Module Archives - Providers Clinical Support System

Dental School SBIRT Curriculum – Foundational Training for SUDs

Presenter(s): NA

This curriculum is an educational initiative developed by the American Academy of Addiction Psychiatry (AAAP) and the Division on Substance Use Disorders, Department of Psychiatry, at Columbia University Medical Center and New York State Psychiatric Institute, as part of efforts to address the public health crisis of Opioid and other Substance Use Disorders (SUD). Read more

Patient-Centered Urine Drug Testing: Facts you Should Know!

Presenter(s): J. Deanna Wilson, MD, MPH

Drug testing is an important tool in the management of all patients on chronic opioid therapy or who are being treated for opioid use disorder. This module will review best clinical practices for the use and management of UDT in outpatient practice. Read more

Buprenorphine and Naltrexone Induction

Presenter(s): J. Deanna Wilson, MD, MPH

Induction is an important component of delivering medications to treat opioid use disorder. This module will review different models for induction of buprenorphine and naltrexone in the outpatient office setting. Read more

Managing Diversion and Misuse of Buprenorphine

Presenter(s): J. Deanna Wilson, MD, MPH

Medications such as buprenorphine are associated with a risk of misuse and diversion. This module will provide strategies to reduce risks through thorough assessment, patient education, appropriate dosing and prescribing, and engaging in quality care practices. Read more

Protected: Supporting Recovery with Medications for Addiction Treatment (MAT)

There is no excerpt because this is a protected post. Read more

Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use Disorders in Primary Care

Presenter(s): Jeanne Manubay, MD

This module will describe the SBIRT model (Screening, Brief Intervention, Referral to Treatment) for substance use disorders in primary care practice. Given the high prevalence of substance use disorders, among primary care patients, as well as the continuing epidemic of opioid abuse, it is important to provide routine screening for substance use disorders. SBIRT is an evidence-based practice that has shown significant success in varied clinic settings at reducing alcohol and illicit substance use. A description of universal screening practices is provided, including the use of validated, structured screening tools and the components of brief interventions are described. Approved treatments for substance use disorders are discussed, as well as guidelines for when to make treatment referrals. Read more

Behavioral Interventions for MAT: Improving Outcomes

Presenter(s): Stacey C. Conroy, LICSW, MPH, LADC1

As we enhance our understanding of addiction medicine through research we strive to improve the treatment outcomes for our patients. Medication Assisted Treatment (MAT) at its core is a combination treatment. Medication is extremely beneficial in the treatment of addictions however, for many it is not sufficient to maintain recovery. This module provides basic information on 4 Evidence Based Practices (EBPs) that have demonstrated efficacy in treating the behavioral aspects of the disease of addiction. Examples of techniques from the covered EBPs are included. These techniques may be done during medication management and/or longer counseling visits. Read more

Psychiatric Comorbidities: Diagnosis and Treatment of Comorbid Psychiatric Disorders and Opioid Use Disorders – Revised

Presenter(s): Frances R. Levin, MD; Elizabeth A Evans, MD

Substance use disorders and psychiatric illnesses frequently co-occur5 those with comorbid disorders have poorer prognosis, and worse treatment outcomes, including higher relapse rates, shorter time to relapse of substance use, and more hospitalizations than those without co-occurring psychiatric illnesses. It is often difficult to differentiate independent from secondary disorders and treatment planning can be more challenging. Read more

Prescribing Opioids for Chronic Pain: The CDC Guideline in Practice

Presenter(s): John A. Hopper, MD, FACP

In 2016, the Centers for Disease Control released a guideline on prescribing opioids for chronic pain. The guideline was developed to create more standardization in the prescribing of opioids for chronic non-malignant pain in the United States. This module uses an interactive, case-based approach to describe and apply the guidelines in clinical practice. Resources for using the guideline are also cited and reviewed. Read more

Approach to Use of Opioids in Patients with Low Back Pain – Revised

Presenter(s): Roger Chou, MD, FACP

Low back pain is extremely common and can be difficult to treat. Although opioids are frequently used to treat low back pain, evidence showing long-term benefits is limited and opioids are associated with important adverse effects. This module provides primary care physicians with an approach to using opioids in low back pain. Faculty will emphasize the need to consider using opioids within an overall pain management plan that: 1) addresses psychosocial contributors to pain; 2) recognizes that opioids are not first-line treatment for low back pain and may not be appropriate in all patients; 3) utilizes non-opioid treatments; and 4) routinely incorporates risk mitigation and reassessment strategies. Read more