Using Telehealth to Enhance Rural Primary Care Access to Mental Health and Opioid/Pain Management Consultations

Educational Resources

Clinical Processes

Working Through a Differential Diagnosis: Approach to common psychiatric disorders

Diagnosis Tree: Assisting with Psychiatric Differential Diagnosis in Primary Care(pdf)

Global Assessment of Functioning(pdf)


Navigating Difficult Diagnostic Dilemmas - Part 1

Navigating Difficult Diagnostic Dilemmas - Part 2

Medical Assessment of Psychiatric Patient: Common medical conditions, Unexplained physical symptoms, Somatic presentations

Article: Behavioral Disturbances Associated with Endocrine Disorders(pdf)

Medical Comorbidity: Approaches to treatment

Summary of Psychotropics and Diabetes(pdf)

Health Behavior Change

Behavioral Activation Slideset(pdf)

Motivational Inverviewing Slideset(pdf)

Supporting Medication Management Slideset(pdf)

DBT Distress Tolerance Skills: The Role of Consulting Psychiatrists Slideset(pdf)


DBT Distress Tolerance Skills

Motivational Interviewing Skills

Brief Medication Prescribing Directions

Brief Medications Master(pdf)

Brief Medications - Antidepressants(pdf)

Brief Medications - Anxiolytics & Hypnotics(pdf)

Brief Medications - ADHD(pdf)

Brief Medications - Miscellaneous / Supplements(pdf)

Brief Medications - Mood Stabilizers(pdf)

Brief Medications - Antipsychotics(pdf)

Psychotropic Medications

Brief Psychotropic Medications Handout(pdf)

Drug Assistance Programs(pdf)

Psychotropic Medication Guidelines - Long Form (pdf)

Resources for Low Cost Medications(pdf)

CHPW Mental Health Drug Formulary(web)

Information on Drug Related QT Prolongation(web)

Opiate Prescribing

Agency Medical Directors Group Opioid Dosing Guidelines(pdf)

Alcohol Abuse Screening (AUDIT)(pdf)

Collaborative Opioid Prescribing Education (COPE)(web)

DSHS Chronic Pain Agreement(pdf)

Opioid Dose Calculator(.xls)

Opioid Treatment Agreement(pdf)

Opioid Risk Tool(pdf)

Washington State Dosing Guidelines(pdf)

D.I.R.E. Score: Patient Selection for Chronic Opioid Analgesia(pdf)

Benzodiazepine Prescribing

Boggled by Benzos(pdf)



ADHD: Assessment and treatment

ADHD Protocol(pdf)

Adult ADHD Self-Report Scale (ASRS)(pdf)

ASRS Instructions(pdf)

Adult ADHD Summary and Recommendations(pdf)

Article: Changes and Challenges: Managing ADHD in a fast-paced world(pdf)

Anxiety Disorders: Generalized anxiety disorder, Panic disorder, Obsessive-compulsive disorder, Social phobia, Anxiety NOS

Anxiety Disorders Slideset(pdf)

Anxiety Skills Handout(pdf)

Article: Brief Intervention for Anxiety in Primary Care Patients(pdf)

De-Stress Handout(pdf)

Generalized Anxiety Disorder Screener (GAD-7)(pdf)

Treatment-Resistant Depression and Anxiety Slideset(pdf)

Treatment Refractory Anxiety: Assessment & Treatment(pdf)

Anxiety Treatment Handouts for Patients(pdf)

Insomnia and Other Sleep Problems

Article: Nonpharmacologic Management of Chronic Insomnia(pdf)

Insomnia Treatment(pdf)

Patient Insomnia Handout(pdf)

Mood Disorders I: Depression

Article: Treatment Resistent Depression: What alternatives to first-line therapy for depression are effective?(pdf)

Depression for PCPs Slideset(pdf)

Patient Health Questionnaire (PHQ-9)(pdf)


Mood Disorders

Mood Disorders II: Bipolar disorder

Article: Treatment of Bipolar Disorder: A guide for patients and families(pdf)

Bipolar Depression: Pharmacological treatments(pdf)

Bipolar Disorder Slideset(pdf)

CIDI-3 and Follow-up Questions(pdf)

Mood Disorder Questionnaire (MDQ) Revised(pdf)


Mood Disorders                    

Post-Traumatic Stress Disorder

Article: Emerging Treatments for PTSD(pdf)

PTSD CheckList (PCL-C)(pdf)

Comprehensive Slideset on PTSD in Primary Care(pdf)


Post-Traumatic Stress Disorder ( PTSD)

Psychosis: Assessment and treatment

Article: Cannabis Use and Risk of Psychotic or Affective Mental Health Outcomes: A systematic review(pdf)

Brief Psychiatric Rating Scale (BPRS)(pdf)

Psychosis for PCPs Slideset(pdf)


Psychosis in Primary Care - Part 1

Psychosis in Primary Care- Part 2

Substance Abuse: Approaches to assessment, engagement and treatment

Article: Urine Drug Screening: Practical guide for clinicians(pdf)

Assessing and Managing Substance Use Disorders in Primary Care Slideset(pdf)

Directory of Certified Chemical Dependency Services in Washington State(web)

Global Appraisal of Individual Needs- Short Screener (GAIN-SS)(pdf)

King County Chemical Dependency Provider Network(pdf)

Screening and Medications in Alcohol Dependency(pdf)


Substance Use: Choose your own adventure

Substance Use/ Chemical Dependency


Special Populations

Older Adults / Dementia / Cognitive Disorders: Assessment of cognitive function and treatment considerations

Clock Drawing (Mini-Cog) Handout(pdf)

Geriatric Psychiatry for PCPs Slideset(pdf)


Cognitive Disorders in the Primary Care Setting- Part 1

Cognitive Disorders: Cognitive Disorders in the Primary Care Setting-Part 2

The Difficult Patient: Personality disorders and Maladaptive coping styles

Borderline Personality Disorder Handout(pdf)

Patients with Difficult Personality Traits and Disorders Handout(pdf)


Working with Difficult Patients-Part I

Working with Difficult Patients – Part II

The Patient in Crisis: Acute crisis, Psychiatric emergencies, The suicidal patient

Article: A Practical Guide to Crisis Management(pdf)

Clinic Protocols for Suicidal and Violent Patients(pdf)

Domestic Violence Screening Questions(pdf)

Sample Safety Plan(pdf)

Suicide Risk Management Slideset(pdf)

The Patient in Crisis(pdf)


Suicide Risk Management

The Patient with Chronic Pain: Assessment and treatment approaches

SAMHSA TIP 54: Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders(pdf)

Care Management for Chronic Pain Slideset(pdf)

Managing Persistent Pain in Primary Care(pdf)

Collaborative Care Management of Pain and Mental Health Disorders in Primary Care(pdf)


Managing Chronic Pain

Communication and Care Management for Patients with Chronic Pain--Part II

The Pregnant and Post-Partum Patient: Psychotropic medications and other treatments

Antidepressant Medications vs. Not Treating Depression During Pregnancy (pdf)

Article: The Management of Depression During Pregnancy: A report from the American Psychiatric Association and teh American College of Obstetricians and Gynecologists (pdf)

Commonly Prescribed Psychotropic Medications During Pregnancy(pdf)


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