The SOAPP was created to help physicians identify patients who are at moderate or high levels of risk for problematic opioid-related behavior and would require closer monitoring. The SOAPP-8 is intended for clinician use and is administered to a patient as an electronic self-assessment. Examples of such settings include busy practices and emergency departments. Information gathered from the results of the SOAPP-8 can help clinicians determine the course of action for individual patients regarding opioid therapy plans with a greater level of confidence. Although the SOAPP-8 is a validated and highly accurate assessment, results from the SOAPP-8 should not stand alone in determining whether a patient is at risk for aberrant opioid-related behavior. In general, results from the SOAPP-8 are highly accurate and is more likely to present false positives than false negatives.
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Physicians remain reluctant to prescribe opioid medication because of concerns about addiction, misuse, and other aberrant medication-related behaviors, as well as liability and censure concerns. Despite recent findings suggesting that most patients are able to successfully remain on long-term opioid therapy without significant problems, physicians often express a lack of confidence in their ability to distinguish patients likely to have few problems on long-term opioid therapy from those requiring more monitoring.
The tool is not meant for commercial distribution. Patients determined to misrepresent themselves will still do so. Providers who are not comfortable treating certain patients should refer those patients to a specialist.
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Screener and Opioid Assessment for Patients with Pain - Revised version (SOAPP-R)
Your questions about the SOAPP-8 answered