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Clinical Support Tools

The Department of Veterans Affairs (VA) and the Department of Defense (DOD) develop clinical practice guidelines (CPGs) for several psychological health conditions, substance use disorders, suicide risk, and other conditions. Guidelines improve patient care by reducing variation in practice and systematizing best practices. CPGs are intended for use as a tool to assist a health care providers and should not be used to replace clinical judgment.

The latest versions of the full guidelines, along with related materials such as provider and patient summaries and provider pocket cards, are available for download from the Department of Veterans Affairs Clinical Practice Guidelines Website.

PHCoE has created resources that complement psychological health CPGs. These resources, called clinical support tools (CSTs), condense CPG material, highlight critical information, and present it in a digestible manner. CSTs are not intended to replace or supersede CPGs; rather, they address a particular aspect of a CPG or help to disseminate knowledge about the evidence-based treatments to patients, families, and military leaders.

PHCoE currently offers CSTs addressing the following psychological health conditions:

Insomnia Clinical Support Tools

A set of resources for providers, patients and families on evidence-based treatment of insomnia

Insomnia

Major Depressive Disorder Clinical Support Tools

A set of resources for providers, patients and families on evidence-based treatment of depression

Major Depressive Disorder

Opioid Therapy for Chronic Pain Clinical Support Tools

A set of resources for providers, patients, and families on evidence-based opioid therapy for chronic pain

Opioid Therapy for Chronic Pain

Pregnancy Clinical Support Tools

Resources for providers and patients on health care management of pregnancy

Pregnancy

PTSD Clinical Support Tools

A set of resources for providers, patients, and families on evidenced-based treatment of PTSD

PTSD

Substance Misuse Clinical Support Tools

A set of resources for providers, patients, and families on evidenced-based treatment of substance misuse

Substance Misuse

Suicide Risk Clinical Support Tools

A set of resources for providers, patients, and families on evidence-based treatment of suicide risk

Suicide Risk

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Managing Side Effects and Complications of Opioid Therapy for Chronic Pain

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Fact sheet for primary care providers that explains how to properly manage side effects of opioid therapy

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Behaviorally-based Treatments for Insomnia: A Provider’s Guide

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This factsheet for providers contains 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.

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Patient Information Guide Long Term Opioid Therapy for Chronic Pain

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Patient booklet that highlights responsible use of opioids, benefits and risks of opioid therapy, and self-management tips

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Tapering and Discontinuing Opioids

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Brochure for primary care providers with strategies to safely taper, manage withdraw and discontinue long-term opioid therapy

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Insomnia Medications: Facts for Patients and Families

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This factsheet for patients and families provides information about medications for chronic insomnia disorder including medication-related precautions, questions to ask your doctor, and what to know about herbal supplements.

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Pharmacotherapy, Complementary and Integrative Health Treatments for Chronic Insomnia Disorder: Recommendations for Providers

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This brochure for providers providers information about short-term pharmacotherapy and complementary and integrative health treatments for chronic insomnia disorder and tips for patient-centered care.

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Treating Insomnia with Behavior Change: A Patient’s Guide

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This factsheet for patients provides information and resources about behaviorally-based treatments and techniques for chronic insomnia disorder.

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VA/DoD Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea: Clinical Practice Guideline Patient Summary

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This brochure for patients summarizes information in the clinical practice guideline relating to diagnosis and treatment of chronic insomnia disorder and obstructive sleep apnea.

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Standard Drink Calculator

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This guide includes 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.

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My Plan for Change Worksheet

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This worksheet helps individuals develop a plan for how to handle specific situations that may challenge drinking goals.

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Preparing for Change Worksheet

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This worksheet helps individuals to consider both the advantages of and drawbacks to drinking and reasons to change drinking habits.

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Stabilization Pocket Card

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This resource contains the stabilization algorithm from the VA/DoD Clinical Practice Guideline for Management of Substance Use Disorders, as well as information for providers on withdrawal assessment and management of substance use disorder.

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Posttraumatic Stress Disorder and Acute Stress Disorder Pocket Guide

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This tabbed pocket guide helps providers assess, diagnose, and treat PTSD, ASD and co-occurring conditions.

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VA DOD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF POSTTRAUMATIC STRESS DISORDER AND ACUTE STRESS DISORDER

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COMBAT STRESS REACTIONS Tips for Providers

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Combat Stress Reactions (CSRs) are normal, temporary physical, behavioral, emotional, and mental changes that occur in reaction to extremely stressful combat-related events.1 Immediate CSRs last from hours to days and may affect a service member’s ability to function. For providers who work with service members, it’s important to note that: • CSRs are hardwired survival responses triggered by the autonomic nervous system — made up of the sympathetic nervous system (SNS) responsible for arousal, and the parasympathetic nervous system (PNS) responsible for shutdown. • Symptoms of combat PTSD may be ‘displays’ (repeat expressions) of CSRs experienced during combat. • CSRs may impair a service member’s readiness, operational performance, and fitness for duty and can occur during combat-related training.

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Last Updated: June 07, 2022

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