[7], 1977 212 [2][8] . . In order to ensure the provision of consistent, timely, and high quality data, each indicator is required to have certain pieces of reference information associated with them. 1. Standard F GNDR - Standard Foreign Assistance Indicator Gender. You can use the DSM-5 criteria to assess for the presence of OUD or arrange for assessment with a substance use disorder specialist. These are measures that USAID and the Department of State use worldwide to collect performance data that can be aggregated globally. You can access, download, and print a copy of this and other helpful documents by selecting the Resources tab at any time. For some types of results, the selection of an appropriate indicator that can be used repeatedly in the same way is simple. Providers prescribing opioids should identify treatment resources for opioid use disorder in the community and should work together to ensure sufficient treatment capacity for opioid use disorder at the practice level. Another advantage of buprenorphine is the availability of long-acting injectable or implantable formulations that carry a low risk of diversion and can be managed as a monthly visit. . Selecting the Menu button in the upper right corner opens a list of all the topics available in the module. If using buprenorphine for OUD, here is information on the administration frequency/routes, who may prescribe or dispense, pharmacological category, clinical uses, and contraindications/warnings. It should also not be given to patients with respiratory depression (in the absence of resuscitative equipment or in unmonitored settings) and in patients with acute bronchial asthma or hypercarbia. Either of the following: 1) Cessation of (or reduction in) opioid use that has been heavy and prolonged (several weeks or longer), or 2) administration of an opioid antagonist after a period of opioid use, Three (or more) of the following, developing within minutes to several days after Criterion A: dysphoric mood; nausea or vomiting; muscle aches; lacrimation or rhinorrhea; pupillary dilation, piloerection, or sweating; diarrhea; yawning; fever; or insomnia. Because the Agency needs to be able to report externally on the results produced by its development investments, USAID has identified some performance indicators as the best choices for characterizing progress in each of the sectors and technical areas in which it works. For more information, select the following link: https://www.samhsa.gov/medication-assisted-treatment/treatment/naltrexone. OUD has also been referred to as "opioid addiction.". However, buprenorphine can only be prescribed or dispensed by providers who complete special training to qualify for a federal DEA waiver. Thus for example, for the result: time/cost to move goods across borders reduced, the options for measuring time range from minutes, to hours, to days or weeks. Linkedin. BHA developed the consolidated list of indicators for the BHA Emergency Application Guidelines primarily from emergency indicators used by the former Office of U.S. Foreign Disaster Assistance (OFDA) and Office of Food for Peace (FFP), however, there are several new indicators in this list. When considering performance indicators, a CDCS development team may find the simple worksheet illustrated below to be a useful aid. Performance indicators measure expected outputs and outcomes of strategies, projects, or activities based on a Mission's Results Framework or project or activity logic model. Date Posted: August 25, 2021. [15][16] . Evaluation Throughout the Program Cycle, 3. Oral naltrexone is taken daily (also with alternative dosing regimens) by mouth. () (). also have indicators related to training. Federal government websites often end in .gov or .mil. Find out about career opportunities at USAID. For Missions with a trade focus in their CDCS Results Frameworks, USAIDs list of standard indicators includes a relatively small number of performance indicators that might find to be valid measures for the CDCS Results Framework, including at the Sub-IR level. The indicators are mapped to the Foreign Assistance Framework Standardized Program Structure and Definitions (SPSD), a listing of program categories that provides common definitions for the use of foreign assistance funds, around which the majority of U.S. foreign assistance programming is organized. . In fact, I've had to skip work several times because my symptoms get so bad after running out of my medicine. Continued opioid use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of opioids. However, despite these advantages, oral naltrexone is less frequently used to treat opioid use disorder (OUD); also, currently there is no clear evidence that predicts which patients are best treated with extended-release naltrexone versus other available medications to treat OUD. Because of the considerable variability among patients in methadone's bioavailability, clearance, and half-life, dosing should "start low and go slow." Let's take a closer look at the navigation features of this web-based training. Planning and Commissioning an Evaluation, Collaborating, Learning and Adapting (CLA). Make a general inquiry or suggest an improvement. Setting background images and music, adding a logo, and selecting the . If using naltrexone for OUD, here is information on the administration frequency/routes, who may prescribe or dispense, pharmacological category, clinical uses, and contraindications/warnings. Custom indicators are measures that USAID Missions use in combination with standard indicators to monitor progress towards intended results. The Department of State and USAID, drawing on technical expertise within both agencies and from within the development and security communities, have jointly developed standard indicators to measure both what is being accomplished with U.S. Government foreign assistance funds and the collective impact of foreign and host-government efforts to advance country development. YouTube. This cross walk document assists personnel who must complete a USAID Performance Indicator Reference Sheet (PIRS) when working with U.S. standard foreign assistance indicators. 920: 5. ", "You are not alone. Buprenorphine is considered an opioid partial agonist. If the result has a number that corresponds to a Results Framework or Logic Model, For more information, please contactPaul Fekete. In the past, indicators were developed and tracked separately by the two agencies, and could not be easily consolidated to provide a comprehensive picture of the results that were being achieved with foreign assistance resources. . All four of these indicators will be reported in the FY21annual report and are not included in this quarterly report. measurement for USAID, such as numeracy, teacher quality, pre-primary skills, and an expanded set of youth skills. GCC Standard Indicator Handbook | Global Climate Change Reviews of sections of the Model List: 5.2 Review of core versus complementary listing of medicines", "Patents and the WHO Model List of Essential Medicines (18th Edition): Clarifying the Debate on IP and Access", "Rational Prescription for a Dermatologist", "WHO Model List of Essential Medicines 20th List", "Essential Medicines List and WHO Model Formulary", https://ar.wikipedia.org/w/index.php?title=______&oldid=63046953, . If you suspect OUD, you should not dismiss patients from care. M&E Plan Monitoring Component | Program Cycle | Project Starter It's important to have an integrated treatment approach to meet the substance use, medical and mental health, and social needs of your patient. Learning to Love Standard Indicators: A USAID - Education Links PDF USAID/Uganda Biodiversity for Resilience A lock () or https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. The last two diagnostic criteria, related to tolerance and withdrawal, are not considered to be met for individuals taking opioids solely under appropriate medical supervision. Unlike oral naltrexone, which is dosed daily, the extended-release formulation is administered monthly. If an individual, within the reporting period, was also trained in clean energy or sustainable landscapes, they may be reported under those if the training meets the definitional standards. Annex B - Indicator Handbook; Annex B - Indicator Handbook. . In the past, indicators were developed and tracked separately by the two agencies, and could not be easily consolidated to provide a comprehensive picture of the results that were being achieved with foreign assistance resources. Indicator Resources | USAID Learning Lab On a scale of 1-10, with 10 being the worst pain, what number best describes your pain on average in the past week? Missions whose strategy involves a trade component have available significant resources for measuring changes in exports and imports, as well as for monitoring trade restrictiveness and the impact of trade facilitation initiatives on the time and cost required to move goods across borders. Since it is expected that indicators included in a CDCS will actually be used, it is important that Missions be certain that collecting data on every indicator it selects is feasible and affordable in the country for which a CDCS is developed. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. You will have the opportunity to examine the different types of medications used for medication-assisted treatment (MAT) for opioid use disorder and how to taper opioids when opioid harms exceed benefits but OUD DSM-5 criteria are not met. [Patient] I would say about 8 for enjoyment of life. Therefore, subsequent exposure to previously tolerated or smaller amounts of opioids may result in overdose. USAID's list of standard indicators makes that choice for everyone - it picked days. Thus for example, for the result: time/cost to move goods across borders reduced, the options for measuring time range from minutes, to hours, to days or weeks. A Performance Indicator Reference Sheet (PIRS) is required for each performance indicator. At least one performance indicator for any Project Purpose that is not aligned to an IR or sub-IR, following PAD approval. For users who are new to indicator selection, looking ahead to the website section onPerformance Management Plans (PMPs), where the methods that will be used to collect and analyze indicator data must be articulated, is highly recommended. Relationship-building skills include reflective listening and empathetic statements to destigmatize OUD diagnosis and treatment. State and AID Economic Growth Standard Indicators OUD is defined in the DSM-5 as a problematic pattern of opioid use leading to clinically significant impairment or distress. This brief provides an overview of OECD trade facilitation indicators that identify areas for action and enable the potential impact of reforms to be assessed. You can perform urine drug testing (UDT) to obtain information about drug use that is not reported by the patient. Select the best response. [2] 2016 156 [3] . ; ; ; USAID education reporting guidance covers four areas: Performance Indicators Data Disaggregation to Ensure Equity and Inclusion Standardized Program Structure and Definitions (SPSD) Program Area and Key Issue Narratives Target Setting Download the Reporting Guidance Download the Summary Brief Learn More: [4] 25% [5] . As naltrexone is an opioid antagonist and will immediately precipitate withdrawal if taken while opioids remain in one's system, patients must remain abstinent from short-acting opioids (e.g. - 11:00 am EDT For any particular result, a maximum of three indicators are allowed. One indicator, for example, is greenhouse gas (GHG) emissions reduced, sequestered and/or avoided as a result of U.S. assistance. Her complaints of increased pain merit further exploration. ", "The medicine has become a problem in itself. Description This document complements ADS 201 by providing a list of recent indicator resources across sectors including indicator handbooks, databases, tools, and indices. When talking with patients who meet the criteria for OUD, it's important to approach them with compassion, use relationship-building skills such as reflective listening and empathetic statements, and explain the treatment methods. In addition to resources listed below, Missions are encouraged to review existing partner government development plan indicators for their country or region. You can refer specifically to DSM-5 Criteria A and B for opioid withdrawal syndrome: Diagnosing OUD requires a thorough evaluation, which may include obtaining the results of urine drug testing and prescription drug monitoring program (PDMP) reports, when OUD is suspected. To prescribe or dispense buprenorphine, providers must have board certification in addiction medicine or addiction psychiatry and/or complete special training to qualify for the federal waiver to prescribe buprenorphine, but any pharmacy can fill prescriptions for oral formulations. Many of these indicators will be familiar, even if the definitions and methodologies have been updated. Before sharing sensitive information, make sure youre on a federal government site. Facebook. Hello, and welcome to the fifth module of the CDC series Applying CDC's Guideline for Prescribing Opioids. PDF EDUCATION REPORTING GUIDANCE - United States Agency for International You can find programs in your area or throughout the United States by using SAMHSA's Behavioral Health Treatment Services Locator at findtreatment.samhsa.gov. The definition outlines each indicator's linkage to a long-term outcome or impact and includes the proper unit of measure. : - https://www.samhsa.gov/medication-assisted-treatment/treatment/naloxone, Substance Abuse and Mental Health Services Administration (SAMSHA) TIP 63: Medications for Opioid Use Disorders - Executive Summary, Interagency Guideline on Prescribing Opioids for Pain, Appendix D: Urine Drug Testing for Monitoring Opioid Therapy, https://www.samhsa.gov/medication-assisted-treatment/buprenorphine-waiver-management, http://dpt2.samhsa.gov/treatment/directory.aspx, https://www.samhsa.gov/medication-assisted-treatment/treatment/naltrexone, Training and Continuing Education Online System, Describe Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), assessment criteria for OUD, Describe how OUD is diagnosed and how it can be discussed with patients, Describe the types of medications used in medication-assisted treatment (MAT), List patient and provider resources for the treatment of OUD. Some screens include a link icon which, when selected, opens additional online resources. Custom indicators are also appropriate for results for which no standard indicator exists. Or they can choose a preferable template with a professional layout style, and then explore the fun of customization. Here you can pause or play the narration, control the volume, and open the text transcript for the narration if needed. Custom indicators supplement USAID's list of standard indicators. His opioid use seems to be resulting in his being unable to function at work. , ///, ///, / , " - ", "The WHO Essential Medicines List (EML): 30th anniversary", "19th WHO Model List of Essential Medicines", "Accessibility and use of essential medicines in health care: Current progress and challenges in India", "The Selection and Use of Essential Medicines - WHO Technical Report Series No. These include: Other standard indicators for trade will be more appropriate as project level measures. This is further defined, noting that projects to which this indicator applies may result in GHG emissions cuts from carbon dioxide, methane, and other GHGs. Naltrexone may be prescribed or dispensed by any individual licensed to prescribe medicines. PDF USAID EMD Standard Indicator Definitions - Marketlinks This handbook, developed as a ProjectStarter product, currently focuses on trade facilitation. This ADS 201 Additional Help document shows how to prepare this required CDCS Annex. Further discussion at this appointment and during future visits should assess whether he meets additional criteria suggesting moderate (4-5 criteria) or severe (6 or more criteria) OUD. In this module, we'll look at how opioid use disorder (OUD) is diagnosed using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, or DSM-5, assessment criteria, and how to discuss this diagnosis with your patients. November 2021 Updates. Stock Market | FinancialContent Business Page PDF SOURCE AND INDICATOR GUIDE - United States Agency for International The audience for this list is Monitoring and Evaluation, (M&E) Specialists, Project and Activity Design Teams, and technical teams. MAT for OUD is defined as the use of one of three medications (buprenorphine, naltrexone, or methadone) in combination with psychosocial and/or behavioral therapy, through one of the following: Multiple factors may influence the selection of a specific type of MAT. Craving, or a strong desire or urge to use opioids. [5], 12 2007 [9][14] . Buprenorphine may be used in women with OUD who are pregnant or breastfeeding and have consulted with their doctors. Buprenorphine can be only be prescribed and dispensed by a certified provider who has a Drug Enforcement Agency license and has undergone training to qualify for a Drug Addiction Treatment Act of 2000 (DATA 2000) waiver. OUD is defined in the DSM-5 as a problematic pattern of opioid use leading to clinically significant impairment or . 50 . [6] . He has tried unsuccessfully to cut down or control opioid use. State and AID Economic Growth Standard Indicators. Select the correct answer. So, do the good work of meeting youth where they are and with what they need, be it employment, better earnings, more schooling or training, or better soft or reading skills. There is a potential for relapse and overdose upon discontinuation of the medication. For persons diagnosed with OUD, first determine the severity of the substance use disorder. Use statements such as: "Trouble controlling the use of opioid medication makes it unsafe, and long-term risk over time is substantial. In addition, it should not be given to any patient who has or is suspected of having a paralytic ileus. Research O'clock 2023 Series "Enhancing Learners' Reading - Facebook The indicators are mapped to the Foreign Assistance Framework Standardized Program Structure and Definitions (SPSD), a listing of program categories that provides common definitions for the use of foreign assistance funds, around which the majority of U.S. foreign assistance programming is organized. This discussion note highlights the additional challenges that stem from the complex situations in which USAID delivers assistance and tries to monitor performance and outcomes. Standard foreign assistance indicators are required as applicable. Withdrawal after regular opioid use does not need to be completed before initiating methadone. You may find it useful to refer to the CDC Guideline during this module. Performance indicators are the measures USAID uses to detect progress towards the results included in a Results Framework. ", "You meet the criteria for opioid use disorder, also known as OUD. Naltrexone is considered an opioid antagonist. Also review the background information below this tool. Patients should be educated about the effects of using opioids and other drugs while taking the MAT medication and the potential for overdose if opioid use is resumed after tolerance is lost. The Performance Plan & Report (PPR) is the annual data call where all State and USAID Operating Units (OUs) that receive foreign assistance funds report on results achieved in the past fiscal year. Seven complementary characteristics of good performance indicators that help make them good choices for monitoring USAID program performance are highlighted below. Performance indicators define a measure of change for the results identified in a Results Framework (RF). Recurrent opioid use resulting in a failure to fulfill major role obligations at work, school, or home. PDF Education Reporting Guidance - United States Agency for International Methadone is used for the detoxification and maintenance treatment of opioid use disorder. Well, I have had neck pain following a whiplash injury I got from a car accident about six months ago. The extended-release injectable formulation of naltrexone is FDA-approved for the prevention of return to opioid dependence following medically supervised withdrawal. A physical examination and laboratory testing should be conducted to ascertain conditions and symptoms related to addiction and its complications. Methadone may only be prescribed or dispensed through SAMHSA-certified Opioid Treatment Programs for daily administration either on site or, for stable patients, at home. About 2.1 million Americans had opioid use disorder in 2016. The Department of State and USAID, drawing on technical expertise within both agencies and from within the development and security communities, have jointly developed standard indicators to measure both what is being accomplished with U.S. Government foreign assistance funds and the collective impact of foreign and host-government efforts to advance . Select the correct answer. Many measures that USAID can select as custom indicators are widely used across the development community. PDF ANNEX B: INDICATOR LIST - U.S. Agency for International Development Naltrexone may be prescribed or dispensed by any individual licensed to prescribe medicines (e.g., physician, physician assistant, nurse practitioner). Oral buprenorphine is taken daily (also with alternative dosing regimens) and is taken through buccal film or oral tablet that is dissolved under the tongue. When it pairs each result with appropriate and precise measures, USAID eliminates a good deal of the ambiguity that is inherent in many results statements. /. Standard Foreign Assistance Indicators. efforts, Data.FI developed this indicator compendium to standardize indicator definitions for routine reporting by partners providing USAID support for country readiness for and delivery of COVID-19 vaccines. If you are not currently trained and in possession of a waiver, refer your patients to a substance use disorder specialist. 150 200 ( ) 50 . 3.5%. BETTER PROJECTS THROUGH IMPROVEDMONITORING, EVALUATION AND LEARNING, A toolkit developed and implemented by:Office of Trade and Regulatory ReformBureau of Economic Growth, Education, and EnvironmentUS Agency for International Development (USAID).
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