitation.

Helpful Links

• Extremity Trauma and Amputation Center of Excellence
• Other Resources

The ULA CPG is designed to address the key principles of rehabilitation and clinical care for patients with upper limb amputation. The overall goal of amputation rehabilitation is to optimize the patient’s health status, function, independence, and quality of life. Ongoing medical assessments and therapy interventions to address psychosocial, physical and functional limitations are necessary to achieve these desired end states.

The Management of Upper Limb Amputation Rehabilitation (2022)

CPG Clinical Support Tools

• Pregnancy Childcare Parenting
• Within Reach

Helpful Links

• Extremity Trauma and Amputation Center of Excellence
• Other Resources

The guideline describes the critical decision points in the Management of Asthma and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with Asthma.

The Primary Care Management of Asthma (2019)

CPG Clinical Support Tools

• Asthma Diary
  Patient form for tracking symptoms, triggers, medication responses, and more.
• Asthma Self Management Book
  This 44-page information booklet supports patients in managing asthma.
• Managing Your Asthma: A Patient's Guide
  This guide helps patients work with their care team to develop a plan for managing asthma.

The guideline describes the critical decision points in the Management of Bipolar Disorder and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with bipolar disorder.

Management of Bipolar Disorder (2023)

CPG Clinical Support Tools

• Management of Bipolar Disorder Pocket Card (2023) 
  This tool helps guide clinical decision making in the treatment of bipolar disorder. (Accessible descriptive text for the charts can be found in the Clinical Practice Guideline for Management of Bipolar Disorder, Appendix M, page 190)
• Psychosocial and Recovery Oriented Therapy for Bipolar Disorder (2023)
  Fact sheet describing and summarizing evidence-based psychotherapies for treating bipolar disorder cited in the clinical practice guideline.
• Pharmacologic Treatments of Bipolar Disorder (2023)
  Fact sheet describing effective pharmacotherapies for the treatment of bipolar disorder referenced in the clinical practice guideline.
• Bipolar Disorder: Do I Need Help? (2023)
  Fact sheet for patients describing bipolar disorder, including signs, symptoms, and treatment options.
• Understanding Bipolar Disorder (2023)
  Fact sheet with information on bipolar disorder symptoms, causes, and effective treatments.
• Bipolar Disorder: A Guide for Family and Friends (2023)
  Fact sheet for family, friends, and other caregivers of individuals with bipolar disorder. Provides an overview of bipolar disorder, and the recommended treatment and management options.
• Bipolar Disorder: A Guide for Department of Defense Line Leaders (2023)
  Fact sheet for line leaders to help identify and respond to their service members who may be experiencing symptoms of bipolar disorder.

The guideline describes the critical decision points in the Management of Chronic Kidney Disease and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with chronic kidney disease.

Management of Chronic Kidney Disease (2019)

CPG Clinical Support Tools

• Chronic Kidney Disease Algorithms and Medication Management Card for providers
• Management of Chronic Kidney Disease Recommendations Card for Providers
• Take Care of Your Kidneys

The guideline describes the critical decision points in the management of Chronic Multisymptom Illness and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with CMI.

The Management of Chronic Multisymptom Illness (2021)

The guideline describes the critical decision points in the Management of Chronic Obstructive Pulmonary Disease and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with COPD.

Management of Chronic Obstructive Pulmonary Disease (2021)

CPG Clinical Support Tools

• Tri-Fold Chronic Obstructive Pulmonary Disease

The guideline describes the critical decision points in the Use of Opioids in the Management of Chronic Pain and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The workgroup consensus statements are provided to minimize harm and increase patient safety in patients requiring opioid therapy.

Use of Opioids in the Management of Chronic Pain (2022)

CPG Clinical Support Tools

• Reducing the Risk of Unsafe Opioid Use (2023)
Fact sheet for providers detailing risk associated with opioid use along with other behavioral health conditions.

• Dose, Duration, and Tapering of Opioids(2023)
Fact sheet for providers with strategies to safely plan dosage, duration, and tapering in opioid therapy.

• Talking About Your Opioid Use
Fact sheet for patients describing opioid use disorder, including facts, risks, diagnoses, and treatment.

• Provider Considerations for Chronic Pain
Fact sheet for providers with considerations on whether long-term opioid therapy is appropriate in specific situations.

• Chronic Pain Manage Patient Guide (2023)
  Fact sheet for patients highlighting different treatment options available as well as ways to self-manage chronic pain.

The guideline describes the critical decision points in the management of Major Depressive Disorder and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with MDD.

Management of Major Depressive Disorder (2022)

CPG Clinical Support Tools

• Research Evidence for Alternative Treatments for Depression (2022)
Fact sheet describing and summarizing research evidence for alternative depression treatments that may not be recommended in the clinical practice guideline.

• Effective Psychotherapies for the Treatment of Major Depressive Disorder (2022)
Fact sheet describing and summarizing evidence-based psychotherapies for treating Major Depressive Disorder cited in the clinical practice guideline.

• Effective Pharmacotherapies for the Treatment of Major Depressive Disorder (2022)
Fact sheet describing effective pharmacotherapies for the treatment of major depressive disorder referenced in the clinical practice guideline.

• Understanding Depression A Resource for Providers and Patients (2022)
Booklet with information on treatment, medications, tips on talking to family and friends about MDD and patient worksheets on how to improve sleep and manage symptoms.

• Patient Self Management for Depression (2022)
Worksheet for patients with several things they can do several things to help themselves feel better, even when they’re not at their best.

• Talking To Your Family and Friends About Depression (2022)
Worksheet to help patients plan a discussion about their depression symptoms with family and friends.

• Depression Facts for Families (2022)
Brochure with facts on depression symptoms, causes and effective treatments.

The guideline describes the critical decision points in the Management of Diabetes Mellitus and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with diabetes mellitus.

Management of Diabetes Mellitus in Primary Care (2023)

CPG Clinical Support Tools

• Self-Care Skills for the Person with Diabetes
  A 46-page patient book containing information on what is diabetes, healthy eating, being active monitoring.
• Don't lose sight of Diabetic Eye Disease
  Patient brochure with information on eye disease, in particular Diabetic Retinopathy.
• Diabetes Placemat - Diabetes Placemat
  A two-sided educational placemat for diabetic patients, family members, care givers, and clinical staff on eating healthy, including information on hyperglycemia and hypoglycemia.
• Pre-Diabetes Placemat handout
  A two-page educational handout for pre-diabetic patients, family members, care givers, and clinical staff on what is pre-diabetes, how to prevent it, and the importance of eating healthy and moving more.

The guideline describes the critical decision points in the Management of Dyslipidemia and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with dyslipidemia.

The Management of Dyslipidemia for Cardiovascular Risk Reduction (Lipids) (2020)

CPG Clinical Support Tools

• Primary Prevention Cholesterol Infographic
  Information on risk – what to do to reduce risk.
• Secondary Prevention Infographic 
  Treatment options after stroke or heart attack.

The guideline describes the critical decision points in the Management of Headache and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who are suffering headaches.

Primary Care Management of Headache (2023)

CPG Clinical Support Tools

• Patient Guide for Headaches (2023)
Double sided one page patient handout tool to gather info to share with your provider to accurately diagnose and treat your headache(s).

The guideline describes the critical decision points in the Diagnosis and Management of Hypertension in Primary Care and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with hypertension.

Diagnosis and Management of Hypertension in Primary Care (2020)

CPG Clinical Support Tools

• High Blood Pressure Brochure

Videos

• Home BP Monitoring Video
• Clinic Setting BP Monitoring Video

The guideline describes the critical decision points in the Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with Insomnia/OSA.

Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea (2019)

CPG Clinical Support Tools

• PHCoE Treating Insomnia Providers Guide (2020)
Fact sheet for providers with tips for considering which behaviorally-based treatment for chronic insomnia disorder is right for a patient, what to tell patients about treatment options, and provider resources.

• PHCoE Insomnia Meds Providers (2020)
Brochure for providers with information about short-term pharmacotherapy and complementary and integrative health treatments for chronic insomnia disorder and tips for patient-centered care.

• PHCoE Patient Summary Brochure (2020)
Brochure for patients which summarizes information in the clinical practice guideline relating to diagnosis and treatment of chronic insomnia disorder and obstructive sleep apnea.

• PHCoE Insomnia Meds Patients And Families (2020)
Fact sheet for patients and families with information about medications for chronic insomnia disorder including medication-related precautions, questions to ask your doctor, and what to know about herbal supplements.

• PHCoE Treating Insomnia Patients Guide (2020)
Fact sheet for patients with information and resources about behaviorally-based treatments and techniques for chronic insomnia disorder.

• Obstructive Sleep Apnea CPAP Therapy Booklet
Patient Booklet – 19 page booklet with information on what OSA is, symptoms, treatments, CPAP – myths & facts, benefits, obstacles, maintenance and references.

• Insomnia Severity Index
Insomnia Severity Index fillable form.

The guideline describes the critical decision points in the diagnosis and Management of Low Back Pain and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with low back pain.

Diagnosis and Treatment of Low Back Pain (2022)

The guideline describes the critical decision points in the Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with Post-Acute Mild Traumatic Brain Injury.

Management of Post-Acute Mild Traumatic Brain Injury (2021)

CPG Clinical Support Tools

• Managing Headaches Following Concussion/mild TBI Fact Sheet
• Assessment and Management of Dizziness and Visual Disturbances Following Concussion/mTBI
• Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury

Helpful Links

• Extremity Trauma and Amputation Center of Excellence
• Traumatic Brain Injury Center of Excellence

The guideline describes the critical decision points in the Management of Adult Overweight and Obesity and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who are obese or overweight.

Management of Adult Overweight and Obesity (2020)

CPG Clinical Support Tools

• 5 Point Checklist for Weight Management and I’m Concerned about Your Weight
• Body Mass Index Chart

The OA CPG recommends a framework that includes a structured evaluation and diagnosis of veterans and service members who may be suffering from hip and knee OA. Additionally, the CPG provides treatment options, including pharmacological, non-pharmacological, complementary, and alternative medicine, as well as options for referral for surgical consultation.

The Non-Surgical Management of Hip & Knee Osteoarthritis (2020)

CPG Clinical Support Tools

• Taking Control of Your Osteoarthritis

The guideline describes the critical decision points in the Management of Pregnancy and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who are pregnant.

Management of Pregnancy (2023)

CPG Clinical Support Tools

• Pregnancy and Childbirth: A Goal Oriented Guide to Prenatal Care “Purple Book 5.0” (2024)
Patient focused book including information regarding prenatal visits, nutrition, illness, labor and delivery, and the post- partum period.
• Pregnancy Postpartum Depression Infographic (2024)
Information about depression during or after pregnancy, including perinatal depression “baby blues” and postpartum psychosis, how to identify perinatal depression, and how it can affect baby and family.
• Pelvic Floor Muscle Training (2024)
Effects of pregnancy on pelvic floor muscles.
• Pregnancy Passport—printable (2024)
Patient focused tool designed to provide patients with a means to record data about the pregnancy in a ready transportable convenient format. Has space to annotate prenatal visit information, lab, radiology results and education provided.
• Pregnancy Passport—fillable (2024)

The guideline describes the critical decision points in the Management of First-Episode Psychosis and Schizophrenia and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with SCZ.

Management of First-Episode Psychosis and Schizophrenia (2023)

CPG Clinical Support Tools

Provider Tools

First Episode Psychosis and Schizophrenia Pocket Card (2023)
This tool helps guide clinical decision making in the treatment of schizophrenia.

Pharmacologic Interventions in the Treatment of First Episode Psychosis or Schizophrenia (2023)
Fact sheet for providers with recommended pharmacologic interventions, ways to manage side effects, and a list of resources.

Psychosocial Interventions and Psychotherapies for First Episode Psychosis and Schizophrenia (2023)
Fact sheet for providers describing several psychosocial interventions and psychotherapies to consider in treating first episode psychosis and schizophrenia as well as providing a list of resources.

Patient Tools

Psychosis and Schizophrenia: Do I Need Help? (2023)
Fact sheet for patients describing psychosis and schizophrenia, including signs and symptoms and treatment options.

First Episode Psychosis and Schizophrenia: A Patient’s Guide (2023)
Fact sheet describing symptoms and treatment options for psychosis and schizophrenia as well as additional patient and family resources.

Line Leader Tool

First Episode Psychosis and Schizophrenia: A Guide for Department of Defense Line Leaders (2023)
Fact sheet to help leaders identify the signs and symptoms of psychosis and schizophrenia, when and how to intervene, educate their service members about treatment options and policy, and provide family resources.

The guideline describes the critical decision points in the Management of Posttraumatic Stress Disorder and Acute Stress Reaction and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with one of these diagnoses.

Management of Posttraumatic Stress Disorder and Acute Stress Reaction (2023)

CPG Clinical Support Tools

• Posttraumatic Stress Disorder Pocket Card (2023)
  This tool helps guide clinical decision making in the treatment of posttraumatic stress disorder. (Accessible descriptive text for the charts can be found in the Clinical Practice Guideline for Management of Posttraumatic Stress Disorder (Appendix H).
• Assessment for Posttraumatic Stress Disorder (2023)
  Fact sheet with information on how to screen, diagnose, and detect changes in symptoms for posttraumatic stress disorder.
• Pharmacologic Interventions for Treating Posttraumatic Stress Disorder (2023)
  Fact sheet describing how pharmacologic intervention may be considered for treatment of posttraumatic stress disorder. 
• Posttraumatic Stress Disorder: Do I Need Help? (2023)
  Fact sheet for patients discussing signs and symptoms, when you should seek help, and treatment options for posttraumatic stress disorder.
• Posttraumatic Stress Disorder and Acute Stress Disorder: A Guide for Patients, Family Members, Friends, and other Caregivers (2023)
  Fact sheet for patients, family, friends, and other caregivers of individuals with posttraumatic stress disorder explaining PTSD and acute stress disorder.
• Posttraumatic Stress Disorder and Acute Stress Disorder: A Guide for Department of Defense Line Leaders (2023)
  Fact sheet for line leaders to help identify and respond to their service members who may be experiencing symptoms of posttraumatic stress disorder and acute stress disorder.

The guideline describes the critical decision points in the Management of Stroke Rehabilitation and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients who have sufferred a stroke.

Management of Stroke Rehabilitation (2019)

The guideline describes the critical decision points in the Management of Substance Use Disorder and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with substance use disorder.

Management of Substance Use Disorder (2021)

CPG Clinical Support Tools

• Medications for the Treatment of Alcohol Use Disorder (2022)
Guide for service members, veterans, and their families regarding medication used in the management of SUD.

• Alcohol Misuse: Facts About Risky Drinking (2022)
Fact sheet with information on preventing risky drinking, indicators, and impacts of risky drinking, and where to seek help.

• Standard Drink Calculator (2021)
Guide with a calculator for the number of standard drinks per each common drink container and mixed drink type and a daily drink tracker to record drinking consumption and see trends in drinking over time.

• My Plan for Change Worksheet (2020)
Worksheet with a plan for how to handle specific situations that may challenge drinking goals.

• Preparing for Change Worksheet (2020)
Worksheet to help consider both the advantages of and drawbacks to drinking and reasons to change drinking habits.

• Is Your Body Ready for Pregnancy Pregnancy and Substance Abuse Its Not Worth the Risk (2022)
Brochure for patients with information on how women and babies are impacted by alcohol, tobacco, and drug use when trying to conceive and during pregnancy.

• Substance Use Disorder Affects Families (2022)
Brochure for families about substance misuse and/or dependence and its impact on families.

• Substance Use Disorder: What Line Leaders Need to Know (2022)
Guide to help leaders identify the signs of substance misuse and/or dependence, educate their service members about treatment options and policy, and address substance misuse early to support mission success, unit readiness, and service and family member fitness.

The guideline describes the critical decision points in the management of Suicidal Risk Behavior for suicidal self-directed violent behavior and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for practitioners throughout the DOD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with SRB.

Assessment and Management of Patients at Risk for Suicide (2019)

CPG Clinical Support Tools

• Safety Plan Worksheet Brief Instructions for Providers (2020)
Provider fact sheet with information on how to counsel patients at risk for suicide on reducing their access to lethal means, as well as helpful firearm means safety recommendations and provider resources.

• Lethal Means Counseling Recommendations for Providers (2020)
Printable worksheet, designed to enable health care provider and patient to collaboratively identify a patient’s stressful triggers, warning signs, sources of support, coping strategies and ways to access health care and crisis assistance.

• Safety Plan Worksheet (2020)
Digital version of the Safety Plan Worksheet, designed to be saved electronically, enabling patients and providers to access it via their digital devices and update as needed.

• Safety Plan Worksheet digital version (2020)
Printable, collaborative safety planning tool for trained providers and their patients to create a dynamic plan to reduce patient risk for suicidal behavior.

• Crisis Response Plan (2020)
Brochure that describes suicide warning signs, risk factors, and what family members and caregivers can do to help a loved one in crisis.

• Suicide Prevention Risk Factors and Warning Signs for Family Members and Caregivers (2020)
Fact sheet with information to help commanders manage service members’ suicide risk with best practices for reducing access to lethal means.

• Reducing Access to Firearms A Suicide Prevention Guide for Military Leaders (2020)