List of Significant Guidance Documents of the Drug Enforcement Administration Diversion Control Division
- Practitioner's Manual: A Guideline to the Practitioner's Responsibilities under the Controlled Substances Act of 1970(August, 2006)
- Mid-Level Practitioner's Manual: An Informational Outline of the Controlled Substances Act of 1970 (January, 1993) (Under Revision - Refer to the Pharmacist's Manual for general guidance. If you have a specific question, contact your Local Diversion Field Office for assistance).
- Narcotic Treatment Programs: Best Practice Guideline (April, 2000)
- ARCOS Registrant Handbook (1997)
- Policy Statement: Dispensing Controlled Substances for the Treatment of Pain [71 FR 52716; September 6, 2006] (Docket No. DEA-286)
FSMB launches new Opioids and Pain Management resource webpage
OPIOIDS AND PAIN MANAGEMENT
PAIN MANAGEMENT
Board-by-Board Overview of Laws, Regulations, and Guidelines
Federation of State Medical Boards Opioid Policy Survey, 2019
DEA RESOURCES
CMEA (Combat Meth Epidemic Act)
Controlled Substance Schedules
Federal Agencies & Related Links
National Prescription Drug Take Back Day
Significant Guidance Documents
Title 21 Code of Federal Regulations
Medical Associations & More
About the American Academy of Family Physicians
Founded in 1947, the AAFP represents 134,600 physicians and medical students nationwide. It is the only medical society devoted solely to primary care. Family physicians conduct approximately one in five office visits -- that’s 192 million visits annually or 48 percent more than the next most visited medical specialty. Today, family physicians provide more care for America’s underserved and rural populations than any other medical specialty. Family medicine’s cornerstone is an ongoing, personal patient-physician relationship focused on integrated care. To learn more about the specialty of family medicine, the AAFP's positions on issues and clinical care, and for downloadable multi-media highlighting family medicine, visit www.aafp.org/media. For information about health care, health conditions and wellness, please visit the AAFP’s award-winning consumer website, www.familydoctor.org.(www.familydoctor.org.)
About the American Academy of Pediatrics
The American Academy of Pediatrics is an organization of 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit www.aap.org(www.aap.org) and follow us on Twitter @AmerAcadPeds.
About the American College of Physicians
The American College of Physicians(www.acponline.org) is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. ACP membership includes 152,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Follow ACP on Twitter(twitter.com) and Facebook(www.facebook.com).
About the American Congress of Obstetricians and Gynecologists
The American College of Obstetricians and Gynecologists (The College), a 501(c)(3) organization, is the nation's leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of more than 58,000 members, The College strongly advocates for quality health care for women, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members and the public of the changing issues facing women's health care. The American Congress of Obstetricians and Gynecologists (ACOG), a 501(c)(6) organization, is its companion.
About the American Osteopathic Association The American Osteopathic Association (AOA) represents more than 145,000 osteopathic physicians (DOs) and osteopathic medical students; promotes public health; encourages scientific research; serves as the primary certifying body for DOs; and is the accrediting agency for osteopathic medical schools. To learn more about DOs and the osteopathic philosophy of medicine, visit www.DoctorsThatDO.org(doctorsthatdo.org).
About the American Psychiatric Association
The American Psychiatric Association, founded in 1844, is the oldest medical association in the country. The APA is also the largest psychiatric association in the world with more than 38,500 physician members specializing in the diagnosis, treatment, prevention and research of mental illnesses. APA’s vision is to ensure access to quality psychiatric diagnosis and treatment. For more information please visit www.psychiatry.org(www.psychiatry.org).
Other Websites
National Fibromyalgia & Chronic Pain Association (NFMCPA)
National Association of Drug Diversion Investigators
PDMP Training & Technical Assistance Center
Pharmaceutical Research and Manufacturers of America (PhRMA)
State Pain Policy Advocacy Network
American Academy of Pain Medicine
Address:
4700 W. Lake Avenue, Glenview, IL 60025
Phone :
847-375-4731 I Fax: 847-375-6477
Email :
American Association of Pain Management in Ultrasound
Address:
6 Virginia Road
North Reading, MA 01864
Phone :
480-442-2768 I Fax: 978-207-1293
American Society of Anesthesiologists
Address:
520 N. Northwest Highway,
Park Ridge, IL 60068-2573
Phone :
(847) 825-5586 I Fax: (847) 825-1692
Email : communications@asahq.org
American Society of Interventional Pain Physicians
Address:
81 Lakeview Drive, Paducah, KY 42001
Phone :
270.554.9412 I Fax: 270.554.5394
Email : asipp@asipp.org
American Society of Regional Anesthesia and Pain Medicine
Address:
239 Fourth Avenue, Suite 1714,
Pittsburgh PA 15222
Phone :
412-471-2718
International Anesthesia research Society
Address:
100 Pine Street
Suite 230
San Francisco, CA 94111
Phone :
415-296-6900 I Fax: 415-296-6901
Email : info@iars.org
Society for Ambulatory Anesthesia
Address:
520 N. Northwest Highway
Park Ridge, Illinois 60068-2573
Phone :
847-825-5586 I Fax: 847-825-5658
Email :
Society for Obstetric Anesthesia and Perinatology
Address:
6737 West Washington Street Suite 1300
Milwaukee, WI 53214
Phone :
414-389-8611 I Fax: 414-276-7704
Email :
Society of Cardiovascular Anesthesiologists
Address:
209 Dickens Rd, Richmond, VA 23230-2005
Phone :
804-282-0084 I Fax: 804-282-0090
Email :
The Society for Pediatric Anesthesia
Address:
2209 Dickens Road, Richmond, VA 23230-2005
Phone :
804-282-9780 I Fax: 804-282-0090
Email :
Professional Membership Groups
AHE is the membership community of choice for health care environmental services; providing education, information, and resources necessary for its members to be the recognized authority for strategic leadership in cleaning and disinfection, environmental infection prevention, waste management and laundry operations.
AHRMM is the premier membership group for health care supply chain professionals. AHRMM strives to provide the education, information, and resources necessary for its members to remain at the top of their field.
AHVRP, a professional membership group of the AHA, is the premier professional membership society for health care volunteer services, retail operations and related support services disciplines.
ASHE members form a community of essential partners and leaders in the field collaborating to create an optimal environment for patient healing through health care planning, design, construction and facility management.
ASHHRA represents the human side of health care and leads the way for human resources professionals to become more effective, valued, and credible leaders in the health care field.
The American Society for Healthcare Risk Management (ASHRM) has approximately 6,000 members representing health care risk management, patient safety, risk financing and other related professions.
SHSMD is the preeminent professional organization leading, connecting, and serving professionals at all levels of the health care strategy disciplines: marketing, public relations, communications, strategic planning, physician relations and business development.
Other Individual Membership Organizations
The American Organization of Nursing Leadership (AONL), a subsidiary of the American Hospital Association, provides education and thought leadership for emerging nurse leaders, nurse managers, nurse directors and nurse executives.
The AHA Physician Alliance strengthens the voice of physician leaders in health policy and practice while providing tools and resources to lead well, be well and care well. Connecting hospital and health system leadership through education, technical assistance and collaboratively advancing excellence in the health of patients, their families, and communities, the Alliance is the place for physicians to unite in leadership.
The Association for Community Health Improvement, an affiliate of the American Hospital Association and the Health Research & Educational Trust, is the premier national association for community health, community benefit and population health professionals. We provide educational resources and tools, professional development and networking opportunities to help health leaders expand their knowledge and enhance their performance in achieving community health goals.
As the only organization devoted exclusively to managing health equity, diversity and inclusion in the health care field, the Institute for Diversity and Health Equity is in a unique position to help your organization plan for a more diverse future while providing the tools to meet today’s challenges. Its resources are available to AHA institutional members as part of their membership. Personal memberships also may be purchased for non-hospital entities and students.
AHA Partnerships and Strategic Alliances
The CAPC provides health care professionals with the tools, training and technical assistance necessary to start and sustain successful palliative care programs in hospitals and other health care settings. Located at Mount Sinai School of Medicine, CAPC is a national organization dedicated to increasing the availability of quality palliative care services for people facing serious, complex illness.
Advocacy for Health Professionals
Find a local (non chain) pharmacy
https://www.ncpanet.org/home/find-your-local-pharmacy
National Community Pharmacists Association
Advocacy
Pain Management & Practices for Prescribing
Stay ahead of the curve and continue learning about pain management and safe prescribing. These resources from AAHPM and other organizations can help increase your knowledge in pain management.
CME Requirements by State: Pain Management | NEJM Knowledge+
https://knowledgeplus.nejm.org/state-requirements-for-pain-management- cme/
Pain Management TA and Training
Implementing Medication Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Tools and Resources Volume 2. AHRQ, October, 2017. See Table 1: Tools for the Prevention of Opioid Use Disorder.
Safe and Effective Opioid Prescribing for Chronic Pain. Includes vignettes of complicated provider-patient interactions around prescribing opioids for chronic pain.
See also:
- Safe and Competent Opioid Prescribing: Optimizing Office Systems for an excellent training on setting up an office-based system to manage opioid prescribing.
- Safe Opioid Prescribing for Acute Dental Pain
Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. Provides a structured system-based approach for improving management of patients on chronic opioid therapy; includes implementation guide, tools and resources.
PainNET. Online learning community with tools, discussion forums, blog, and other resources for chronic pain management and safe opioid prescribing.
AAHPM Resources
- Pain and Symptom Management, Part 1 and Part 2 - contains multiple MP3 recordings
- Practicing Between a Rock and a Hard Place: Managing Pain in Opioid-Dependent Patients - recorded at the 2016 Annual Assembly
- Essentials Book 3: Pain Assessment and Management - softback book on assessing and managing various types of pain
External Resources
- CDC Guideline - review the 2016 guideline for Prescribing Opioids for Chronic Pain and related fact sheet.
- Co-Prescribing Naloxone - read the AMA backgrounder to learn about co-prescribing naloxone for patients at risk of overdose.
- A Primer on the Opioid Morbidity and Mortality Crisis: What Every Prescriber Should Know" - free e-learning module from the AMA. CME credit available.
- Prescription Drug Overdoses - learn more from the Centers for Disease Control and Prevention (CDC).
- CO*RE monthly newsletter - your monthly update of opioid news
State Prescription Drug Monitoring Programs (PDMP)
AAHPM is committed to partnering with policymakers in an effort to enhance prescribers’ knowledge and skills in order to improve care and outcomes for patients and increase public health and safety. An effective network of state prescription drug monitoring programs (PDMPs) is a key tool in such efforts.
Find your state PDMP using the AMA portal, and review AAHPM Guidelines for Effective PDMPs.
Promote Safe Storage and Disposal
Review guidance from the AMA and AAHPM on the safe storage and disposal of medications.
Use the DEA locator to find a controlled substance disposal location near you!
Understand Substance Use Disorder
It is important that every prescriber understand and effectively assess the risks for substance use disorder. Utilize the following resources to help identify these risks.
- Opioid Therapy in the Seriously Ill: Managing Substance Abuse Risk - webinar to help assess and manage substance abuse outcomes. Also available as an MP3.
- American Society of Addiction Medicine - a valuable resource for assessing addiction or substance use
AAHPM Opioid Partnerships
AAHPM recognizes the public health imperative to address the opioid crisis and has partnered with various organizations to provide continuing education to health care providers.
Collaborative for Relevant Education (CO*RE)
The Academy is a founding member of CO*RE, a group of 11 healthcare professional organizations that provides opioid education and information on the latest on state level data, programs, and laws related to opioids.
- Find a Course - take an opioid course in person or online
- Opioid Information by State - view information per state on prescribing policies, overdose death data, and more
- Patient Counseling and Screening - use these tools to appropriately assess and monitor opioid use
- Read Field Notes - read highlight on current topics, compelling stories, and CO*RE outcomes to broaden awareness.
- Opioid Analgesic REMS - FDA expand REMS training to include more opioids and health care providers
American Medical Association (AMA) Opioid Task Force
AAHPM is a member of the AMA Opioid Task Force. This group of healthcare associations is working to develop policy recommendations, clinical best practices, and educational resources to reduce the nation’s burden from opioid-related misuse, overdose and death.
FEDERAL agencies
Federal Regulatory Agencies:
Office of National Drug Control Policy (ONDCP)
Drug Enforcement Administration (DEA)
Federal Bureau of Investigation (FBI)
National Criminal Justice Reference Service
Department of Health & Human Services (HHS)
Food & Drug Administration (FDA)
National Institute on Drug Abuse (NIDA)
Substance Abuse & Mental Health Service Administration (SAMHSA)
Center for Substance Abuse Treatment (CSAT)
Govinfo (Code of Federal Regulations)
More Resources
- CRNAs and Medication-Assisted Treatment (MAT)
- Opioid Crisis Data
- Opioid Safety Resources
- Managing Chronic Pain
- Opioid Comment Letters
- Prescription Medicine Disposal
- Opioid Safety and Advocacy State Toolkit
Opioid Safety and Advocacy Toolkit
There are many possible solutions to address the various elements of the current opioid crisis. These complex issues require the expertise of many stakeholders from healthcare, the communities and policy agencies in each state for success. CRNAs, SRNAs and state associations are uniquely positioned to contribute through leadership or participation in collaborative initiatives to reduce the impact of the opioid crisis in their state. The AANA offers this toolkit checklist to provide guidance and help identify opportunities to create, lead or serve when asked to be involved in a state or community initiative.
A Collaborative Approach to Responding to the Opioid Epidemic
- Community in Crisis: A Collaborative Approach to Responding to the Opioid Epidemic(webinar)
- Webinar slides include “Clinical Practice Controlled Substance Prescribing Workbook” and “Community Partners Coalition 2018 Guide to Health: Combatting the Opioid Epidemic Action Plan”
