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New Commentary On Opioid Prescribing Guidelines

New Commentary On Opioid Prescribing Guidelines

Controversy has surrounded the Centers for Disease Control and Prevention's (CDC) Guideline for Prescribing Opioids for Chronic Pain in 2016, with many critics claiming that the guidelines made it more difficult for severe pain patients to receive the medication they...

Substance Use and Eating Disorder Often Go Hand-in-Hand

Substance Use and Eating Disorder Often Go Hand-in-Hand

A NC Health News article explains about 50 percent of people with an eating disorder also misuse alcohol or an illegal substance. Experts say people use substances and behaviors associated with eating disorder to self-treat underlying, often undiagnosed, mental health...

Jul
17
Wed
Adopting Best Practices in Substance Abuse Treatment: An Ongoing Teaching Case Conference Series @ William F Andrews Center
Jul 17 @ 10:30 am – 12:00 pm

Program Description: In this time of major systems change, addiction treatment professionals are challenged to treat increasingly complex alcohol and other drug use disorders with a greater emphasis on evidence-based outcomes and cost effectiveness. At the same time there have been significant advances in our understanding of the biological and environmental underpinnings of addictive disease which has informed emerging treatment best practices. While a number of evidence based behavioral and medication assisted practices have been developed to respond to the science, the gap between research and practice has been highlighted by the Institute of Medicine (1998). In an effort to bridge this gap, there is a growing effort within the field of addictions treatment to better integrate research with practice by implementing science based practices. These specific practices are described in NIDA’s Priniciples of Drug Addiction Treatment : A Research Based Guide (2008) as well as in the findings from the Conference on Approaches For Combating the Troublesome Use of Substances (CACTUS) as published in Rethinking Substance Abuse by William R. Miller and Kathleen M. Carroll (2008). This series is also focused on introducing participants to evidence based treatment models included in the current National Registry of Evidence Based Programs Practices (SAMHSA). These EBPs include Motivational Interviewing, Motivational Incentives, Seeking Safety, Cognitive Based Therapies and Mindfulness based interventions. Discussions will focus on ways that practitioners can apply these practices and evidence based models to current clinical situations.

Method: This teaching case conference series uses a traditional case study and facilitated learning collaborative method to assist participants to identify, learn and apply best practices and evidence based models within the context of actual cases. Participants will be expected to come prepared each session with cases that present special challenges as well as opportunities for learning. The goal of these conferences will be to identify appropriate best practices and to find ways in which specific evidence based treatments can be used to incorporate the use of evidence based treatments.

This teaching case conference series is also intended to promote collaboration among treatment providers in an effort to facilitate cross referrals, promote a regional recovery oriented system of care and integrated care approaches. The series will also serve as a vehicle for disseminating information about new research findings as well as available professional development and community service resources. Finally, these sessions will be facilitated in a manner to promote collegial support and enhance workforce morale and retention.

See brochure for speaker information.

Objectives

  • Present cases that provide an opportunity for shared learning.
  • Learn and discuss best practices and evidence based treatments that can be applied in the real world.
  • Identify opportunities for further training in evidence based practices.
  • Facilitate referrals and system of care development.
  • Review and discuss research based findings and perspectives.
  • Improve workforce morale and retention.
Jul
22
Mon
Waiver Training Online PCSS Office-Based Treatment for Opioid Use Disorders Webinar @ Live Webcast
Jul 22 @ 5:00 pm – 9:15 pm

As of the requirements to obtain the waiver, physicians without specified experience must complete not less than 8 hours of training. A total of 8 hours of training is federally mandated for physicians and a total of 24 hours of training is mandated for NPs and PAs.

The first half of the training is a 4.25-hour live webcast. The second half of the course is a 3.75-hour computer-based study. An examination on the computer study must be successfully completed within 30 days of the webinar session as part of the process to obtain a waiver for prescribing buprenorphine. 

Instructions on how to log on to the second half of the course will be provided via email, ONLY to those who complete the 4.25-hour live webcast in its entirety. Please note that in order to be eligible for the waiver to prescribe Buprenorphine, you must complete a total of 8 hours consisting of the live webcast session (4.25-hours) and the online self-study session and exam (3.75-hours) within 30 days of the live webcast session. The AOAAM cannot verify completion of the webinar session if less than 4.25 hours are attended. Should you not attend for the entire session, you will have to retake the entire webinar again on a different date in order to get credit. Please be aware that it is MANDATORY that you are able to view and hear the presentation and participate in the interactive polling questions in order for the AOAAM to verify your attendance. The combined live webcast and online self-study training will provide the required 8 hours needed to obtain the waiver to prescribe buprenorphine in office-based treatment of opioid dependence. Physicians who complete this course will meet the training qualification under the new law. For NPs and PAs, an additional 16-hours of training will be required for waiver eligibility.

CONTINUING MEDICAL EDUCATION: This program has been approved for 4.25 AOA Category 1-A CME credits (live webcast session only) providing all requirements have been met. It has also been approved for 4.25 AAFP Prescribed Credit hours, which are eligible for the AMA’s Physician Recognition Award Credit. Participants are required to attend the entire 4.25-hour session, participate in the interactive polling questions and complete the post-test with a passing grade of 70% in order to be eligible for CME credit. CME certificates will become available once all components of the training are fulfilled.

For More Information and FREE training and educational resources on Medication Assisted Treatment –Providers’ Clinical Support System for Medication Assisted Treatment (PCSS-MAT) visit www.pcssnow.org.

PCSS is a collaborative effort led by the American Academy of Addiction Psychiatry (AAAP) in partnership with the: American Osteopathic Academy of Addiction Medicine (AOAAM); Addiction Technology Transfer Center (ATTC); American Academy of Family Physicians (AAFP); American Academy of Neurology (AAN); American Academy of Pain Medicine (AAPM); American Academy of Pediatrics (AAP); American College of Emergency Physicians (ACEP); American College of Physicians (ACP); American Dental Association (ADA); American Medical Association (AMA); American Psychiatric Association (APA); American Psychiatric Nurses Association (APNA); American Society of Addiction Medicine (ASAM); American Society for Pain Management Nursing (ASPMN); Association for Medical Education and Research in Substance Abuse (AMERSA); International Nurses Society on Addictions (IntNSA); National Association of Community Health Centers (NACHC); National Association of Drug Court Professionals (NADCP), and the Southeast Consortium for Substance Abuse Training (SECSAT). 

Funding for this initiative was made possible (in part) by grant nos. 5U79TI026556-02 and 3U79TI026556-02S1 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Aug
1
Thu
Treating Pain Safer: One Hour Online Course for Safe Opioid Prescribing – AVAILABLE NOW through March 15, 2021! @ Webinar
Aug 1 @ 12:00 am – 12:00 am

Treating Pain Safer: One Hour Online Course for Safe Opioid Prescribing

Description:
Literature has shown that prescribers receive little education on the treatment of pain resulting in less effective pain treatment with worse outcomes. Participants will learn the evidence-based analysis of the relative effectiveness of medications and their side effects, recommendations on how to improve treatment of acute and chronic pain and recognizing substance use/opioid use disorders. Participants in this online educational activity must pass a posttest for successful completion. This course will focus on acute pain treatments/prescribing that can decrease the likelihood of long-term use.

As of July 1, 2017 all physicians (other than residents), physician assistants, nurse practitioners, podiatrists, and dentists who prescribe controlled substances must satisfy the controlled-substance prescribing CE requirement as set forth by their NC professional boards. Requirements vary by discipline and board. Prescribers will turn in controlled substance CE credits when they renew licensure.

Course Objectives:
1. Describe the impact of the opioid crisis
2. Identify the CDC guidelines for prescribing opioids for acute pain and the STOP Act
3. Discuss opioid alternatives and office policies for safe opioid prescribing

Aug
5
Mon
Opioid and Heroin Abuse Among Our Veterans – Online Course
Aug 5 @ 5:00 pm – 5:30 pm

Description: This 30-minute webinar’s purpose is to discuss how the veteran population is susceptible to the dangers of prescription opioid drug abuse.

Objectives: Discuss how opioid and heroin abuse is affecting the veteran population

Speaker: Patty L Collins, MAEd, BSN, RN, Director of Nursing CPD and Student Training

Audience: The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits: AMA PRA Category 1 Credit 0.50, CEU 1.00, ACPE 0.50, CNE Contact Hours 0.50, NCBPTE Contact Hours 0.50

Event Fees: $10.00

Opioids in the Elderly: Trends and New Guidelines – Online Course
Aug 5 @ 5:00 pm – 6:00 pm

Description:

This 1-hour webinar’s purpose is to discuss how the elderly population is susceptible to the dangers of prescription opioid drug abuse.

Objectives:

  • Discuss recent trends in opioid prescribing and prescription opioid misuse in the United States
  • Understand age-related changes that affect pain management
  • Describe the new opioid guidelines

Speaker:

  • Jennifer Gabbard, MD

Audience:

The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits:

  • AMA PRA Category 1 Credit 1.00
  • CEU 1.00
  • ACPE 1.00
  • CNE Contact Hours 1.00
  • NCBPTE Contact Hours 1.00

Event Fees: $10.00

Sep
1
Sun
Treating Pain Safer: One Hour Online Course for Safe Opioid Prescribing – AVAILABLE NOW through March 15, 2021! @ Webinar
Sep 1 @ 12:00 am – 12:00 am

Treating Pain Safer: One Hour Online Course for Safe Opioid Prescribing

Description:
Literature has shown that prescribers receive little education on the treatment of pain resulting in less effective pain treatment with worse outcomes. Participants will learn the evidence-based analysis of the relative effectiveness of medications and their side effects, recommendations on how to improve treatment of acute and chronic pain and recognizing substance use/opioid use disorders. Participants in this online educational activity must pass a posttest for successful completion. This course will focus on acute pain treatments/prescribing that can decrease the likelihood of long-term use.

As of July 1, 2017 all physicians (other than residents), physician assistants, nurse practitioners, podiatrists, and dentists who prescribe controlled substances must satisfy the controlled-substance prescribing CE requirement as set forth by their NC professional boards. Requirements vary by discipline and board. Prescribers will turn in controlled substance CE credits when they renew licensure.

Course Objectives:
1. Describe the impact of the opioid crisis
2. Identify the CDC guidelines for prescribing opioids for acute pain and the STOP Act
3. Discuss opioid alternatives and office policies for safe opioid prescribing

Sep
2
Mon
Opioid and Heroin Abuse Among Our Veterans – Online Course
Sep 2 @ 5:00 pm – 5:30 pm

Description: This 30-minute webinar’s purpose is to discuss how the veteran population is susceptible to the dangers of prescription opioid drug abuse.

Objectives: Discuss how opioid and heroin abuse is affecting the veteran population

Speaker: Patty L Collins, MAEd, BSN, RN, Director of Nursing CPD and Student Training

Audience: The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits: AMA PRA Category 1 Credit 0.50, CEU 1.00, ACPE 0.50, CNE Contact Hours 0.50, NCBPTE Contact Hours 0.50

Event Fees: $10.00

Opioids in the Elderly: Trends and New Guidelines – Online Course
Sep 2 @ 5:00 pm – 6:00 pm

Description:

This 1-hour webinar’s purpose is to discuss how the elderly population is susceptible to the dangers of prescription opioid drug abuse.

Objectives:

  • Discuss recent trends in opioid prescribing and prescription opioid misuse in the United States
  • Understand age-related changes that affect pain management
  • Describe the new opioid guidelines

Speaker:

  • Jennifer Gabbard, MD

Audience:

The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits:

  • AMA PRA Category 1 Credit 1.00
  • CEU 1.00
  • ACPE 1.00
  • CNE Contact Hours 1.00
  • NCBPTE Contact Hours 1.00

Event Fees: $10.00

Sep
27
Fri
Waiver Training Providers’ Clinical Support System – Buprenorphine Office Based Treatment for Opioid Use Disorders The “Half and Half” Course @ MAHEC
Sep 27 @ 1:30 pm – 6:00 pm

Description

Opioid dependence is epidemic in the United States. While progress has been made in training providers, the gap in providing effective treatment of opioid use disorders continues to widen, moving beyond heroin addicted individuals to a much larger and diverse segment of the population. This increase is predominantly due to an alarming increase in addiction to prescription opioid analgesic medications. Buprenorphine, the most recent addition to the pharmacotherapies available to treat opioid dependence, is novel among the opioid pharmacotherapies because of its partial agonist properties. It has been placed on Schedule III and is available by prescription from a physician’s office-based practice.

Recognizing the impact of this addiction, as well as learning how to treat opioid use disorders, are important steps in combating this ever growing medical problem. To obtain the waiver to prescribe, providers are required to take specialized training. PCSS-MAT uses the Half-and-Half format (first, 4.25 hours of face-to-face training with an instructor, followed by 3.75 hours of on-your-own-training that must be completed along with a post test). This training meets the requirements for physicians; however additional training is required for advanced practice providers. The training focuses on specifics of treating patients with opioid use disorders in office-based settings and clinical vignettes to help trainees think through “real life” experiences in opioid use disorders treatment. Once the waiver training is completed in full, participants will receive a CME certificate of attendance from AAAP.

This program includes up to 2.0 hours of controlled substances content. Per NCAC rules: As of July 1, 2017, all physicians (other than residents), physician assistants, nurse practitioners, podiatrists, and dentists who prescribe controlled substances must satisfy the controlled-substance prescribing CE requirements as set forth by their licensing boards. Requirements vary by discipline and board.

Target Audience

The program is recommended for prescribers in primary care, emergency medicine, pain management, psychiatric, HIV, and addiction medicine. (Not a prescriber? CLICK HERE)

Objectives

  • Review addiction treatment in office-based practices
  • Discuss the pharmacological treatments of opioid use disorder
  • Determine what medical record documentation must be followed
  • Discuss the process of buprenorphine induction as well as stabilization and maintenance techniques
  • Describe how to take a patient history and evaluation
  • Review safety concerns and drug interactions
Waiver Related Training Recovery Within Reach: Building Team Expertise in Office-Based Opioid Treatment (OBOT) @ MAHEC
Sep 27 @ 1:45 pm – 6:00 pm

Description

Opioid addiction is a chronic, relapsing brain disease that affects millions of Americans and produces a tremendous burden on the healthcare system. In 2002, U.S. physicians gained the opportunity to treat opioid-addicted patients with buprenorphine in primary care settings, commonly referred to as office-based opioid treatment (OBOT). OBOT has been shown to be effective in primary care settings and impacts public health through the reduction of opioid use, opioid overdose mortality and transmission of infectious diseases. However, it remains underutilized.

One consistently cited barrier preventing OBOT expansion is lack of adequate clinical support given the additional needs for patient monitoring. Successful medication-assisted treatment (MAT) requires a team-based approach just like treatment for other chronic diseases. In addition, treatment is more effective when providers can use a trauma-informed and gender-responsive treatment plan.

The goal of this companion program to the AAAP Clinical Support System: Buprenorphine Office-Based Treatment for Opioid Use Disorders (The “Half and Half” Course) is to increase the comfort level and expertise of the healthcare team by outlining a team approach, trauma-informed interventions, gender-responsive care, and recommendations for implementation of buprenorphine OBOT.

Target Audience

Nurses, mental health professionals including substance abuse counselors, social workers, psychologists, marriage and family therapists, school counselors, practice managers, program administrators, medical assistants, care managers and coordinators and other professionals interested in this subject.

Objectives

  • Describe the presented framework of office-based opioid treatment (OBOT) including practice changes, medications used, psychosocial services and integration/coordination components
  • Utilize evidence-based interventions that are trauma-informed and gender-responsive to treat persons with substance use disorders
  • Define the roles of an effective practice team, including primary care and behavioral health clinicians, working together with patients and families, and using a systematic and cost-effective approach to provide patient-centered care for opioid and other substance use disorders
  • Increase medical and behavioral health professionals’ receptivity and capability to work collaboratively as they evaluate and manage opioid and other substance use disorders using SBIRT (screening, brief intervention and referral to treatment)
  • List key components of evidence-based and effective OBOT
Oct
1
Tue
Treating Pain Safer: One Hour Online Course for Safe Opioid Prescribing – AVAILABLE NOW through March 15, 2021! @ Webinar
Oct 1 @ 12:00 am – 12:00 am

Treating Pain Safer: One Hour Online Course for Safe Opioid Prescribing

Description:
Literature has shown that prescribers receive little education on the treatment of pain resulting in less effective pain treatment with worse outcomes. Participants will learn the evidence-based analysis of the relative effectiveness of medications and their side effects, recommendations on how to improve treatment of acute and chronic pain and recognizing substance use/opioid use disorders. Participants in this online educational activity must pass a posttest for successful completion. This course will focus on acute pain treatments/prescribing that can decrease the likelihood of long-term use.

As of July 1, 2017 all physicians (other than residents), physician assistants, nurse practitioners, podiatrists, and dentists who prescribe controlled substances must satisfy the controlled-substance prescribing CE requirement as set forth by their NC professional boards. Requirements vary by discipline and board. Prescribers will turn in controlled substance CE credits when they renew licensure.

Course Objectives:
1. Describe the impact of the opioid crisis
2. Identify the CDC guidelines for prescribing opioids for acute pain and the STOP Act
3. Discuss opioid alternatives and office policies for safe opioid prescribing

Oct
7
Mon
Opioid and Heroin Abuse Among Our Veterans – Online Course
Oct 7 @ 5:00 pm – 5:30 pm

Description: This 30-minute webinar’s purpose is to discuss how the veteran population is susceptible to the dangers of prescription opioid drug abuse.

Objectives: Discuss how opioid and heroin abuse is affecting the veteran population

Speaker: Patty L Collins, MAEd, BSN, RN, Director of Nursing CPD and Student Training

Audience: The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits: AMA PRA Category 1 Credit 0.50, CEU 1.00, ACPE 0.50, CNE Contact Hours 0.50, NCBPTE Contact Hours 0.50

Event Fees: $10.00

Opioids in the Elderly: Trends and New Guidelines – Online Course
Oct 7 @ 5:00 pm – 6:00 pm

Description:

This 1-hour webinar’s purpose is to discuss how the elderly population is susceptible to the dangers of prescription opioid drug abuse.

Objectives:

  • Discuss recent trends in opioid prescribing and prescription opioid misuse in the United States
  • Understand age-related changes that affect pain management
  • Describe the new opioid guidelines

Speaker:

  • Jennifer Gabbard, MD

Audience:

The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits:

  • AMA PRA Category 1 Credit 1.00
  • CEU 1.00
  • ACPE 1.00
  • CNE Contact Hours 1.00
  • NCBPTE Contact Hours 1.00

Event Fees: $10.00

Nov
4
Mon
Opioid and Heroin Abuse Among Our Veterans – Online Course
Nov 4 @ 5:00 pm – 5:30 pm

Description: This 30-minute webinar’s purpose is to discuss how the veteran population is susceptible to the dangers of prescription opioid drug abuse.

Objectives: Discuss how opioid and heroin abuse is affecting the veteran population

Speaker: Patty L Collins, MAEd, BSN, RN, Director of Nursing CPD and Student Training

Audience: The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits: AMA PRA Category 1 Credit 0.50, CEU 1.00, ACPE 0.50, CNE Contact Hours 0.50, NCBPTE Contact Hours 0.50

Event Fees: $10.00

Opioids in the Elderly: Trends and New Guidelines – Online Course
Nov 4 @ 5:00 pm – 6:00 pm

Description:

This 1-hour webinar’s purpose is to discuss how the elderly population is susceptible to the dangers of prescription opioid drug abuse.

Objectives:

  • Discuss recent trends in opioid prescribing and prescription opioid misuse in the United States
  • Understand age-related changes that affect pain management
  • Describe the new opioid guidelines

Speaker:

  • Jennifer Gabbard, MD

Audience:

The target audience will include physicians, physician assistants, nurse practitioners, nurses, dentists, pharmacists, EMS, law enforcement, mental health professionals, substance abuse counselors, health educators, and others interested in this subject.

Available Credits:

  • AMA PRA Category 1 Credit 1.00
  • CEU 1.00
  • ACPE 1.00
  • CNE Contact Hours 1.00
  • NCBPTE Contact Hours 1.00

Event Fees: $10.00