Screener and Opioid Assessment for Patients with Pain (SOAPP)

Helps clinicians determine the appropriate level of monitoring required by patients on long-term opioid therapy.

Instruction: Please answer the questions below using the following scale:

0 = Never | 1 = Seldom | 2 = Sometimes | 3 = Often | 4 = Very Often

1How often do you have mood swings?
NeverVery Often
2How often do you smoke a cigarette within an hour after you wake up?
NeverVery Often
3How often have any of your family members, including parents and grandparents, had a problem with alcohol or drugs?
NeverVery Often
4How often have any of your close friends had a problem with alcohol or drugs?
NeverVery Often
5How often have others suggested that you have a drug or alcohol problem?
NeverVery Often
6How often have you attended an AA or NA meeting?
NeverVery Often
7How often have you taken medication other than the way that it was prescribed?
NeverVery Often
8How often have you been treated for an alcohol or drug problem?
NeverVery Often
9How often have your medications been lost or stolen?
NeverVery Often
10How often have others expressed concern over your use of medication?
NeverVery Often
11How often have you felt a craving for medication?
NeverVery Often
12How often have you been asked to give a urine screen for substance abuse?
NeverVery Often
13How often have you used illegal drugs (for example, marijuana, cocaine, etc.) in the past five years?
NeverVery Often
14How often, in your lifetime, have you had legal problems or been arrested?
NeverVery Often
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Steps on how to print your input & results:

1. Fill in the calculator/tool with your values and/or your answer choices and press Calculate.

2. Then you can click on the Print button to open a PDF in a separate window with the inputs and results. You can further save the PDF or print it.

Please note that once you have closed the PDF you need to click on the Calculate button before you try opening it again, otherwise the input and/or results may not appear in the pdf.

The SOAPP is used to evaluate a patient’s relative risk for developing aberrant opioid medication behaviors such as misuse or addiction when under long-term opioid therapy. It is often used before a patient is considered for opioid prescription.

The self-administered scale consists of 14 questions that can be answered in less than 8 minutes and is addressed to chronic pain patients.

Each of the 14 questions may be answered by the following:

  • Never (0 points)
  • Seldom (1 point)
  • Sometimes (2 points)
  • Often (3 points)
  • Very Often (4 points)

To score the COMM the points awarded to each of the 14 answers are summed. A cut-off score of 7 is then used to identify high-risk (scores of 7 or greater) and low-risk patients (scores lower than 7).

Specialty: Pain Management

Abbreviation: SOAPP