Resources

• Carolina Complete Health Quit for Life® Tobacco Cessation Program
• NC Medicaid bulletin about the Standard and Tailored Plans Tobacco Free Policy Requirement
• Free trainings for providers and staff
  • How to Support Clients and your Organization to Become Tobacco-Free
  • Register: 10/05/2022, 9am-12:30pm
  • Learn step-by-step how to implement a tobacco-free campus policy and integrate standard-of-care tobacco use treatment at diverse programs, including inpatient, community-based, residential, and long-term services and supports.
  • 3 CEUs approved by NCASPPB
    
  • QuitlineNC and Live Vape Free: Your Clients Can Quit, We Can Help
  • 07/20/2022, 12-1:30pm
  • Become familiar with all of QuitlineNC’s services. These include: programs for pregnant folks, American Indian QuitlineNC, the behavioral health program and more. Learn about Live Vape Free, a service that helps adolescents quit vaping through live coaching via text, phone, or online.
  • 1.5 CEUs approved by the NCASPPB
  • Register in advance.
• NC Breathe Easy offers technical assistance and training on tobacco-free policy implementation and evidence-based tobacco use treatment
• CDC Clinical Cessation Tools present the most recent evidence and clinical guidelines for treating tobacco use and dependence.
• American Academy of Pediatrics Guide to Counseling About Smoking Cessation
• NC Tobacco Prevention and Control Branch 
• Surgeon General's Report on Smoking 
• RxforChange
  • Comprehensive tobacco cessation training program developed by UCSF that equips health professional students and practicing clinicians, of all disciplines, with evidence-based knowledge and skills for assisting patients with quitting.
• Pharmacologic Product Guide: FDA-Approved Medications for Smoking Cessation
• AAFP Treating Tobacco Dependance Practice Manual (PDF)

• NCCARE360 provides the opportunity for health to all North Carolinians by providing public access to resources and helping health and community-based organizations make electronic referrals, communicate in real time, securely share client information, and track outcomes together.
• NC DHHS Health Opportunities Fact Sheet (PDF)
• CCH Healthy Opportunities Pilot Program
• NC DHHS Healthy Opportunities Initiative website
• NC AHEC Webinar Series: Quality & Population Health
  • October 14, 2021 | Integrated Care for Kids (InCK) / Healthy Opportunity Pilots:  Impacts to AMHs: Recording, Slides and Transcript
• NC AHEC Webinar Series: Healthy Opportunities
  • North Carolina’s Healthy Opportunities Pilot program is an unprecedented opportunity to test the integration of evidence-based, non-medical interventions into the state’s Medicaid program. The Pilots will provide non-medical services to qualifying Medicaid members across four domains: housing, food, transportation and interpersonal violence/toxic stress. Critically, frontline care managers working in Pilot regions will play an essential role in identifying members that may benefit from Pilot services, recommending appropriate services and coordinating their care.
  • View upcoming and archived webinars.

Anxiety Disorders Toolkit

• Overview/Diagnosis/Symptoms/Issue
  • Mayo Clinic: Anxiety Disorders
  • National Institute of Mental Health- Panic Disorder- When Fear Overwhelms
  • National Institute of Mental Health- Generalized Anxiety- When Worry Gets Out of Control
• Best Practices/Treatments
  • Mayo Clinic- Diagnosis and Treatment- Generalized Anxiety
  • Research Article: Treatment of Anxiety Disorders
  • Research Article: Current Diagnosis and Treatment of Anxiety Disorders
• Screening Tools
  • Spence Children's Anxiety Scale (PDF)
  • NICHQ Vanderbilt Assessment Scales (PDF)
  • Patient Stress Survey (PDF)
  • GAD-7 (PDF)
• Helpful Links
  
  • American Psychiatric Association
  • Mayo Clinic
  • Anxiety and Depression Association of America
• Anxiety and Coping with COVID-19
  • CDC - Coping with Stress
  • Top Ten COVID-19 Anxiety Reduction Strategies

Attention-Deficit/Hyperactivity Disorder (ADHD) Toolkit

• Overview/ Diagnosis/ Symptoms/ Issue
  • BSC3 Attention-Deficit/ Hyperactivity Disorder (ADHD) Diagnosis (PDF)
  • ADHD Fact Sheets and Infographics
  • National Institute of Mental Health: Attention-Deficit/Hyperactivity Disorder
• Best Practices/ Treatment
  • Psychosocial Treatment
  • Parent Training in Behavior Management for ADHD
• Screening Tools
  • Vanderbilt Assessment Scales (PDF)
  • Vanderbilt ADHD Diagnostic Parent Rating Scale (PDF)
  • Vanderbilt ADHD Diagnostic Teacher Rating Scale Instructions and Scoring (PDF)
  • The SNAP-IV Teacher and Parent Rating Scale
  • Scoring Instructions for the SNAP-IV-C Rating Scale (PDF)
• Infographics/ Handouts
  • Life of a Teenager with ADHD
  • ADHD and Sleep Disorders
  • ADHD and Co-Occurring Conditions
  • ADHD Information for Teens
  • IDEA vs. Section 504
  • Time Management and ADHD: Day Planners
• Helpful Links
  • Centers for Disease Control and Prevention
  • National Institute of Mental Health
  • ADHD and COVID-19

Autism Spectrum Disorders (ASD) Toolkit

• Overview/ Diagnosis/ Symptoms/ Issues
  • Autism Facts and Figures
  • DSM-5 Criteria
  • NIH Autism Spectrum Disorder Overview
  • Identification, Evaluation, and Management of Childrenwith Autism Spectrum Disorder
• Best Practices/ Treatment
  • Autism Speaks - Autism and Medication: Safe and Careful Use (PDF)
  • The National Professional Development Center on Autism Spectrum Disorder: Evidenced Based Practices
  • Autism Spectrum Disorders: Guide to Evidenced-Based Interventions (PDF)
  • Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research (PDF)
• Screening Tools                  
  • UpToDate- Autism Spectrum Disorder: Screening Tools
  • Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R)
  • CDC: Communication and Symbolic Behavior Scale (CSBS DP Infant-Toddler Checklist) (PDF)
• Infographics/ Handouts
  • CDC’s Learn the Signs. Act Early. for Healthcare Providers (PDF)
  • CDC Fact Sheet: “Learn the Signs. Act Early.” Program (PDF)
  • Tips for Talking with Parents about Developmental Concerns (PDF)
• Helpful Links
  • National Autism Center at May Institute – Autism, A Closer Look
  • CDC - Info on Demand - Publications
  • Autism Speaks – What is Autism?
  • APA- Autism Spectrum Disorder
• Autism and Coping with COVID-19
  • Coronavirus (COVID19): Helping Kids with Autism Cope
  • COVID-19 information and Resources for Families
  • Coping with the COVID-19 Pandemic

Bipolar Disorder Toolkit

• Overview/Diagnosis/Symptoms/Issues
  • National Institute of Mental Health- Bipolar Overview
  • Mayo Clinic- Bipolar Disorder
  • The Role of Primary Care Clinicians in Diagnosing and Treating Bipolar Disorder
• Best Practices/Treatment
  • Clinical Practice Guidelines for Management of Bipolar Disorders         
  • The Diagnosis and Treatment of Bipolar Disorder: Decision-Making in Primary Care
  • Bipolar Disorder Treatment Guidelines: A 2019 Update
  • Clinical Management of Bipolar Disorder: A Review of Evice-Based Guidelines
• Screening Tools
  
  • The Mood Disorder Questionnaire (MDQ)- Overview (PDF)
  • Mental Health America – Bipolar Test
  • Assessment Tools for Adult Bipolar Disorder
• Helpful Links
  • Bipolar Disorder Handout
  • National Alliance on Mental Health- Bipolar Disorder
  • Depression and Bipolar Support Alliance- Resources for Your Patients
• Bipolar Disorder and Coping with COVID-19
  • Bipolar Disorder and Managing Stress During the COVID-19 Pandemic
  • US Department of Vererans Affairs - Bipolar Disorder and the Coronovirus Pandemic, Mantaining Your Recovery (PDF)

Co-Occurring Disorders Toolkit

• Overview
  • Dual Diagnosis: Understanding Co-Occurring Mental Illness and Substance Use Disorder
  • National Institute on Drug Abuse- Drug Facts- Comorbidity: Substance Use Disorders and Other Mental Illnesses
• Best Practices
  • National Institute on Drug Abuse- What are the treatments for comorbid substance use disorder and mental health conditions?
  • Integrated Treatment for Co-Occurring Disorders Evidence-Based Practices (EBP) KIT
• Screening Tools
  • Centers for Disease Control and Prevention- Adverse Childhood Experiences
  • CAGE AID Overview
  • Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD) (PDF)
  • Psychometric Properties of the Mental Health Screening Form III Within a Metropolitan Jail
  • Mental Health Screening Form–III (MHSF–III) (PDF)
• Helpful Links
  • Physicians and Lawyers for National Drug Policy
  • Substance Abuse and Mental Health Services Administration
• Co-Occurring and Coping with COVID-19
  • The Implications of COVID-19 for Mental Health and Substance Use
  • Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions
  • National Institue on Drug Abuse

Cultural Competency/ Humility Toolkit

• Best Practices
  • US Department of Health and Human Services- A Physician’s Practical Guide to Culturally Competent Care
  • The National CLAS Standards
  • American Psychological Association - In search of cultural competence
  • SAMHSA- Increasing Cultural Competence to Reduce Behavioral Health Disparities (PDF)
  • Physician Toolkit and Curriculum- Resources to Implement Cross-Cultural Clinical Practice Guidelines For Medicaid Practitioners (PDF)
  • Principles of Multicultural Psychiatric Rehabilitation Services
  • Understanding Bias: A Resource Guide
  • Project Implicit
  • National Center for Cultural Competence

Depression Toolkit

• Overview/Diagnosis/Symptoms/Issues/Best Practices
  • Institute for Clinical Systems Improvement- Health Care Guideline: Adult Depression in Primary Care (PDF)
  • Depression Center Toolkit
  • Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management
  • Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management
  • Mayo Clinic: Depression
  • Understanding Depression Caregiver: Get the Facts
  • Teen Depression
• Screening Tools
  • TeenScreen Primary Care- Screening Questionnaire Overview- PSC-Y, PHQ-9, CRAFFT (PDF)
  • Edinburgh Postnatal Depression Scale (EPDS) (PDF)
  • Patient Health Questionnaire (PHQ-9)- Adult (PDF)
  • Patient Health Questionnaire (PHQ-9) for Age 11 to 17 (PDF)
  • Patient Health Questionnaire (PHQ-9) for Adolescents (PDF)
  • Montgomery-Åsberg Depression Rating Scale (MADRS) (PDF)
• Depression and Coping with COVID-19
  • COVID-19 Q&A: Dr. Elizabeth Reichert on Depression, Anxiety, Risk for Suicide
  • The Surprising Mental Toll of COVID
  • COVID-19 blues vs. depression: How to tell the difference
  •  

Integrated Health Care Toolkit

• Overview
  • World Health Organization- Integrated Care Models: An Overview (PDF)
  • Integration Framework and Associated Core Measures (PDF)
  • A Quick Start Guide to Behavioral Health Integration for Safety-Net Primary Care Providers (PDF)
  • A Quick Start Guide to Behavioral Health Integration for Safety-Net Primary Care Providers- Slide
• Best Practices
  • Core Competencies for Integrated Behavioral Health and Primary Care
• Screening Tools
  • Culture of Wellness Organizational Self-Assessment (COW-OSA) (PDF)
  • Organizational Assessment Toolkit for Primary and Behavioral Health Care Integration 
  • Wellness Organizational Self-Assessment (PDF)
• Helpful Links
  • National Institute of Mental Health-Integrated Health
  • Agency for Healthcare Research and Quality
  • SAMHSA-HRSA Center for Integrated Health Solutions
  • Patient-Centered Primary Care Collaborative
• NC-PAL
  • NC-PAL offers free provider-to-provider behavioral health consultation to address the mental and behavioral health concerns of children, adolescents, young adults up to age 21, pregnant patients, and patients who have recently given birth. NC-PAL will not bill the provider or the patients for telephone consultation. Calling NC-PAL does not establish a physician / patient relationship with an individual patient.
  • BH Consultants respond to questions within the scope of their expertise and can connect providers to one of our child and adolescent psychiatrists. NC-PAL board-certified child psychiatry team is on hand to assist with diagnostic clarification and medication management if necessary.
  • To access the consultation programs, provider should call (919) 681-2909
    • Monday – Friday 8AM-5PM
    • NC-PAL is not an emergency/crisis line. If you are in need of emergency services, please call 911 or go directly to your nearest emergency department.
  • NC-PAL Psychiatry
    • Press 1 to contact the NC-PAL Child Psychiatry team for questions about children and adolescents.
  • NC-PAL Perinatal Psychiatry
    • Press 2 to contact the NC-PAL Perinatal Psychiatry team for questions about patients who are pregnant or patients who are up to one year postpartum. (Available through the Maternal Mental Health MATTERS program.) 
  • For more information about enrollment, eligibility, and the consultation process visit https://ncpal.org/providers

Schizophrenia/ First Episode Psychosis Toolkit

• Overview/Diagnosis/Symptoms/Issues
  • National Alliance on Mental Illness: What is Early and First-Episode Psychosis (PDF)
  • First Episode: Psychosis- Results from a 2011 NAMI Survey
  • National Institute of Mental Health- Fact Sheet: First Episode Psychosis
  • Mayo Clinic: Schizophrenia
  • Behavioral Neurology and Neuropsychiatry: Psychosis
  • National Institute of Mental Health- Schizophrenia
  • American Psychiatric Association- What is Schizophrenia
• Best Practices/Treatment
  • National Alliance on Mental Illness- Encouraging People to Seek Help for Early( PDF)
  • National Alliance on Mental Illness- Early Intervention: Tips for School Staff and Coaches (PDF)
• Schizophrenia and Coping with COVID-19
  • Health Disparities in Patients With Schizophrenia and COVID-19
  • COVID-19 Psychosis: A Potential New Neuropsychiatric Condition Triggered by Novel Coronavirus Infection and the Inflammatory Response?
  • Schizophrenia and COVID-19 delirium

Social Determinants of Health Toolkit

• Overview/Issue
  • CDC - Social Determinants of Health: Know What Affects Health
  • Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity
  • National Stakeholder Strategy for Achieving Health Equity (PDF)
  • World Health Organization- Social Determinants of Mental Health
  • Opioid Crisis: No Easy Fix to Its Social and Economic Determinants
  • Social Determinants of Drug Use (PDF)
• Screening Tools
  • Screening for Social Determinants of Health in Populations with Complex Needs: Implementation Considerations
  • Social Determinants of Health- Guide to Social Needs Screening Tool and Resources (PDF)
• Infographics/Handouts
  • Social Determinants of Health- The Solid Facts (PDF)
  • Health Leeds Screening Toolkit (PDF)

Substance Use Disorders Toolkit

• Diagnosis/Symptoms/Overview/Issue
  • Alcohol Use Disorder:  A Comparison Between DSM-IV and DSM- 5 (PDF)
  • A Primary Care Approach to Substance Misuse
  • A Guide to Substance Abuse Services for Primary Care Clinicians
  • National Institute on Alcohol Abuse and Alcoholism- Alcohol Facts and Statistics
  • Alcohol Screening and Brief Intervention- A guide for public health practitioners
• Best Practices/Treatment
  • A Guide to Substance Abuse Services for Primary Care Clinicians
  • Managing Alcohol Use Disorder in Primary Health Care
  • Pharmacotherapy for Adults With Alcohol Use Disorder (AUD) in Outpatient Settings
  • Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction (PDF)
  • Prescribing Opioids for Chronic Pain (PDF)
  • Kaiser Permanente- Benzodiazepine and Z-Drug Safety Guideline (PDF)
  • University of Washington- Treating Youth Substance Use
  • Approach to cannabis use disorder in primary care
  • The National Alliance of Advocates for Buprenorphine Treatment- Precipitated Withdrawal
• Screening Tools
  • CAGE-AID Questionnaire (PDF)
  • World Health Organization- Assist Screening Test Version
  • Assist Screening Tool -Who-Assist V3.0 (PDF)
  • CRAFFT Screening Tool
  • Systems-Level Implementation of Screening, Brief Intervention, and Referral to Treatment
  • AUDIT: The Alcohol Use Disorders Identification Test
  • DAST-10 (PDF)
  • DAST-10
• Helpful Links
  • SBIRT SAMHSA
  • Article: Integrating Substance Use Disorder Treatment and Primary Care: Primary Care’s Role in Identifying, Managing and Treating Substance Use Disorders (PDF)
  • Medline Plus: Drug Use and Addiction
  • SAMHSA-HRSA Center for Integrated Health Solutions- training resources for substance related issues
  • American Family Physician:  Alcohol Use Disorders 
  • Sunshine Health Plan Opioid Toolkit
  • Home State Health Plan Drug Diversion Toolkit 
• Substance Use and Coping with COVID-19
  • The Implications of COVID-19 for Mental Health and Substance Use
  • Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions
  • National Institue on Drug Abuse
  • National Institue on Drug Abuse - COVID-19 Resources

Suicide Risk Toolkit

• Diagnosis/Symptoms Overview / Issue
  • Understanding Risk and Protective Factors for Suicide: A Primer for Preventing Suicide (PDF)
  • NAMI Risk of Suicide
  • Sentinel Event from the Joint Commission: Detecting and treating suicide ideation in all settings
• Best Practices / Treatment
  • VA/DOD Clinical Practice Guideline: Assessment and Management of Patients at Risk for Suicide (PDF)
  • Suicide Prevention Toolkit for Primary Care Practices (SPRC and partners)
  • Suicide Prevention Resource Center:  Suicide Prevention Toolkit for Primary Care Practices
  • Safety Planning Guide (PDF)
  • Nation Action Alliance for Suicide Prevention Recommended Standard Care for People with Suicide Risk: Making Health Care Suicide Safe (PDF)
  • Practice Guideline for the Assessment and Treatment of Patients with Suicidal Behavior from the APA (PDF)
  • Assessment and Interventions with Potentially Suicidal Patients Pocket Guide (PDF)
  • Patient Safety Plan Template (PDF)
• Screening Tools
  • Columbia Suicide Severity Rating Scale (PDF)
  • Ask Suicide Screening Questions (ASQ) Information Sheet (PDF)
  • Ask Suicide Screening Questions (ASQ)  Toolkit (PDF)
• Helpful links
  • At-Risk In Primary Care
  • Safety Planning Intervention for Suicidal Prevention (online course)
  • Link to state specific fact sheets from CDC
• Suicide Risk Coping with COVID-19
  • Mayo Clinic - COVID-19 and the risk of suicide
  • American Academy of Pediatrics - Study: Suicidal behavior in youths higher during COVID-19 closures than in 2019
  • Suicide risk and prevention during the COVID-19 pandemic

Trauma Toolkit

• Diagnosis; Pediatric Stress/Trauma
  • Glossary of Terms Related to Trauma-Informed, Integrated Healthcare (PDF)
  • Complex Trauma and Mental Health of Children Placed in Foster Care
  • Childhood Maltreatment among Children with Disabilities
  • Understanding Refugee Trauma: For Mental Health Professionals
• Best Practices / Treatment
  • The Pediatrician's Role in Child Maltreatment Prevention
  • Engaging a Sexually Traumatized Youth in Therapy
  • Role of Related Professionals in Preventing Child Abuse and Neglect
  • Attachment, Self-Regulation, and Competence: A Comprehensive Framework
  • Racial Injustice and Trauma: African Americans in the U.S. (PDF)
• Screening Tools
  • Screening and Assessment
  • Health Care Toolbox-Screening Tools
  • The Child is the Father of the Man: Family Physicians’ Screening for Adverse Childhood Experiences
  • Screening and Assessment
  • Clinican Adminstered PTSD Scale for Children and Adolescents
  • Child Sexual Behavior Inventory
  • How the evidence-based mental healthcare CACs provide improves the lives of children.
  • The Ray Helfer Society: Training fellowships for physicians
  • CDC Child Abuse and Neglect Prevention, Divison of Violence Prevention
  • Essential for Parenting Toddlers and Preschoolers from CDC
  • Positive parenting tips from CDC
• Other Helpful Links
  • Resource Guide to Trauma-Informed Human Services
  • Dear Doctor: A Letter from a Survivor of Sexual Trauma to all Medical Professionals
  • U.S. Department of Veteran Affairs
  • Management of Pediatric Trauma
  • Pediatric Medical Traumatic Stress: A Comprehensive Guide (PDF)