Medications for Addiction Treatment in the Mental Health and Physical Health Sectors
|
|
- Myra Hunter
- 5 years ago
- Views:
Transcription
1 Medications for Addiction Treatment in the Mental Health and Physical Health Sectors Brian Hurley, M.D., M.B.A., DFASAM Medical Director of Substance Use Related Care Integration Los Angeles County Health Agency - Department of Health Services - Department of Mental Health
2 Brian Hurley, M.D., M.B.A., DFASAM No disclosures
3 Los Angeles County Population prevalence of SUD is estimated to be 8% (= 864,500) 10 to 12% of Medi-Cal beneficiairies have a SUD 13.6% new Medi-Cal beneficiaries (since expansion) have a SUD. ~300,000 to 400,000 Medi-Cal beneficiaries in Los Angeles County with SUD Mark, T. L., Wier, L. M., Malone, K., Penne, M., & Cowell, A. J. (2015). National estimates of behavioral health conditions and their treatment among adults newly insured under the ACA. Psychiatric Services, 66(4), California Mental Health and Substance Use System Needs Assessment Technical Assistance Collaborative. Available at: t%203%201%2012.pdf
4 Los Angeles County ~43,000 annually receive publicly funded specialty SUD treatment: ~17,000 with heroin use disorder ~10,000 with methamphetamine use disorder ~6,000 alcohol use disorder ~3,000 with Rx opioid use disorder (up from 1,000 in 2006)
5 Scaling up the use of MAT will require engaging clinicians who prescribe in all areas of the health sector -Dr. Tsai
6 Los Angeles County LA County Health Agency DHS DMH DPH SAPC
7 Barriers to MAT Implementation System Level Government and insurance policies, program characteristics (such as treatment philosophy), lack of pharmaceutical industry support, and logistical issues like lack of equipment or access to prescribing clinicians Provider Level Informational Deficits / Perceptions and Concerns (Attitudes) Patient Level Informational Deficits / Perceptions and Concerns (Attitudes) Oliva, E. M., Maisel, N. C., Gordon, A. J., & Harris, A. H. (2011). Barriers to use of pharmacotherapy for addiction disorders and how to overcome them. Current psychiatry reports, 13(5),
8 Strategic Considerations SYSTEMIC FACILITATORS ORGANIZATIONAL CAPACITY PROVIDER READINESS (SUPPLY) PATIENT ACCEPTABILITY (DEMAND) Weiner BJ, Amick H, Lee SY. Conceptualization and measurement of organizational readiness for change: a review of the literature in health services research and other fields. Med Care Res Rev. 2008;65(4): Wagner EH, Glasgow RE, Davis C, Bonomi AE, Provost L, McCulloch D, et al. Quality improvement in chronic illness care: a collaborative approach. Jt Comm J Qual Improv. 2001;27(2):63 80.
9 Core Components of Addiction Treatment Counseling* Support* Medications* *When appropriate Source:
10 Shared Components of MAT in Primary Care Pharmacological therapy Psychosocial services/interventions Coordination/integration of substance use disorder treatment and other medical/psychological needs Provider and community education and outreach Chou R, Korthuis PT, Weimer M, Bougatsos C, Blazina I, Zakher B, Grusing S, Devine B, McCarty D. Medication-Assisted Treatment Models of Care for Opioid Use Disorder in Primary Care Settings. Technical Brief No. 28. (Prepared by the Pacific Northwest Evidence-based Practice Center under Contract No I.) AHRQ Publication No. 16(17)-EHC039- EF. Rockville, MD: Agency for Healthcare Research and Quality. December Accessed 12/6/2016.
11 SUMMIT Study Ober, A. J., Watkins, K. E., Hunter, S. B., Lamp, K., Lind, M., & Setodji, C. M. (2015). An organizational readiness intervention and randomized controlled trial to test strategies for implementing substance use disorder treatment into primary care: SUMMIT study protocol. Implementation Science, 10(1), 1.
12
13
14
15
16 CHCF Treating Addiction in the Primary Care Safety Net
17 CHCF Treating Addiction in the Primary Care Safety Net Project ECHO for Buprenorphine Coaching by experts Monthly CSAM webinars In-Person Learning Sessions Bup Waiver Trainings Site Visits
18
19 Directly operates > 80 programs Contracts with > 700 providers >250,000 individuals served / year
20 Addiction Medicine in Psychiatric Practice Availability of naltrexone long acting injection, oral naltrexone, acamprosate, disulfiram, and buprenorphine On-site urine toxicology availability Policies, procedures, and parameters
21
22 LAC DHS Programs MAT in four ambulatory care clinics Dual Diagnosis (COD) Program operated by DMH at a DHS Hospital (Harbor-UCLA) Sobering Center
23 LAC DHS Programs
24 LAC DHS Programs
25 DHS DMC-ODS Enrollment
26 DHS DMC-ODS Enrollment Five pilot ambulatory care sites Co-locating LPHAs, SUD Counselors, and MCWs Separate medical record system
27
28 Vision for Los Angeles County Expand addiction medicine capacity in primary care and mental health sites: Willing Patients Ready Clinicians Treatment Org Capacity
29 Questions / Feedback bhurley@dmh.lacounty.gov
LA County, Medications for Addiction Treatment, and the Substance Use Care Continuum
LA County, Medications for Addiction Treatment, and the Substance Use Care Continuum Brian Hurley, M.D., M.B.A., DFASAM Medical Director of Substance Use Related Care Integration Los Angeles County Health
More informationMedications for Addiction Treatment in Public Sector Programs
Medications for Addiction Treatment in Public Sector Programs Brian Hurley, M.D., M.B.A., DFASAM Addiction Psychiatrist Los Angeles County Department of Mental Health Assistant Professor of Addiction Medicine
More informationSUBSTANCE USE DISORDER TREATMENT AND REFERRAL PROCESS
SUBSTANCE USE DISORDER TREATMENT AND REFERRAL PROCESS Presented by: John M. Connolly, Ph.D. Acting Deputy Director Los Angeles County Health Agency Department of Public Health Substance Abuse Prevention
More informationStrengthening Providers of Substance Use Treatment in Los Angeles County
Strengthening Providers of Substance Use Treatment in Los Angeles County Summary Presented by July 218 Drug overdose is the thirdranked cause of premature death in L.A. County. 1 Substance use and misuse
More informationTREATING OPIOID ADDICTION IN HOMELESS POPULATIONS
TREATING OPIOID ADDICTION IN HOMELESS POPULATIONS Challenges and Opportunities Providing Medication Assisted Treatment (Buprenorphine) August 18, 2016 SPEAKERS TODAY Nilesh Kalyanaraman, MD, Chief Health
More informationSANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery
Page 1 of 9 SANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery Departmental Polley and Procedure Section Sub-section Alcohol and Drug Program (ADP) Effective: 7/11/2018
More informationHub and Spoke Model:
Hub and Spoke Model: Increasing MAT Treatment Access in Los Angeles County Desirée A. Crèvecoeur-MacPhail, PhD UCLA Integrated Substance Abuse Program Los Angeles CA 1 History In L.A. County, some medications
More informationCalifornia Hub and Spoke System Evaluation
California Hub and Spoke System Evaluation Darren Urada, Ph.D. and Howard Padwa, Ph.D. UCLA Integrated Substance Abuse Programs August 23, 2016 Substance Use Disordeers Statewide Conference Pomona, CA
More informationSubstance Use Disorders (SUDs) and Medication Assisted Treatment (MAT) for Opiates
Substance Use Disorders (SUDs) and Medication Assisted Treatment (MAT) for Opiates What is MAT? Medication Assisted Treatment (MAT) is the use of medications, in addition to counseling, cognitive behavioral
More informationChanging Course: statewide efforts to combat the opioid epidemic in California
Changing Course: statewide efforts to combat the opioid epidemic in California Kelly Pfeifer, MD kpfeifer@chcf.org April 26, 2018 State of Reform conference STAT Special Report: 52 weeks, 52 faces Obituaries
More informationRI Centers of Excellence for the
RI Centers of Excellence for the Treatment of Opioid Use Disorder COE CODAC Behavioral Healthcare Linda Hurley President/CEO 9-18-17 for the Warren Alpert Medical School of Brown University RI s Strategic
More informationA Nurse Practitioner Modeled Patient-Centered Approach to Chronic Pain Management in Primary Care
A Nurse Practitioner Modeled Patient-Centered Approach to Chronic Pain Management in Primary Care By Dr. Glenmore Hendricks, DNP, NP-C Glenmore.Hendricks@claremont.edu Disclosure presenter Objective ØDefine
More informationAddressing the Opioid Crisis Workgroup: Treatment and Overdose Prevention
The Accountable Community for Health of King County Addressing the Opioid Crisis Workgroup: Treatment and Overdose Prevention May 7, 2018 1 Opiate Treatment & Overdose Prevention Project Goal Immediate:
More informationThe MGH Substance Use Disorder Initiative Sarah E. Wakeman, MD, FASAM Medical Director Assistant Professor of Medicine, Harvard Medical School
The MGH Substance Use Disorder Initiative Sarah E. Wakeman, MD, FASAM Medical Director Assistant Professor of Medicine, Harvard Medical School Disclosures Neither I nor my spouse/partner has a relevant
More informationEvolving Your Goals: Coalition Strategy for Impact
Evolving Your Goals: Coalition Strategy for Impact Opioid Safety Coalitions Network December 13, 2016 Welcome! OSCN communications support team Laurie Kappe, President Elizabeth Galicia, Vice President
More informationCHANGING CULTURE, BUILDING A SYSTEM, SUPPORTING PATIENTS AND STAFF. Andrew Suchocki, MD, MPH Medical Director Clackamas Health Centers
CHANGING CULTURE, BUILDING A SYSTEM, SUPPORTING PATIENTS AND STAFF Andrew Suchocki, MD, MPH Medical Director Clackamas Health Centers DISCLOSURES None. OVERVIEW Basic description- context and system overview
More informationOffice Based Addiction Treatment (OBAT) at Lowell Community Health Center. Shaun Farraher, MD Melanie Priestly, Director May 2018
Office Based Addiction Treatment (OBAT) at Lowell Community Health Center Shaun Farraher, MD Melanie Priestly, Director May 2018 Lowell CHC OBAT Program Snapshot Number of current active patients: 225
More informationClosing the Loop in Treating Opioid Addiction:
Closing the Loop in Treating Opioid Addiction: Integrating MAT into Prison and Jail Health Systems May 9, 2018 Webinar Housekeeping All lines are muted This session will be recorded To ask a question:
More informationSC MAT ACCESS. Medication Assisted Treatment Academic Community Capacity Expansion for Sustainable Success Kathleen Brady, MD, PhD, VPR, MUSC
SC MAT ACCESS Medication Assisted Treatment Academic Community Capacity Expansion for Sustainable Success Kathleen Brady, MD, PhD, VPR, MUSC Overdose Death Rates from Opiates Most important sign of a
More information8/16/2018. California s MAT Expansion Hub and Spoke System: Provider and Consumer Perspectives. Agenda. No Wrong Door
California s MAT Expansion Hub and Spoke System: Provider and Consumer Perspectives Gloria Miele, PhD, Learning Collaborative Coordinator, Hub and Spoke MAT Expansion Project Richard Rawson, PhD, Professor
More informationImproving the Quality of Addiction Treatment
Improving the Quality of Addiction Treatment Expanding Access to Medication-Assisted Treatment in Residential Addiction Treatment Programs Webinar sponsored by RTI International January 18, 2018 RTI International
More informationHealth Systems and Addiction: Provider Issues
Health Systems and Addiction: Provider Issues The Emerging Roles of Primary Care Patrick G. O Connor MD, MPH Dan and Amanda Adams Professor of General Medicine Chief, General Internal Medicine Yale University
More informationMedicaid s Role in Combating the Opioid Crisis
1 Medicaid s Role in Combating the Opioid Crisis September 23, 2016 Deborah Bachrach Partner Manatt Health Assessing Innovations in Medicaid 1 Medicaid Started as Adjunct to Welfare Programs 2 Eligibility
More informationOpioid Misuse and Overdose Prevention and Safety. Dr. Kathleen Clanon Medical Director May 31, 2018
Opioid Misuse and Overdose Prevention and Safety Dr. Kathleen Clanon Medical Director May 31, 2018 1 On average, 115 Americans die every day from an opioid overdose. Centers for Disease Control 2 Opioid
More informationDriving Under the Influence (DUI) Medication Assisted Treatment (MAT) Integration/Outreach Pilot Project. Stakeholder Informing Webinar February 2019
Driving Under the Influence (DUI) Medication Assisted Treatment (MAT) Integration/Outreach Pilot Project Stakeholder Informing Webinar February 2019 1 Webinar Guidelines Controls at the bottom of the screen
More informationBuprenorphine and MAT 101
Buprenorphine and MAT 101 Why is Medication Assisted Treatment so Important for Recovery? KEN SAFFIER, MD 7 TH ANNUAL INTEGRATION SUMMIT DECEMBER 8, 2016 Disclosures: u Ken Saffier, MD, has nothing to
More informationManagement Options for Opioid Dependence:
Management Options for Opioid Dependence: Policy Implications and Recommendations Dan Ollendorf, PhD Sarah Jane Reed, MSc New England CEPAC Goal: To improve the application of evidence to guide practice
More informationAligning Evidence-Based Practices with CCBHC Financing, Operations, and Quality Reporting. October 25th, :00pm 3:00pm
Aligning Evidence-Based Practices with CCBHC Financing, Operations, and Quality Reporting October 25th, 2017 2:00pm 3:00pm Webinar Login Directions Recommend calling in on your telephone. Enter your unique
More informationProject Nurture Collaborative. Alison Noice, MA CADC-III Christy Hall Helen Bellanca, MD, MPH
Project Nurture Collaborative Alison Noice, MA CADC-III Christy Hall Helen Bellanca, MD, MPH Disclosures No disclosures Direct Care Provider (SUD, physical health) Who s in the Room Today? Administrator
More informationQUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D.
2017 State Targeted Response to the Opioid Crisis Grants QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D. H.R.6-21st Century Cures Act The 21st Century Cures Act is a United States law enacted
More informationImproving care for pregnant people with opioid use disorder in U.S. jails: Research to implement medication assisted treatment
Improving care for pregnant people with opioid use disorder in U.S. jails: Research to implement medication assisted treatment Carolyn Sufrin, MD, PhD Departments of Gyn/Ob and Health, Behavior & Society
More informationIntegrated Dual Disorders Treatment (IDDT) Fidelity Scale Tips and Tools Treatment Characteristics and Organizational Characteristics
Tx.1a. Multidisciplinary Team: Case managers, psychiatrist, nurses, residential staff, and vocational specialists work collaboratively on mental health treatment team Tx.1b. Integrated Substance Abuse
More informationDPH programs related to opioid use disorder. Judith Martin, MD Medical Director of Substance Use Services SFDPH
DPH programs related to opioid use disorder Judith Martin, MD Medical Director of Substance Use Services SFDPH Opioid safety, SF timeline Opioid agonist treatment: methadone Seven clinics contract with
More informationConfronting the Opioid Epidemic: Suboxone in Primary Care
Confronting the Opioid Epidemic: Suboxone in Primary Care Kami Harless, MD 1 The Opioid Epidemic 2 The Opioid Epidemic 3 Washington Epidemic 4 King County Epidemic 5 King County Epidemic 6 Outline Opioid
More informationDHCS Tribal MAT Project
DHCS Tribal MAT Project Melissa Eidman & Valentine Antony California Consortium for Urban Indian Health August 2018 CaliforniaConsortiumforUrbanIndianHealth CCUIH StrengtheningTheOrganizationsThatStrengthenOurCommunities
More informationOUD & MAR: Caring for Our Communities
OUD & MAR: Caring for Our Communities Speaker: Elisabeth Fowlie Mock, MD, MPH Video Resources Diversion Alert/recoveryinme video https://www.youtube.com/watch?v=q1lsmwwwm40 CDC Videos RX Awareness Campaign
More informationIt s Not Just One More Thing! Overcoming Obstacles for Buprenorphine Treatment by Residents, Faculty and Programs
It s Not Just One More Thing! Overcoming Obstacles for Buprenorphine Treatment by Residents, Faculty and Programs Ken Saffier, MD Maureen Strohm, MD May 7, 2017 Disclosures Ken Saffier, MD, has nothing
More informationFinancing Factors for Implementing Medication-Assisted Treatment
Financing Factors for Implementing Medication-Assisted Treatment Jeremy Attermann, MSW, National Council for Behavioral Health Nick Szubiak, LCSW, National Council for Behavioral Health Brad DeCamp, MPA,
More informationMedication Assisted Treatment of Substance Use Disorders
3 rd Annual Challenges & Innovations in Rural Psychiatry Conference Medication Assisted Treatment of Substance Use Disorders June 22, 2016 Medication Assisted Treatment of Substance Use Disorders Richard
More informationMGH Substance Use Disorder Initiative. Dawn Williamson, RN, DNP, PMHCNS-BC, CARN-AP MGH ED Christopher Shaw, RN, ANP, PMHNP-BC, CARN-AP MGH ACT
Bridging the Gap: Bridging the Gaps to addiction treatment through comprehensive collaborative practice among Advanced Practice Nurses in a large urban Medical Center Dawn Williamson, RN, DNP, PMHCNS-BC,
More informationWelcome to the 2017 Indiana Health Workforce Collaborative!
Welcome to the 2017 Indiana Health Workforce Collaborative! Thank You to Our Sponsors: Afternoon Breakout Session: Room C Attacking the Drug Epidemic KEVIN MOORE Director, Division of Mental Health and
More informationAddressing the Opioid Crisis Policy Recommendations
Addressing the Opioid Crisis Policy Recommendations The Pew Charitable Trusts Pew is an independent nonprofit, nonpartisan research and policy organization. Tools: Research Partnerships Technical assistance
More informationOpioid Use Disorder Treatment Initiation in Diverse Settings
Opioid Use Disorder Treatment Initiation in Diverse Settings Sarah Wakeman, MD, FASAM Medical Director, Mass General Substance Use Disorder Initiative Assistant Professor, Harvard Medical School Disclosures
More informationCalifornia s MAT Expansion Hub and Spoke System: Introduction to the Learning Collaborative
California s MAT Expansion Hub and Spoke System: Introduction to the Learning Collaborative Gloria Miele, Ph.D., Tom Freese, Ph.D., UCLA ISAP Mark McGovern, Ph.D., Stanford University September 25 and
More informationBERNALILLO COUNTY OPIOID ABUSE ACCOUNTABILITY SUMMIT Turning the Curve on Opioid Abuse in Bernalillo County
BERNALILLO COUNTY OPIOID ABUSE ACCOUNTABILITY SUMMIT Turning the Curve on Opioid Abuse in Bernalillo County NMPHA Annual Conference April 2, 2014 Marsha McMurray-Avila Coordinator, Bernalillo County Community
More information6/6/2018. Objectives. Outline. Rethinking Medication Treatment for Opioid Use Disorder
Rethinking Medication Treatment for Opioid Use Disorder International Conference on Opioids June 10, 2018 Dustin Patil, MD Fellow, Addiction Psychiatry Boston Medical Center John Renner, MD Professor of
More informationJerry Cochran, MSW, PhD University of Utah School of Medicine Department of Internal Medicine Department of Psychiatry
Jerry Cochran, MSW, PhD University of Utah School of Medicine Department of Internal Medicine Department of Psychiatry Acknowledgements Funding for this work has come from: The Staunton Farm Foundation
More informationState Opioid Response (SOR) Grant
State Opioid Response (SOR) Grant Adam Bucon, LSW DMHAS Provider Meeting September 20, 2018 Philip D. Murphy Governor Shereef M. Elnahal Commissioner Sheila Y. Oliver Lt. Governor NJ Opioid Statistics
More informationMedication Assisted Treatment. Karen Drexler, MD National Mental Health Program Director-Substance Use Disorders Department of Veterans Affairs
Medication Assisted Treatment Karen Drexler, MD National Mental Health Program Director-Substance Use Disorders Department of Veterans Affairs Disclosures Employed by the Department of Veterans Affairs
More informationBuilding capacity for a CHC response to Ontario's Opioid Crisis
Building capacity for a CHC response to Ontario's Opioid Crisis Rob Boyd Oasis Program Director Luc Cormier, RN, MScN Community Health Nurse Sandy Hill Community Health Centre #AOHC2016 @rboyd6 @SandyHillCHC
More informationPartnership HealthPlan of California s Managing Pain Safely Program Robert Moore, MD MPH Chief Medical officer Partnership HealthPlan of California
Session L6 This presenter has nothing to disclose It Takes a Village to Curb the Prescription Opioid Epidemic: Partnership HealthPlan of California s Managing Pain Safely Program Robert Moore, MD MPH Chief
More informationHospitals Role in Addressing the Opioid Crisis
Hospitals Role in Addressing the Opioid Crisis Webinar 4: Overdose Survivors Outreach Project October 18, 2017 Agenda Overdose Survivors Outreach Project (OSOP) Background Barry Page, Director of Early
More informationUsing Structured Frameworks to Implement Opioid Use Disorder (OUD) Prevention Approaches. Melissa Struzzo, MPH
Using Structured Frameworks to Implement Opioid Use Disorder (OUD) Prevention Approaches Melissa Struzzo, MPH Learning Objectives To identify ways to engage the community coalition in collaboration with
More informationTreating Addiction in the Primary Care Safety Net. Kick-Off Webinar. Friday, September 23, 2016
Treating Addiction in the Primary Care Safety Net Kick-Off Webinar Friday, September 23, 2016 Program Team PROGRAM SPONSOR Kelly Pfeifer, MD Director, High-Value Care California Healthcare Foundation Amina
More informationIntroduction to UNC Medication Assisted Treatment (MAT) ECHO Clinic. Robyn Jordan, MD, PhD
Introduction to UNC Medication Assisted Treatment (MAT) ECHO Clinic Robyn Jordan, MD, PhD Conflicts UNC Extension for Community Healthcare Outcomes for Medication Assisted Treatment (UNC ECHO for MAT)
More informationCreating a Structure for Success: Humboldt Opioid Safety Coalition. Mary Meengs, MD, Medical Director Rosemary DenOuden, Chief Operating Officer
Creating a Structure for Success: Humboldt Opioid Safety Coalition Mary Meengs, MD, Medical Director Rosemary DenOuden, Chief Operating Officer Behind the Redwood Curtain Remote, sparsely populated 135K
More informationFrom Medicaid Transformation Approved Project Toolkit, June 2017
From Medicaid Transformation Approved Project Toolkit, June 2017 Domain 3: Prevention and Health Promotion Transformation projects within this domain focus on prevention and health promotion to eliminate
More informationLeading Together. Public Health & Mental Health Partners Collaborating to Address Health Disparities
Leading Together Public Health & Mental Health Partners Collaborating to Address Health Disparities Association of State and Territorial Health Officials NAATPN, Inc. National Behavioral Health Network
More informationPDMP Track: Linking and Mapping PDMP Data. Gillian Leichtling Acumentra Health Chris Baumgartner, WA State Dept. of Health
PDMP Track: Linking and Mapping PDMP Data Gillian Leichtling Acumentra Health Chris Baumgartner, WA State Dept. of Health Disclosure Statement Gillian Leichtling and Chris Baumgartner have disclosed no
More informationOPIOID USE DISORDER CENTERS OF EXCELLENCE APPLICATION GENERAL INFORMATION
OPIOID USE DISORDER CENTERS OF EXCELLENCE APPLICATION GENERAL INFORMATION The Department of Human Services (DHS) is implementing 50 opioid use disorder (OUD) Health Homes or Centers of Excellence (COE)
More informationAn Alternative Payment Model Concept for Office-based Treatment of Opioid Use Disorder
An Alternative Payment Model Concept for Office-based Treatment of Opioid Use Disorder CONTENTS I. Need for an Alternative Payment Model for Opioid Use Disorder and Addiction... 2 A. Improving Services
More informationBehavioral Health Treatment in a Primary Care Setting
Behavioral Health Treatment in a Primary Care Setting Andrew J. McLean, MD, MPH Medical Director, ND DHS Chair, Psychiatry and Behavioral Science, UNDSMHS ajmclean@nd.gov Objectives Understand the importance
More informationTelehealth: California Health & Wellness Experience
Telehealth: California Health & Wellness Experience Ramiro Zúñiga, MD, MBA, FAAFP Medical Director rzuniga@cahealthwellness.com National Council for Behavioral Health Hill Day 10/2/2017 Centene Corporation
More informationCOUNTY OF SAN LUIS OBISPO BOARD OF SUPERVISORS AGENDA ITEM TRANSMITTAL
COUNTY OF SAN LUIS OBISPO BOARD OF SUPERVISORS AGENDA ITEM TRANSMITTAL (1) DEPARTMENT Administrative Office (2) MEETING DATE 7/25/2017 (3) CONTACT/PHONE Geoff O'Quest/781-5011 Morgan Torell/781-5011 (4)
More informationThe Role of Primary Care Teams and the Medical Neighborhood in Addressing the Opioid Crisis in Maine. March 10, 2016
The Role of Primary Care Teams and the Medical Neighborhood in Addressing the Opioid Crisis in Maine March 10, 2016 Objectives Review current state of opioid crisis in Maine Briefly review physiology of
More informationHospitals Role in Addressing the Opioid Crisis
Hospitals Role in Addressing the Opioid Crisis Webinar 5: Buprenorphine in the Emergency Department November 14, 2017 Agenda Hospital Based Buprenorphine Initiatives Yngvild Olsen, M.D., Medical Consultant,
More informationOpioid Task Force Kick-Off Meeting. February 29, 2016
Opioid Task Force Kick-Off Meeting February 29, 2016 Scope of the Opioid Problem and Data Review Olivia Kasirye, MD, MS County Public Health Officer OVERVIEW The Opioid Epidemic Opioid Task Force Development
More informationMEDICATION ASSISTED ADDICTION TREATMENT: Appropriate Use
MEDICATION ASSISTED ADDICTION TREATMENT: Appropriate Use Louis E. Baxter, Sr., M.D., DFASAM Executive Medical Director-PAPNJ Assistant Clinical Professor Medicine Rutgers New Jersey Medical School DMHAS-Addiction
More informationMedication-Assisted Treatment (MAT) Overview
Medication-Assisted Treatment (MAT) Overview 2014 Opiate Conference: Don t Get Me Started Hyatt Regency, Columbus, Ohio June 30-July 1, 2014 Christina M. Delos Reyes, MD Medical Consultant, Center for
More informationNote: The trainings below represent a foundational list, and may be adapted based on audience and need.
MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing (offered in English and Spanish) 2-day Course (12-14 credit hours) This course is designed to introduce clinicians and staff members
More informationNURSING FOLLOW-UP: BUPRENORPHINE/NALOXONE BUPRENORPHINE/NALOXONE CLINIC VISITS
Provider Name: NURSING FOLLOW-UP: BUPRENORPHINE/NALOXONE Provider Signature: Date: BUPRENORPHINE/NALOXONE CLINIC VISITS Once stable, schedule clinic visits every 2 to 4 weeks, with refills that coincide
More information2/19/18. Today s talk. Today s talk. The Role of Behavioral Interventions in Buprenorphine Treatment of Opioid Use Disorders
The Role of Behavioral Interventions in Buprenorphine Treatment of Opioid Use Disorders Roger D. Weiss, MD Chief, Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, MA Professor of Psychiatry,
More informationWhat would it take to get to zero overdose deaths in California? Kelly Pfeifer, MD May 5, 2017
What would it take to get to zero overdose deaths in California? Kelly Pfeifer, MD kpfeifer@chcf.org May 5, 2017 Beth Name and picture changed What we believed then Opioids are safer than alternatives
More informationNCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Medicaid Transformation Project
NCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Introduction The North Central Accountable Community of Health (NCACH) is accepting applications from partners
More informationBattling Opioid Addiction: Public Policy and Healthcare Strategies for an Epidemic
Battling Opioid Addiction: Public Policy and Healthcare Strategies for an Epidemic Speakers: Margarita Pereyda, M.D., Principal, Moderator: Carl Mercurio, Information Services September 29, 2015 HealthManagement.com
More informationPreparing for New Hampshire Behavioral Health Summit December 3, 2015
Preparing for 2016 New Hampshire Behavioral Health Summit December 3, 2015 9.3 million more Americans have insurance Uninsured rate down to 11.9% Health spending historically low growth rate 3.7% 27
More informationCity of Berkeley CSS Plan Revised Budget Narratives. Full Service Partnership Integrated Services Expansion for TAY, Adults and Older Adults
City of Berkeley CSS Plan Revised Budget Narratives The additional funds provided by the CSS expansion have been added into the previously approved 07/08 budgets. What follows are the revised budget narratives
More informationManagement of Opioid Use Disorder in Primary Care
1 Northwest ATTC presents Management of Opioid Use Disorder in Primary Care Joseph O. Merrill, MD, MPH University of Washington Associate Professor of Medicine 4/26/2018 Today s Presenter 2 Joseph Merrill,
More informationProgress Report and 2018 Legislative Opportunities. Maine Opiate Collaborative Recommendations
Progress Report and 2018 Legislative Opportunities related to the Maine Opiate Collaborative Recommendations April 2018 A. Destigmatize substance use disorders within the law enforcement profession 1.
More informationVIRGINIA MEDICAID ADDICTION AND RECOVERY TREATMENT SERVICES (ARTS) OFFICE BASED OPIOID PROVIDER (OBOT) PAYMENT MODEL 3 rd Annual Mental Health Summit
1 VIRGINIA MEDICAID ADDICTION AND RECOVERY TREATMENT SERVICES (ARTS) OFFICE BASED OPIOID PROVIDER (OBOT) PAYMENT MODEL 3 rd Annual Mental Health Summit May 9, 2017 Virginians Covered by Medicaid and CHIP
More informationOpioid Epidemic as it Relates to Counties
89 TH ANNUAL WEST TEXAS COUNTY JUDGES AND COMMISSIONERS ASSOCIATION CONFERENCE Wednesday, April 25, 2018 11:05 11:55 a.m. Opioid Epidemic as it Relates to Counties Ms. Jessica Cance Agency Analytics Unit
More informationOPIOID SAFE- PRESCRIBING TRAINING IMMERSION (OSTI)
OPIOID SAFE- PRESCRIBING TRAINING IMMERSION (OSTI) Case 105- Prep Materials University of Massachusetts Medical School Opioid Conscious Curriculum Learner Prep Objectives The purpose of this prep material
More informationSmart Care California: Multi-Stakeholder Strategies for Reducing Opioid Overuse. Jennifer Wong, MPH IHA Stakeholders Meeting September 19, 2017
Smart Care California: Multi-Stakeholder Strategies for Reducing Opioid Overuse Jennifer Wong, MPH IHA Stakeholders Meeting September 19, 2017 Why Measure Opioid Use? NATIONAL EPIDEMIC 400% Increase in
More informationMedicaid Expansion: Its Critical Role in Ohio s Response to the Addiction Crisis
Medicaid Expansion: Its Critical Role in Ohio s Response to the Addiction Crisis 1 Medicaid Expansion: Its Critical Role in Ohio s Response to the Addiction Crisis Ohio expanded Medicaid in 2014 to provide
More informationPOLYSUBSTANCE USE IN THE TREATMENT OF OPIOID USE DISORDER WITH BUPRENORPHINE
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences POLYSUBSTANCE USE IN THE TREATMENT OF OPIOID USE DISORDER WITH BUPRENORPHINE MARK DUNCAN, MD November 8, 2018 SPEAKER
More informationTaos Alive. Improving a Community in Pain By Julie Martinez CPS
Taos Alive Improving a Community in Pain By Julie Martinez CPS About Taos County About Taos Alive Community Based Coalition 12 Sectors (Youth, Parents, Business, Media, Schools, Youth Serving Organizations,
More informationInitiative & More. Presentation Outline
Brushing up on Innovations in State Oral Health Policy: California s Dental Transformation Initiative & More Alani Jackson, MPA Chief, Medi-Cal Dental Services Division California Department of Health
More informationOPIOIDS: ENGAGING PATIENTS IN OUD TREATMENT
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences OPIOIDS: ENGAGING PATIENTS IN OUD TREATMENT ADDY ADWELL, RN-BC, BSN HARBORVIEW MEDICAL CENTER GENERAL DISCLOSURES
More informationIntroduction to the Massachusetts Consultation Service for the Treatment of Addiction and Pain. March 12 and March 13, 2019
Introduction to the Massachusetts Consultation Service for the Treatment of Addiction and Pain March 12 and March 13, 2019 Providers Needs Related to Treating Patients with SUD and Chronic Pain Provider
More informationPerformance of North Carolina's System for Monitoring Prescription Drug Abuse. Session Law , Section 12F.16.(q)
Performance of North Carolina's System for Monitoring Prescription Drug Abuse Session Law 2015-241, Section 12F.16.(q) Report to the Joint Legislative Oversight Committee on Health and Human Services and
More informationBuprenorphine Prescribing as a Patient- Centered Medical Home Enhancement
Buprenorphine Prescribing as a Patient- Centered Medical Home Enhancement TANNER NISSLY DO, BOB LEVY MD FASAM, MICHELE MANDRICH MSW, CMPE AS YOU ENTER, PLEASE SET UP TO PARTICIPATE IN OUR POLL EVERYWHERE
More informationClinical Guidelines and Coverage Limitations for Medication Assisted Treatment (MAT)
Clinical Guidelines and Coverage Limitations for Medication Assisted Treatment (MAT) For Apple Health clients served Fee-for-Service and through contracted Medicaid Managed Care Organizations Updated January
More informationAgenda. 1 Opioid Addiction in the United States. Evidence-based treatments for OUD. OUD Treatment: Best Practices. 4 Groups: Our Model
Agenda 1 Opioid Addiction in the United States 2 Evidence-based treatments for OUD OUD Treatment: Best Practices 4 Groups: Our Model 2 Groups is a national network of clinics providing affordable, evidencebased
More informationSix Building Blocks Self-Assessment Questionnaire Workshop Version July 2017
July 2017 Background The Six Building Blocks were developed as part of a research project on Team Based Opioid Management in rural clinics. The three year research study is a collaboration between 20 rural
More informationProtecting and Promoting Health and Equity
Meeting People Where They re at: Locating SFDPH s Hepatitis C Initiative in a Legacy of Drug User Health Services Protecting and Promoting Health and Equity Presented by: Katie Burk, MPH 1 San Francisco
More informationReducing Opioid Over- Prescribing in a Large Integrated Health Care System
Session L6 This presenter has nothing to disclose It Takes a Village to Curb the Prescription Opioid Epidemic: Reducing Opioid Over- Prescribing in a Large Integrated Health Care System Joel D. Hyatt,
More informationRecovery Coaches: Playing an Important Role in Marin County Collaborative Courts
Recovery Coaches: Playing an Important Role in Marin County Collaborative Courts Sonya Morrison EXECUTIVE SUMMARY The collaborative courts system in Marin County has long been a model for an integrated,
More informationSTARTING SUBOXONE IN PRIMARY CARE
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences STARTING SUBOXONE IN PRIMARY CARE MARK DUNCAN MD UNIVERSITY OF WASHINGTON OBJECTIVES 1. Review evidence of how to
More informationPITTSBURGH MERCY: COMPREHENSIVE INTEGRATED CARE JUNE 6, 2018
PITTSBURGH MERCY: COMPREHENSIVE INTEGRATED CARE JUNE 6, 2018 AN ENHANCED MEDICAL HOME MODEL FOR THE SMI POPULATION Comprehensive Care Patient Centered Care Coordinated Care Accessible Services Quality
More informationDental Payment Innovation:
Dental Payment Innovation: Best Practices of Health Center Dental Clinics in Three States Irene V. Hilton, DDS, MPH, FACD Lyubov Slashcheva, DDS, FABSCD July 16, 2018 Objectives Understand the environment
More information