Podcasts about medication assisted treatment mat

Damon Frank and therapist Judy Acheson dive deep into the world of Medication-Assisted Treatment (MAT) for addiction recovery. They explore the misconceptions surrounding MAT, discuss its role in harm reduction, and share personal experiences and success stories that highlight the potential for lasting recovery.This Substack is reader-supported. To receive new posts and support my work, consider becoming a free or paid subscriber.Key Discussion Points:* Understanding MAT: Damon and Judy explain how MAT works, its applications for various addictions, and why it's a valuable tool in recovery, especially for those struggling with opioid addiction.* Harm Reduction: The conversation emphasizes the importance of harm reduction strategies in the recovery journey, illustrating how MAT can help manage cravings and ease the transition to sobriety.* Personal Stories: Listeners hear inspiring success stories from individuals who have transformed their lives through MAT, reinforcing the message that recovery is possible and multifaceted.* Community and Support: Judy shares insights on the supportive community around recovery and stresses the importance of ongoing engagement in recovery programs, regardless of whether someone is using MAT.Join us as we bring hope, share knowledge, and empower individuals on their path to recovery.This video is for informational purposes only and is not medical or mental health advice. Always consult a licensed professional for any health-related concerns. If you're in crisis, seek help immediately or call 911. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.recoveredlife.tv/subscribe

In this episode of the Addict to Athlete podcast, Coach Blu Robinson engages with Dr. Mark Hrymoc, an addiction psychiatrist, to discuss the evolving landscape of addiction treatment, particularly focusing on Medication-Assisted Treatment (MAT). They explore the importance of integrating mental and physical health in recovery, the duration of care needed for individuals struggling with addiction, and the risks associated with rapid detoxification. Dr. Hrymoc explains how Suboxone works in the brain to help stabilize patients and addresses the mixed data surrounding cannabis as a treatment option. The conversation emphasizes the need for a compassionate, individualized approach to addiction recovery, highlighting the importance of destigmatizing medication use in treatment. In this conversation, Dr. Mark Hrymoc discusses the evolving landscape of psychiatric treatments, particularly focusing on psychedelics and ketamine. He emphasizes the importance of understanding co-occurring disorders and the psychological aspects of pain management. The discussion also touches on the future of non-addictive pain medications and the significance of building trust in treatment relationships. Dr. Hrymoc advocates for open communication between patients and healthcare providers to foster effective treatment outcomes.   Takeaways MAT offers a new perspective on addiction treatment. Combining medication and therapy yields the best results. Addiction is a chronic disease with no cure. Long-term relationships with clients are crucial for recovery. Rapid detox can be dangerous and should be approached with caution. Suboxone helps stabilize patients without the high of other opioids. Cannabis has mixed results in treating mental health issues. Destigmatizing medication-assisted treatment is essential. Every family has someone affected by addiction. Individualized treatment plans are key to successful recovery. Psychedelics are being researched for various psychiatric conditions. Ketamine is effective for treatment-resistant depression and anxiety. Understanding the timeline of addiction and mental health issues is crucial. Pain perception is influenced by both physical and psychological factors.   00:00- Introduction to Addiction and Recovery 01:55- Understanding Medication-Assisted Treatment (MAT) 07:28- The Intersection of Mental and Physical Health in Recovery 10:41- The Duration of Care in Addiction Recovery 14:28- The Risks of Rapid Detox and Medication Management 18:01- How Suboxone Works in Addiction Treatment 21:47- Exploring Harm Reduction and Future Treatment Trends 23:57- The Evolving Landscape of Psychedelics in Psychiatry 26:20- Ketamine as a Treatment for Depression 28:56- Navigating Co-Occurring Disorders 32:56- The Future of Non-Addictive Pain Medications 36:37- Understanding Pain: The Psychological Component 41:58- Building Trust in Treatment Relationships   Please join Addict to Athlete's Patreon support page and help us turn the mess of addiction into the message of sobriety! https://www.patreon.com/addicttoathlete Please visit our website for more information on Team Addict to Athlete and Addiction Recovery Podcasts. https://www.AddictToAthlete.org Join the Team! Circle, our new social support event, along with the team and athlete communication platform, is designed to help us break free from doom scrolling and shadow banning and foster stronger connections among us. Follow the link, download the app, and start this new chapter of Team AIIA! Join Circle https://a2a.circle.so/join?invitation_token=16daaa0d9ecd7421d384dd05a461464ce149cc9e-63d4aa30-1a67-4120-ae12-124791dfb519

In this episode, Provident's Craig Sager and Dan O'Brien sit down with Chris Bove, CEO of Clean Slate Centers. Together they examine the world of Medication Assisted Treatment (“MAT”), exploring the challenges MAT aims to address, the related operational and payor dynamics, and key components in driving outcomes for those struggling with addiction.

This Pink Cloud S5E23 DJ Kelly Reverb (RSPS), and Chad LeMans sit down with "The Professor" Nolen! A compelling episode that follows Nolen's turbulent journey through multiple attempts at sobriety, struggles with opioids and Imodium addiction, a rehab romance, and the challenges of parenting while on methadone. CHECK OUT - Shelia Williamson's book (Two Calls) and speaking inquires https://www.twocalls.org/ Be sure to hit up Max for all your personal injury attorney needs.... https://lonestarinjuryattorneys.com/ Tell him Kelly sent you. #opioides #addiction #recovery #podcast #trending #mentalhealth --- Support this podcast: https://podcasters.spotify.com/pod/show/thispinkcloud/support

Dr. Michael McCormick was the chief of surgery of an Alabama hospital. He was also in the grips of an addiction to painkillers that nearly cost him his medical career, his family and his life. Doc McCormick is living proof that substance use disorder spares no one — even a prominent doctor well aware of the devastation of addiction. In this conversation, Doc bravely shares his truth as he continues his life's commitment to helping people struggling with substance use disorder. We delve into Doc's journey from addiction to long-term recovery, his newfound purpose in the medical field, why opioids and opiates are so devastatingly addictive, and the controversial, yet rapidly evolving impact of Medication-Assisted Treatment (MAT) in combatting substance use disorder. Hope you find this conversation as inspiring and insightful as I did.

Semiglutides in Sobriety: A New Frontier in Addiction Recovery?   In this week's episode of Recovery in the Middle Ages, we delve into the groundbreaking realm of semiglutide medications, such as Ozempic, and their emerging role in addiction treatment. As science advances, so does our understanding of how these drugs not only aid in weight loss, but also show promise in the realm of addiction recovery. We'll explore the current scientific insights on semiglutides' effects on the brain and body, specifically their potential to alter the brain's reward pathways and reduce the dopamine-driven pleasure associated with addictive behaviors.   We also discuss Medication-Assisted Treatment (MAT) more broadly, navigating the complexities and controversies surrounding MAT in the recovery community, touching on the balance between medication use and traditional recovery methods.    *This podcast does not provide medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition or treatment.* Please remember to SUBSCRIBE to the podcast on your favorite platform to get the latest episode delivered right to your devices as soon as it's released. LINKS: Fostering Pets in Recovery   Fostering For Recovery Facebook   Ozempic and Addiction www.soberliningsplaybook.com John The Can Man GoFundMe We are a listener-supported podcast. If you like what we're doing here at RMA and want to support the show, JOIN THE RECOVERY IN THE MIDDLE AGES PATREON  Our sole mission is to help other people achieve sobriety and become their best, most authentic selves. As little as $3 a month makes a big difference and helps us keep the lights on.  https://www.patreon.com/RecoveryintheMiddleAges Visit www.soberlink.com/middle-ages to sign up and receive $50 off your device.  As always, we thank you for your support.  RMA ON YOUTUBE FOLLOW US ON TWITTER  Facebook Page We also have a Facebook Group! Request to join the group. It's a private space for continuing the discussion of what Nat and Mike talk about on the podcast. Hope to see you there. PLEASE leave us a 5 star review on I-Tunes if you're enjoying the show and SUBSCRIBE to get the latest episodes.  Email: MikeR@middleagesrecovery.com Natx@middleagesrecovery.com Check out the website: www.middleagesrecovery.com  We all have a story. Tell us yours and we'll share it on the show! E-Mail your story to miker@middleagesrecovery.com If you're in trouble with substance abuse and need help, reach out. There are thousands of people who have put problems with addiction in their rear-view mirrors and you can be one of them. While we neither endorse nor condemn any particular program, the sheer number of available AA and NA meetings suggest that reaching out to those organizations would be a good first step, (but maybe not the last step), on your road to recovery.   https://www.aa.org/ https://www.na.org/meetingsearch/ Marijuana Anonymous (just in case): This Naked Mind  

Season 4: Episode 1: Navigating Substance Use Disorders and their Treatments. Release Date – February 23rd, 2024. Summary – In this first episode on Substance Use, licensed clinical professional counselor, Amy McKenzie, shares her experience and expertise from Trivium Life Services, Boise, Idaho office. Topics covered are levels of care, Medication-Assisted Treatment (MAT) services, recognizing addiction signs, navigating relapse, applying a harm reduction approach, and the outreach that is being done. Join us for an enlightening exploration into the complexities of substance use disorders and the paths to healing. Guest Information – Amy McKenzie LCPC, ACADC Clinical Director at Trivium Life Services.   Links and Resources www.triviumlifeservices.org Call to Action Want more information on the services offered by Trivium Life Services or how to support our mission? Visit our website at www.triviumlifeservices.org. Podcast and Host Information Hi! I'm Michelle Schaller, Senior Director of Behavioral Health, your host for this series of podcasts by Trivium Life Services. Each week, I'll be introducing you to real professionals who dedicate their lives to helping others, and individuals who have found hope amidst their struggles with mental health, substance abuse, domestic violence, and those with intellectual and physical disabilities. Our aim is to reduce the prejudices and misconceptions surrounding these challenges and create awareness and understanding in our communities. Disclaimer The contents of this podcast, including discussions, interviews, and shared resources, are for informational and educational purposes only. They are not intended to serve as a substitute for professional medical advice, diagnosis, or treatment. Acknowledgements Special thanks to Webberized Inc for their invaluable contribution to this episode. To learn more about their services visit them at www.webberized.com.

Calhoun County Sheriff Steve Hinkley and Summit Pointe justice systems lead Taneisha share their perspectives on how the Jail Services program has advanced in recent years. In doing so, they discuss the Medication Assisted Treatment (MAT) component, designed to cut recidivism among those jailed who are dealing with addiction or behavioral health issues. Sheriff Hinkley also underscores how these programs and the First Step behavioral health urgent care in Battle Creek has helped deputies help others.The results can be life-changing.Episode ResourcesSummit Pointe/First Step websiteMore Summit Pointe episodesThe Summit Pointe podcast is a Livemic Communications production.  For more information, visit Livemic Communications.

Our guest: Dr. John Tanner, DO, DABAM, DFASAM, CCFC, MRO Medical Director for Intervention Project for Nurses Florida Dr. John Tanner Is returning to work while on Medication Assisted Treatment (MAT) a daunting puzzle? This podcast offers a roadmap! We'll navigate the challenges, from Florida's monitoring program to navigating MAT while reintegrating into the workplace. Plus, we'll dive into the power of neurocognitive evaluations as a tool for ensuring a safe and successful return. Join us for practical insights and expert guidance - this applies to anyone seeking a smooth transition back to work! For more information on Drug Diversion mitigation and resources, visit: https://www.rxpert.solutions/ #drugdiversion #hospitalpharmacy #opioidcrisis #hospitalworker Facebook: https://www.facebook.com/rxpertsolutions/ X: https://twitter.com/rxpertsolutions Linkedin: https://www.linkedin.com/company/rxpertsolutions Spotify: https://open.spotify.com/show/6UwSCi8kBvVVXOBzzBHFP0

Our guests for today's episode of the podcast are Dr. Ashlie Martin, Medical Director, Addiction Medicine Detox/MAT, and Wendy Donohoe, Sr. Director, CQDX & Opiate Treatment Services Detox. In the interview, Dr. Martin emphasizes that withdrawal management involves more than just medication; it encompasses a compassionate environment of sobriety often misconceived as cold and sterile, provided by understanding professionals in the field of addiction. Wendy Donohoe details the collaborative approach in post-withdrawal care, where a team of counselors works with clients to create discharge plans fostering engagement in treatment, highlighting the dual role of Medication-Assisted Treatment (MAT) in addressing physical well-being and counseling in transforming negative thought patterns for sustainable recovery.

In this episode, Carrie, Rebecca, and Zack discuss: Why Medication Assisted Treatment (MAT) is a proven treatment for Opioid Use Disorder (OUD) Why only 5% of clinicians are licensed to prescribe buprenorphine and how this drives traffic to the black market How telemedicine breaks down barriers and stigmas for clinicians and patients in the treatment of OUD, making them an ideal combination for addressing the opioid epidemic in the U.SKey Takeaways: What many people don't know is that we already have working solutions for opioid addiction and have for a very long time. A widely accepted treatment called Medication-Assisted Treatment (MAT) is highly effective at keeping people alive. Breaking down barriers for clinicians as well as for patients is critical to the solution. Only 5% of clinicians are licensed to prescribe buprenorphine, a medication used in medication-assisted treatment. Many people who seek treatment are forced to get medication through the black market. There are two main problems that telemedicine solves in regards to getting a patient into a healthy long-term treatment: getting patients to opt-in and getting them to stick with treatment. “Telemedicine is great for allowing people to get treated privately, and do so in a way that fits into their schedule. It's also great at helping people stick with treatment.” - Zack GrayConnect with Zack Gray: Website: https://ophelia.com/ LinkedIn: https://www.linkedin.com/in/zack-gray-58437936 Twitter: https://twitter.com/zarkgray Learn more from Carrie and Rebecca: Healthcare Insights (a monthly deep dive into specific topics for innovators): https://nixongwiltlaw.com/healthcare-insightsTelehealth/Virtual Care Mgmt Update (a biweekly LinkedIn newsletter tracking legal and policy changes across the nation): https://www.linkedin.com/newsletters/telehealth-virtual-care-update-6901900767960068096/ Website: https://nixongwiltlaw.com/ Carrie on LinkedIn: https://www.linkedin.com/in/carrienixon/ Rebecca on LinkedIn: https://www.linkedin.com/in/rebeccagwilt/NGL on LinkedIn: https://www.linkedin.com/company/nixon-gwilt-law/ Decoding Healthcare Innovation on LinkedIn: https://www.linkedin.com/company/decoding-healthcare-innovation/

Our guest today is Dr. Ashlie Martin, the Medical Director of Addiction Medicine and Withdrawal Management/MAT at CommQuest.To start the episode, Dr. Martin shares how her personal journey brought her into the field of addiction recovery, and ultimately, to CommQuest.We then discuss CommQuest's Medication-Assisted Treatment (MAT) program. When used in combination with counseling services, MAT has proven highly effective in assisting individuals in their recovery from specific types of addiction.Dr. Martin explains the basic strategy of MAT and why it is so effective in many cases of addiction treatment. She also addresses the stigma and many of the misconceptions about MAT and stresses this treatment is “medically assisted” and is not a substitute for a comprehensive approach to addiction treatment and the causes of addiction.You can find out more about our MAT program and CommQuest at CommQuest.org

Mental health disorders are the costliest health conditions in the United States, with annual spending over $200 billion. And even at that cost, fewer than 50% of Americans with mental health disorders and 10% experiencing substance use disorder accessed treatment in 2020. It's no wonder: our fragmented healthcare system is daunting.  In this series, we'll explore how a more integrated, collaborative approach to addressing mental and behavioral health can improve outcomes and reduce costs.   This collaborative care network approach strengthens relationships between health plans, hospitals, Medication Assisted Treatment (MAT) facilities, post-acute care facilities, and other behavioral and mental health providers to deliver consistent evidence-based care, while maximizing the impact of a limited behavioral health workforce.In our first episode, Dr. Ben Zaniello, Chief Medical Officer, PointClickCare, will share how the entire healthcare ecosystem has a role and a responsibility to connect to help patients access behavioral health services across the continuum of need. Then, we'll discover how University of Virginia Health is using technology to help patients with chronic medical and behavioral health conditions get the care they need, when they need it to improve outcomes and decrease costs associated with unnecessary hospitalizations and readmissions. This podcast is sponsored by Pointclickcare.

Mental health disorders are the costliest health conditions in the United States, with annual spending over $200 billion. And even at that cost, fewer than 50% of Americans with mental health disorders and 10% experiencing substance use disorder accessed treatment in 2020. It's no wonder: our fragmented healthcare system is daunting.  In this series, we'll explore how a more integrated, collaborative approach to addressing mental and behavioral health can improve outcomes and reduce costs.  This collaborative care network approach strengthens relationships between health plans, hospitals, Medication Assisted Treatment (MAT) facilities, post-acute care facilities, and other behavioral and mental health providers to deliver consistent evidence-based care, while maximizing the impact of a limited behavioral health workforce.In our first episode, Dr. Ben Zaniello, Chief Medical Officer, PointClickCare, will share how the entire healthcare ecosystem has a role and a responsibility to connect to help patients access behavioral health services across the continuum of need. Then, we'll discoover how University of Virginia Health is using technology to help patients with chronic medical and behavioral health conditions get the care they need, when they need it to improve outcomes and decrease costs associated with unnecessary hospitalizations and readmissions. This episode is sponsored by PointClickCare.

David I. Deyhimy, MD, built a career as a respected anesthesiologist, when he turned his focus onto reducing pain of a different sort. As an addiction medicine specialist, he approaches addiction not as a moral failing, but as a chronic and treatable disease of the brain. He is dedicated to helping those suffering from drug addiction and preventing overdose deaths from opioids using medical research and evidence-based drug and alcohol addiction treatments. He uses Medication-Assisted Treatment (MAT), which works by dramatically reducing cravings, improving treatment engagement and retention, helping prevent relapse, and reducing the incidence of death from overdose. Click here learn more about Dr. Deyhimy's clinic: https://www.mymatclinic.com/ Original air date: January 5, 2023See omnystudio.com/listener for privacy information.

In this episode, Carrie, Rebecca, and Zack discuss: Why Medication Assisted Treatment (MAT) is a proven treatment for Opioid Use Disorder (OUD) Why only 5% of clinicians are licensed to prescribe buprenorphine and how this drives traffic to the black market How telemedicine breaks down barriers and stigmas for clinicians and patients in the treatment of OUD, making them an ideal combination for addressing the opioid epidemic in the U.SKey Takeaways: What many people don't know is that we already have working solutions for opioid addiction and have for a very long time. A widely accepted treatment called Medication Assisted Treatment (MAT) is highly effective at keeping people alive. Breaking down barriers for clinicians as well as for patients is critical to the solution. Only 5% of clinicians are licensed to prescribe buprenorphine, a medication used in medication-assisted treatment. Many people who seek treatment are forced to get medication through the black market. There are two main problems that telemedicine solves in regards to getting a patient into a healthy long-term treatment: getting patients to opt-in and getting them to stick with treatment. “Telemedicine is great for allowing people to get treated privately, and do so in a way that fits into their schedule. It's also great at helping people stick with treatment.” - Zack GrayConnect with Zack Gray: Website: https://ophelia.com/ LinkedIn: https://www.linkedin.com/in/zack-gray-58437936 Twitter: https://twitter.com/zarkgray Learn more from Carrie and Rebecca: Healthcare Insights (a monthly deep dive into specific topics for innovators): https://nixongwiltlaw.com/healthcare-insightsTelehealth/Virtual Care Mgmt Update (a biweekly LinkedIn newsletter tracking legal and policy changes across the nation): https://www.linkedin.com/newsletters/telehealth-virtual-care-update-6901900767960068096/ Website: https://nixongwiltlaw.com/ Carrie on LinkedIn: https://www.linkedin.com/in/carrienixon/ Rebecca on LinkedIn: https://www.linkedin.com/in/rebeccagwilt/NGL on LinkedIn: https://www.linkedin.com/company/nixon-gwilt-law/ Decoding Healthcare Innovation on LinkedIn: https://www.linkedin.com/company/decoding-healthcare-innovation/

Susan Ousterman, Founder of Vilomah Memorial Gardens, speaks to the experience of walking with her son, Tyler, on his journey with addiction and his medical treatment while battling a substance use disorder. Susan describes how many of the laws that were actually in place, but not recognized, may have contributed to his passing. Many of us will relate with the stigma of substance abuse while navigating resources available to treat and heal addiction, the daunting monetary impact of treatment costs, or managing what our standard medical community understands about addiction. Nothing can truly capture the journey you're about to hear other than the words on the Vilomah Memorial Gardens' website, Someday, society will come to fully understand the disease of addiction and those suffering will no longer be viewed as moral failures. They will be treated with the dignity and respect they deserve. The catalyst for this change will be those of us who spoke up, and the true heroes will be recognized — our children who suffered in silence, who paid the ultimate price.Thank you for listening. 8:00 - Moms for All Paths of Recovery, run by Kathleen Cochran, Heart of a Warrior Woman9:20 - It's not a hard sell to love your child9:30 - Understanding addiction is multi-faceted and is often not attributable to one factor11:00 - Our inner path of recovery can benefit our child11:30 - Harm Reduction and how we can create a different approach to healing addiction12:15 - Withholding support from an addict verses meeting them where they are13:00 - The balance of unconditional love and protecting yourself13:45 - Building a relationship while your child is both using and trying to heal14:30 - Tyler's experience with Medical Treatment and the potential impact the stigma of using may have had on his care15:15 - Safe syringe programs16:15 - Tyler's Endocarditis, a life-threatening inflammation of the inner lining of the heart's chambers and valves, and his treatment experience19:35 - How Tyler's Medical Marijuana License may have impacted his medical care22:10 - Federal verses County regulations on Medical Marijuana treating Opioid Use Disorder22:50 - SAMSHA's and the Medication-Assisted Treatment (MAT)program24:50 -Psychedelics and Treatment for Opioid Addiction 26:55 - Listen to Dr. Matthew Johnson on the Huberman Lab Podcast, Professor of Psychiatry and Behavioral Sciences at Johns Hopkins School of Medicine, discuss the potential use of Psychedelics for treatment of depression, addiction, trauma, eating disorders, ADHD, and other disorders of the mind. 27:40 - Research on Ibogaine on Opioid Addiction, Ibogaine treatment outcomes for opioid dependence from a twelve-month follow-up observational study29:00  - DopeThank you for listening and please visit www.siblinghoodofrecovery.com for free resources, links to organizations, groups and individuals who can offer help in the Journey of Recovery towards healing from substance use disorders. If you like this Podcast, please leave a rating on wherever you're listening. It will help to get the word out. If there is one message I can leave you with, the best you can offer your loved one battling addiction is love and a healthier you. Walk gently, my friend.

In the second episode of our opioid use disorder series, we'll explore medications and treatment options for the disease. Our patient TJ joins and continues to offer her perspective. Share your reactions and questions with us at  Speak Pipe . We might feature you on a future episode!=== Outline ===Introduction (0:00)Chapter 5 - Risk Assessment and Harm Reduction  (3:43)Chapter 6 - Medication Assisted Treatment (11:31)Chapter 7 - Counseling on Treatment Options (15:47)Chapter 8 - How PCPs can start treating OUD (28:16)Conclusion (33:04)=== Learning Points ===The RIP-TEAR mnemonic can assist in taking a good history of a patient with an opioid use disorder.There are three FDA-approved medications for the treatment of opioid use disorder: methadone, buprenorphine (i.e. Suboxone), and naltrexone. Physicians who would like to prescribe for up to 30 patients do not require additional training to receiving an X-waiver, thus removing one barrier to treating opioid use disorder within the primary care setting.=== Our Expert(s) ===Dr. Carolyn Chan is an academic hospitalist at Yale New-Haven Hospital with interests in medical humanities, quality improvement, and addiction medicine. You can reach her on twitter @CarolynAChan. Dr. Lisa Sanders, MD, FACP, associate professor of medicine (general medicine) and author of the popular Diagnosis column for the New York Times Magazine offers her media expertise to the PCP team as a production consultant for the podcast.=== References ===[FDA] Information about Medication-Assisted Treatment (MAT): https://www.fda.gov/drugs/information-drug-class/information-about-medication-assisted-treatment-mat[SAMHSA] Become a Buprenorphine Waivered Practitioner: https://www.samhsa.gov/medication-assisted-treatment/become-buprenorphine-waivered-practitioner=== Recommended Reading ===Buresh M, Stern R, Rastegar D. Treatment of opioid use disorder in primary care. BMJ. 2021 May 19;373:n784. doi: 10.1136/bmj.n784. PMID: 34011512.Alexander GC, Stoller KB, Haffajee RL, Saloner B. An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-19. Ann Intern Med. 2020 Jul 7;173(1):57-58. doi: 10.7326/M20-1141. Epub 2020 Apr 2. PMID: 32240283; PMCID: PMC7138407.Hoffman KA, Ponce Terashima J, McCarty D. Opioid use disorder and treatment: challenges and opportunities. BMC Health Serv Res. 2019 Nov 25;19(1):884. doi: 10.1186/s12913-019-4751-4. PMID: 31767011; PMCID: PMC6876068.=== About Us ===The Primary Care Pearls (PCP) Podcast is created in collaboration with faculty, residents, and students from the Department of Internal Medicine at the Yale School of Medicine. The project aims to create accessible and informative podcasts for furthering the medical education of residents and clinicians in early stages of their careers that include contributions from patients themselves, who have the autonomy to share their own experiences of how their primary care physician directly impacted the quality of their care.Hosts: Nate Wood, Maisie Orsillo, Addy FeibelLogo and name: Eva ZimmermanTheme music and Editing: Josh OnyangoProducers: Helen Cai, Addy FeibelOther background music: OfShane, Lesfm, ComaStudio, penguinmusic, Ammil, Lauren Duski, and SlynkInstagram: @pcpearlsTwitter: @PCarePearlsListen on most podcast platforms: linktr.ee/pcpearls

This episode of BCEN and Friends lets you meet our friend Kory Scheideman. Kory Scheideman was born and raised in Colorado.  Kory grew up as a fire brat with his father as a volunteer firefighter and would often respond to calls with his father (it was the 80's). Then in high school Kory became one of the first school-to-career fire fighters and started his fire career. He worked as a career firefighter for 5 years before he was offered a job in the Emergency Department as an EMT in a critical access hospital in SE Colorado.  Kory fell in love with emergency nursing and went to nursing school.  He started working on the surgical floor for a year until he was able to get in a Level II trauma center ED for 12 years.  In that capacity he was a stretcher side nurse, relief charge nurse, permanent charge nurse, educator, and now manager of a Free-Standing Emergency Department within the same system that he has been in for over 15 years.  In 2019 he was asked to help develop and roll out a Medication Assisted Treatment (MAT) program in 6 emergency departments, and since then he has developed a strong connection with the community partners.  Kory is an active member of the Colorado ENA serving as the treasurer and sits on the IQSIP committee and fundraising committee.  He works with the Colorado Naloxone Project http://naloxoneproject.com/  and he also works with the Northern Colorado MHSUA (Mental Health Substance Use Alliance) and the NOCO (Northern Colorado) Harm Reduction Alliance Michael Dexter and Mark Eggers talk with Kory about living in Colorado his entire life and his career from firefighter to emergency nurse and everything in between. Kory talks about opioid abuse and what he is doing to combat the opioid epidemic in his region. This episode is called, From Firefighter to Emergency Nurse Kory Kay can be reached at  https://www.linkedin.com/in/kory-scheideman-300190171

If you or someone you know has struggled with substance use disorder, where would you go for help? This hour on Where We Live, we look at the shortage of hospital beds for the treatment of substance use disorder. We'll also discuss efforts to reduce repeat ER visits for overdose. And, Connecticut State Senator Dr. Saud Anwar highlights gaps in private insurance coverage and the need for payment reform, as well as the need for full compliance with a 2019 law. We'll hear from the head of an out-patient treatment clinic on the shortage of psychiatrists and clinicians required for Medication Assisted Treatment (MAT), and efforts by clinics to attract and retain healthcare personnel. And, the executive director of Yale New Haven Children's Hospital discusses overcrowding at the ER and longer wait times for hospital beds for pediatric patients in a mental health crisis. If you or someone you know is seeking treatment for substance use disorder, call the local helpline 1-800-563-4086 to connect with resources. If you or someone you know requires help for a child in a mental health crisis, call 2-1-1 for assistance and support. GUESTS:  Dr. Saud Anwar: Connecticut State Senator (East Hartford, Ellington, East Windsor, South Windsor); Chair, Children's Committee and Acting Chair, Public Health Committee Sabrina Trocchi: CEO, Wheeler Clinic Cynthia Sparer: Executive Director, Yale New Haven Children's Hospital Support the show: http://wnpr.org/donate See omnystudio.com/listener for privacy information.

On episode 373 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Psychiatric Nurse Practitioner Claire Afua Ellerbrock, DNP, APRN, PMHNP-BC, regarding her fascinating career journey. Keith and Claire discuss the challenges faced by new NPs, underserved populations, Medication-Assisted Treatment (MAT) for substance use disorders, tribal health, and the trend toward the DNP. Also discussed is Claire's business, NP for NPs, and her signature Transition to Practice online course for new NPs. Claire Ellerbrock is a Psychiatric Nurse Practitioner in Columbus, Ohio. Claire found that while her graduate program prepared her for being a nurse practitioner, she could have benefitted from more support in the transition period into practice. This realization led her to create NP for NPs: Nurtured Path For Nurse Practitioners, an online course and coaching program that guides NP students and recent grads in the transition period from graduation into practice. Claire provides resources about board certification and licensure, how to effectively interview, negotiate job offer contracts, and find clinical support once in the role. Her vision is to help empower all NPs to recognize their value and agency in practice. Claire is also passionate about health equity and providing quality mental health care to marginalized and under-served populations. Claire received her DNP from Kent State University, MSN from Case Western Reserve University, and BA in Psychology from Washington University in St Louis. Connect with Claire Ellerbrock: NPforNPs.com LinkedIn Instagram Facebook YouTube Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur.  The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. This episode is sponsored by Picmonic,com, and TrueLearn.com, where nursing students can prepare for the NCLEX licensing exam by accessing TrueLearn's hundreds of questions written by content experts and mapped to the NCLEX-RN Blueprint, as well as Picmonic's memorable stories, characters, and mnemonics that assist in memorization and learning the tough topics. Check out Picmonic.com and TrueLearn.com and use discount code NURSEKEITH for 20% off of either or both services! Connect with Nurse Keith: NurseKeith.com Facebook Twitter.com Instagram LinkedIn

Peer  support is a blessing for many individuals with substance use disorder. Listen to Dominique's inspiring journey and how he gives back to the community in San Francisco. Dominique McDowell Mr. McDowell joined the leadership team to create an innovative Medication-Assisted Treatment (MAT) program to serve those struggling with opioid or alcohol addictions and also Contingency Management Program (CM) for patients struggling with Methamphetamine use . His program has received statewide and national acclaim, and allowed MCHWC to bring important substance use and homelessness services to southern Marin. He is trained as a Relapse Prevention Specialist (RLPS), Gorski-CENAPS, Housing Active Users, is certified by the California Consortium of Addiction Programs and Professionals (CCAPP), CASIII-Clinical Supervisor, Substance Abuse Certified Counselor (SUDCCII) and teaches anger management and conflict resolution. Mr. McDowell brings tremendous knowledge, expertise and empathy to this role, as a service provider and recovering individual. Previously, Mr. McDowell was Program Manager of the Marin County Safety Net at Ritter Center, Substance Abuse Counselor at Marin Outpatient Recovery Services, and HIV Counselor with the SF Department of Public Health. Throughout his career, he has worked with high-risk clients in chronic disease management, including HIV and Hepatitis C, and has assisted individuals and families with disparities, such as post-incarceration referrals to treatment. He is committed to a harm reduction model around addiction, I.V. drug use, safe sex and health awareness, and is actively owner of the JustUs sober living home in Marin County (Justussle.com). Mr. McDowell graduated from SF State with a degree in Public Health, specializing in Addiction Studies.

Company Showcase – Wired for Addiction https://www.worldsbest.rehab/wired-for-addiction/ About Wired for Addiction Wired for Addiction is an exciting new DNA analysis company which aims to give treatment centers the information they need to provide targeted evidence-based Medication Assisted Treatment (MAT) for addiction.   Wired for Addictionwas co-founded in 2021 by an addiction expert with 28+ years of experience and a former Congressional staffer to the architect of the Smarter Sentencing Act of 2013. Their team comprises of addiction physicians, expert PhD scientists, and government affairs specialists who focus on addiction treatment. The founders of Wired for Addiction have a vision for how genetic testing can change the landscape of addiction treatment and rehabilitation.  Their state-of-the-art trademarked DNA test reveals the precise genetic traits associated with substance use disorders. This allows treatment centers to provide evidence-based Medication Assisted Treatment (MAT) for addiction and gives their addiction professionals a better understanding of the cause of, and best treatment for, substance use disorders. Wired for Addiction also provides services for attorneys to better represent their clients needs in court, by identifying cases where society would benefit more from the individual undergoing medical treatment than being sentenced to incarceration.  An Introduction to Genetics Genes are small sections of a person's DNA which contain the “instructions” for how to make certain proteins within your cells. We're not taking about the protein that bodybuilders obsess over, but the multitude of proteins within your cells which perform all the functions your body requires to stay healthy.  As humans we have around 20,000 genes, which make us what we. From person-to-person some parts of our genes can differ. These are known as “genetic variants”. It is these genetic variants which make us different, the reason you have brown eyes while your friend has blue, or why some of us are at a higher risk of health conditions like diabetes and heart disease.  We inherit our genes from our parents, so genetic “traits” – physical and psychological characteristics determined by your genes – can be passed down through generations, as can genetic conditions such as cystic fibrosis and sickle cell anemia. Our understanding of genetics has grown exponentially since the completion of the Human Genome Project, the first mapping and sequencing of all the genes of the human genome, back in 2003. Not only are we now able to sequence an individual's genes significantly faster, but we know much more about how a person's genes affect their characteristics, behavior, and health risks.  Genetics and Addiction Distinguishing between nature and nurture as the cause of substance use disorders has always been incredibly complex. When a person grows up with parents who use addictive substances, they are more likely to go on to develop a substance use disorder themselves. The question is whether they became dependent on substances because they learned from those behaviors, or whether it's because they inherited the genetic traits linked to addiction. In 2014 we discovered the first group of Single Nucleotide Polymorphisms (SNPs – a common form of genetic variant) that are associated with addiction. Since this discovery, researchers have found hundreds of genetic variants linked to substance use disorders. Testing for these genetic variants is useful to addiction professionals as it helps to determine what has caused a person's substance use disorder. If an individual suffering from addiction is found to have a genetic variant linked to addiction, methylation defects, mood disorders, psychosocial conditions, or inflammation, their addiction professional can use this information to choose the best intervention to treat that individual's substance use disorder.  Modern DNA analysis can also measure levels of neurotransmitters (chemicals which control how the brain acts) to determine whether someone needs additional support for their neurotransmitters in the form of medication. An imbalance in neurotransmitters is known to cause mental health disorders and is linked to addiction, so this information can help in addiction recovery. Treatment with Precision Addiction medicine is guided by scientific evidence to determine which treatments work best for which conditions, and which have the least harmful side effects. Many addiction rehabilitation centers provide evidence-based Medication-Assisted Treatment (MAT) for those suffering from substance use disorders, however the evidence used generally looks at large segments of the population.  Guidelines which recommend one form of treatment over another are usually based on studies which tell us which intervention (medication, therapy, or lifestyle change) works best, for most of the people, most of the time. This is a fantastic way to develop effective treatment regimens but ignores any outliers. Within the study, a minority of patients will have found a better effect from the other intervention.   We try to overcome this by studying the effectiveness of medical interventions across different segments of the population. As an example, we might conduct a study into two medications for depression. In this study we can determine which of the medication works best for different segments such as over 65s or those of certain ethnicities. This helps us to tailor treatment, but the outcomes are never truly individualized. By utilizing genetic testing to help treat addiction, we can pinpoint the cause and solution of the addiction. Rather than looking at the population as a whole, we are hyper-focused on the person we are treating. The CEO of Wired for Addiction has been developing evidence-based detection and treatment protocols for mood disorders and addiction since 2006, allowing for precise and individualized treatment. Another issue with modern treatment protocols for addiction is that we often “try out” various medications before we find one that suits the patient. Effectiveness and side effects of medication vary from person to person because of their genetics. With advanced pharmacogenomic testing – a form of DNA analysis which determines which medications will work best for that individual – we can solve this problem to reduce harm, side effects, and time to recovery. The Wired for AddictionTM Custom Genetic Test The Wired for Addiction Custom Genetic Test utilizes over 15 years of scientific evidence in its hyper-precise DNA analysis test. This allows rehabilitation facilities to determine personalized and evidence-based treatment on an individual basis. The custom genetic test has a panel of 69 genes which look for genetic variants linked to: Addiction Mood disorders Psychosocial conditions Inflammation's impact on addiction Wired for Addiction also analyses over 300 analyzes, 24 neurotransmitters, and various hormones to help individualize Medication Assisted Treatment for addiction. The custom genetic test may help patients with: Substance addiction Co-occurring disorders Treatment resistant mental health conditions Neurological conditions Chronic addiction relapse The process is simple: a cheek swab DNA sample is taken from the patient and sent to the genetics laboratory, and results are returned in 5-10 business days from receipt of the sample.  The results are summarized in a 31-page report which helps determine potential causes of, and suggested interventions for, addiction. The pharmacogenomic report also provides a list of medications that are considered safe, should be used with caution, or should be avoided based on the individual's genes. By combining Medication Assisted Treatment with the Wired for Addiction Custom Genetic Test, addiction treatment centers can provide faster, safer, and more effective treatment for their service users.

Episode 30 What is Medication-Assisted Treatment (MAT)? Watch Now https://youtu.be/l5asH5mYAIM Listen Now Episode 30 Our medical team guides us through the meaning of MAT within addiction treatment and how the intricate aspects can provide hope and stability for those struggling with substance abuse. Topics: What is MAT?What is happening in the brain with addiction cravings, and where MAT can aid in rebuilding a normal behavior type.The stigma attached to MAT, and how the shift from abstinence to Harm Reduction is effective in addiction treatmentHow MAT cultivates hope and stabilityWhat creates an effective MAT program?The types of medications used within Peaks Recovery Centers MAT programHow long is an individual enrolled in a MAT program  Select Quotes I'm thinking back to 2 years ago when I came on board and we opened the detox facility, and our model of care was very abstinence-based at the time. We would have a client that comes in maybe with an opioid use disorder, they'd do their 7 days of detox on suboxone and are thinking at the time that they are done with their taper, now let's begin their other medications and dive in with therapy. And what we were seeing over time is more post-acute withdrawal symptoms. When they were discharged out of our care, the rates of relapse were higher because those cravings were still so high throughout the treatment stay. So now integrating MAT we are able to control those cravings and follow them through their MAT treatment and adjust the doses based on cravings. The client also now has the opportunity to meet with our provider and talk about where they are at in their treatment and adjust as necessary. And now furthermore opening our IOP program, we are able to continue that MAT treatment through IOP which gives us more time to find quality resources within the community so that they can continue on this MAT treatment program for as long as they need. So we have seen such a turnaround going from an abstinence-based to more of a harm reduction model just because we did research within our own facility.Kalli Kintz, BSN, RN, Director of Nursing Episode Transcripts Episode 30 Transcriptall right welcome back to another exciting episode of finding peaks i i was actually thinking about this before this started and i always say exciting episodes of peaks yeah like is that people are just yeah like just can't just can't wait more brandon more in the background so i hope it's as exciting for you as it is for me uh at the end of the day so exciting episode we talked about it a few weeks ago or at least have promoted it uh joined today with uh medical uh team members uh here at peaks recovery centers uh dr ryan johnson uh md and he is our medical director and director of nursing cali thank you kelly i am spacing on your last name thank you i was going to say kind so i'm glad we got that i dressed i'm new to this everybody is watching first day chief operating officer clint nicholson everybody hello everybody so very excited to be joined by the medical team i think they've got a lot of great things to um help educate on in regards to medication assisted treatment or mat as sometimes you'll see the acronym out there in the world of the addiction treatment space and so in good fashion let's kick this off with what is medication assisted treatment our friend matt our friend matt who is matt we'll find out um so matt is medication assisted treatment and it's a program that we've implemented recently here at peaks to kind of target the cravings of an individual that comes into our program specifically for alcohol and opioid use disorder so swift and to the point wow way to deliver that so i guess in in this way let's let's complicate it a little bit let's nerd out a little bit for with you doc you know uh dr johnson um how does that work within the brain what are we looking at here so the point of it is to cut cravings people crave le...

For more information about Prescription Drug Monitoring Programs (PDMPs), click here. For more information about Medication-Assisted Treatment (MAT), click here. For more information about Turning Point Centers, click here.  For more information about Measure 110 in Oregon, click here. For more information about the TV show Dopesick, click here. For more information about the movie Ray, click here. For more information about Oregon Health & Science University (OHSU), click here. For more information about Fentanyl, click here. To contact Henry's Uncle, please email: info@henrysuncle.org. Follow Henry's Uncle on Instagram: @henrys_uncle. For more information about Henry's Uncle, please visit www.henrysuncle.org

Alex interviews writer, speaker, and activist, David Poses on his book, the Weight of Air. His story exposes the danger in traditional recovery models and the importance of Medication-Assisted Treatment (MAT).

The three primary Medication-Assisted Treatment (MAT) options for Opioid Use Disorder (OUD) are methadone, buprenorphine, and naltrexone.The first two are considered opioid agonist replacements, while the third (naltrexone) is an opioid antagonist, which mechanistically means that it performs entirely different than the others.Taking medication to transition away from your opioid of choice into a life of recovery is a proven and effective method of treatment. Despite this it remains a very contentious area of addiction treatment.  No medication is going to be a cure-all, of course, but at the right time, in the right place, and under the right supervision, they can be quite significant.Naltrexone is not an opioid - it's a blocker. Before you start, you need to be fully detoxed, and unlike methadone and buprenorphine, naltrexone does not keep you physically dependent on opioids.In this episode, I give an overview of some of the misconceptions and misunderstandings around Vivitrol (the once monthly intramuscular injection of naltrexone). Personally, I believe Vivitrol is one of the most underrated and underused available medications for the prevention of relapse and overdose in the first year following a successful detoxification.Personally, I was on this medication for about half a year, and there's no question it helped me through those first few months.If you have any questions about this or other topics related to opioid addiction, please reach out on www.reactionrecovery.com or shoot me a DM on Instagram at Reaction Recovery.

On this week's podcast, Max, Brock, and Blu offer some insights into Medication-assisted treatment (MAT) and how it can be used to help manage withdrawal symptoms and reduce cravings in people who have been addicted to opioids. The guys have different opinions on the use and promotion of using MAT and this podcast will help you develop some personal insight as to why. MAT is one of many options for treating substance use disorders. No single option is appropriate for everyone. MAT is an adjunctive treatment or assistive therapy to the overall treatment of a person with a substance use disorder.

Medication Assisted Treatment (MAT) can be a great aid during treatment to help those with a drug or alcohol addiction maintain sobriety. Dr. Bhatt explains how they work.

Drs Heather Bell &  Kurt DeVine discuss how Medication Assisted Treatment (MAT) can and should be used in corrections, focusing on county jails.  The why, the how, and the follow up! To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct and Facebook: @theaddictionconnectionhk

Drs Heather Bell &  Kurt DeVine discuss how Medication Assisted Treatment (MAT) can and should be used in corrections, focusing on county jails.  The why, the how, and the follow up! To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct and Facebook: @theaddictionconnectionhk

Dr. Andrew Suchocki is the Medical Director of Clackamas County and Synergy Health Consulting. He is a Family Physician who specializes in Medication-Assisted Treatment (MAT) system design and specialty care for risk reduction related to Substance Use Disorder (SUD). We sit down with Dr. Suchocki to learn more about the application of MAT within corrections and how a medication first approach is essential to interrupting the cycle of addiction. You can find more information on this episode and related links on the show notes page of CorrectionsCommunity.com

Opioid addiction has developed a stigma and is often seen as a sign of weakness, but this couldn't be further from the truth. At the Coleman Institute, we know that opioid addiction is a chronic disease, and choose to treat it as such..Opioid detox is a medical process by which the body is safely and successfully purged of Opioids. The goal of Opioid detox is to minimize the impact of Opioid withdrawal to best enable patients to successfully proceed to the next stage of the treatment process. https://batchgeo.com/map/681ecafc169a47b7124bbe82fd1e775fhttps://batchgeo.com/map/7274655833ed942b86e23474567769e6https://goo.gl/maps/QbnyJYeDPsQVgo9X8https://goo.gl/maps/Z6iGUoVVHJ2dzCzd8https://goo.gl/maps/GDjwmPLoNdi6E5G48https://t.co/usvPc1YwwR#opiate-rehabhttps://t.co/hVQpCZe4oE#heroin-addiction-rehabhttps://t.co/egurLFtwjK#addiction-treatmenthttps://earth.google.com/web/data=Mj8KPQo7CiExTmVuV3llTnVfWmhBajV5RC1QR0xKdWFwRzM2VXR6REsSFgoUMEIwQUIxMTA2QTE3MzFBQjg0RTchttps://drug-rehab-delray-beach.s3.amazonaws.com/ttc.htmlhttps://ttc-addiction-treatment.business.site/If someone has developed an Opioid dependence, stopping the consumption of Opioids can trigger many symptoms in as little as 6-12 hours after quitting the drug.The symptoms of Opioid withdrawal can be dangerous and extremely uncomfortable, but vary depending on how chemically-dependent the patient is. Some symptoms of withdrawal include: Anxiety Tension in Muscles Insomnia Sweating Abdominal cramps Diarrhea Nausea Vomiting Opioid detox is designed to minimize these symptoms, as well as keep patients safe from more dangerous symptoms such as hallucinations and seizures.Detoxification of Opioids can be done in several ways. There is also Medication Assisted Treatment (MAT), which is the use of medications in combination with counseling and behavioral therapies for the treatment of opioid use disorders.Transformations Treatment Center14000 S Military Trail, Delray Beach, FL 33484FV9H+MC Delray Beach, Floridahttps://www.transformationstreatment.center/delray-beach-fl/Opiate Rehab in South FloridaFind Transformations on Google Maps!More Information:https://transformationstreatment1.blogspot.com/2020/11/opiate-rehab-south-florida.htmlhttps://www.buzzsprout.com/1029595/6538606-opiate-rehab-south-florida-addiction-in-south-florida-transformations-treatment-centerVideos:https://youtu.be/McTFmUj-YcYhttps://vimeo.com/48328Support the show (https://www.google.com/maps?cid=9720609399900639450)

In this episode Zach is first joined by Dr. Lorry Belhumeur, a licensed psychologist, serving as CEO at Western Youth Services for over 19 years. Zach and Dr. Belhumeur discuss Adverse Childhood Experiences (ACES) and their impact on addition later in life, as well as the importance of treating past trauma. Following Dr. Belhumeur, Zach speaks with Melissa Atlas, is the Clinical Supervisor at Franciscan Outpatient Behavioral Health in Indiana and a contractor for ICAADA/MHAI. The two discuss her experience with Medication Assisted Treatment (MAT) in the field of recovery, and the different mentalities when it comes to an abstinence-only recovery program and an MAT recovery program.

ABOUT THIS SHOW: Special Guest Suzanne Laura Thistle MA, MLADC, and author of CHEM-FREE SOBRIETY, (101 Trailblazers share wisdom and insight about their natural recovery from substance use disorder). Monty asks “What is the difference between the recovery of yesterday versus the recovery of today?”. On this show, we discuss that though there is a place for Medication-Assisted Treatment (MAT) the truth is many addicts and alcoholics can recover without medication but are led to believe they cannot.

Trazodone is a prescription drug used to treat major depressive disorder and in certain cases, insomnia - can antidepressants be addictive. Although it is generally safe and effective, it can still be misused and addiction or dependency may occur. Patients who do not follow specific instructions while taking this medication risk experiencing withdrawal symptoms or overdosing.TTC is different from other drug & alcohol treatment centers in Delray Beach, FL. We believe in the full-integrated recovery of each individual. We specialize in Medication-Assisted Treatment (MAT), psychological & psychiatric care, daily doctor's visits, and ongoing support from staff. We ensure each patient in our care has the chance to see a full recovery from beginning to long-term sobriety.Each individual in recovery is likely to have had a somewhat unique substance abuse program experience. There are a number of therapeutic variables, including treatment center setting and program duration.https://ttcdrugrehab.z13.web.core.windows.net/ https://batchgeo.com/map/681ecafc169a47b7124bbe82fd1e775fhttps://batchgeo.com/map/7274655833ed942b86e23474567769e6https://goo.gl/maps/Zb2urfFPGeHMYivM7https://goo.gl/maps/ZaKzHcCkYhYyP8Hu6https://goo.gl/maps/2p2DfA43JKddQHkF6https://t.co/lEJN5GqyYb#drug-rehab-delrayhttps://t.co/KJjDpfEvG9#trazodone-rehabhttps://t.co/5S14RaIRkO#antidepressant-addiction-treatmenthttps://earth.google.com/web/data=Mj8KPQo7CiExUEh1ZWdmQzNoZFY3U1h4TExLc1lKR1lzUmFUc09OWjUSFgoUMEMwQzVFMDU0NzE2N0NGNDE3OTEAlso, among people in recovery from addiction to alcohol, trazodone is the most commonly prescribed medication used to promote sleep. 2 However, trazodone may not be appropriate in all cases. Many users taking it to help them sleep may not realize that it is, in fact, an antidepressant and not a sedative-hypnotic medication formulated specifically to aid sleep (like Ambien, for example).Transformations Treatment Center14000 S Military Trail, Delray Beach, FL 33484FV9H+MC Delray Beach, Floridahttps://www.transformationstreatment.center/delray-beach-fl/Trazodone Addiction Treatment in Delray Beach, FLFind Transformations on Google Maps!Further Information:https://transformationstreatment1.blogspot.com/2020/10/trazodone-addiction-in-delray-beach-fl.htmlVideos:https://youtu.be/56Y9ZcBRvqIhttps://vimeo.com/470336519Support the show (https://www.google.com/maps?cid=9720609399900639450)

On today's podcast Coach Blu speaks to Dr. Mark Leeds and the work he is doing to assist the recovery using Medication-assisted treatment. MAT is the use of medications in combination with counseling and behavioral therapies, which is effective in the treatment of opioid use disorders (OUD) and can help some people to sustain recovery. Listen and learn about what is available and how it is used. This is a great podcast if you've had any questions in the past about what medicated assisted therapy can do, and what we can do to lessen the stigma around medication that's helping save lives. 

On today's podcast Coach Blu speaks to Dr. Mark Leeds and the work he is doing to assist the recovery community using Medication-Assisted Treatment. MAT is the use of medications in combination with counseling and behavioral therapies, which is effective in the treatment of opioid use disorders (OUD) and can help some people to sustain recovery. Listen and learn about what is available and how it is used. This is a great podcast if you've had any questions in the past about what medicated assisted treatment can do, and what we can do to lessen the stigma around medication that's helping save lives. Why not start addiction treatment right in the ER? You can listen to more of Dr. Leeds here Help us continue to create podcasts and YouTube videos by becoming a Patreon Supporter.

On today's podcast Coach Blu speaks to Dr. Mark Leeds and the work he is doing to assist the recovery using Medication-assisted treatment. MAT is the use of medications in combination with counseling and behavioral therapies, which is effective in the treatment of opioid use disorders (OUD) and can help some people to sustain recovery. Listen and learn about what is available and how it is used. This is a great podcast if you've had any questions in the past about what medicated assisted therapy can do, and what we can do to lessen the stigma around medication that's helping save lives. 

Liquor sales have soared through the roof with the onset of the global pandemic. You’re not alone if your alcohol consumption has increased this year. Do you ever wonder how much is okay? Have you asked yourself if you should cut back? In this episode, we talk with Dr. Jorja Jamison from Hazelden Betty Ford Graduate School of Addiction Studies. She talks about substance abuse disorders, ways to reflect on our own alcohol use, and how to recognize when we or someone we know has a problem with an addiction. September is National Recovery Month, and we hope we can shed a little more light on the terrible disease that is addiction. Afterward, we hope you’ll have a framework for how you relate to alcohol. Key takeawaysA little about herself, her career path, and what she doesWhat substance abuse disorder or addiction isCommon criteria most people qualify forRoot causes for developing addictionsHow COVID-19 has affected substance abuse disorders and alcohol useWhen it’s okay/not okay to consume alcoholFour levels of abuseMost common addiction she has seenUnique challenges she has seen when dealing with medical professionals and addictionCommon signs of addictionWhat recovery is likeWays people can find connection and improve their coping skillsCoping tips she recommendsWhere boredom comes into playWhat the 12-step program is all about and how successful it isAdditional resources she recommends for those who are looking for helpDefinition of co-dependenceHow it plays out in addictions in the familyThree Cs of Al-AnonAt one point is intervention recommendedHow to effectively deal when you’re struggling with somethingBenefits of going through the program and how it transforms people’s livesHer message for the listenersLinksAlcohol Use Disorders Identification Test (AUDIT) - https://auditscreen.org/Alcoholics Anonymous - https://www.aa.org/Narcotics Anonymous - https://www.na.org/Co-Dependents Anonymous - https://coda.org/Medication Assisted Treatment (MAT) for Substance Use Addiction - https://www.smartrecovery.org/what-is-medication-assisted-treatment-mat/Al-Anon - https://al-anon.org/Jorja Jamison, PhD, LP, Associate Professor Bio:PhD, University of Illinois - Urbana Champaign, Counseling PsychologyMS, University of Illinois - Urbana Champaign, Educational PsychologyBA, University of North Carolina - Chapel Hill, Latin Language and LiteratureDr. Jorja Jamison is an Associate Professor at the Hazelden Betty Ford GraduateSchool of Addiction Studies. She has a PhD in counseling psychology with academicand research interests in lesbian, gay, bisexual, transgender, and queer (LGBTQ)issues, multicultural counseling, supervision, and addiction. Dr. Jamison joined theHazelden Betty Ford Graduate School of Addiction Studies in 2012. She served asthe clinical placement coordinator for 2.5 years. She has taught several courses,including multicultural counseling, differential diagnosis, professional practice, andlifespan development. She is also a licensed psychologist in the state of Minnesotawith specialization in working with individuals with substance use disorders,adolescents, vocational issues, and culturally responsive counseling. She haspresented at national conferences including the American Psychological Associationand the National Conference on Addictive Disorders.

In episode seven, we are debunking the myth "The only legitimate treatment for addiction is abstinence." Our host, Tim Light, welcomes co-host Mindy Vincent, MSW, MPA, LCSW, who is the co-founder and executive director of the Utah Harm Reduction Coalition and owner of Life Changes Counseling in Heber City, Utah; Dr. Erin Fadden Manning, of the University of New Mexico Health Science Center; and Ashanti Moritz, outreach director of the Skull Valley Band of Goshutes' Warrior Spirit Recovery Center; to discuss the myth that there is only one valid way to treat addiction and the science behind methods such as Medication-Assisted Treatment (MAT) programs. Additional resources: The Urban/Rural Divide in Access to Medication-Assisted Treatment for Opioid Use Disorder in Utah: digitalcommons.usu.edu/extension_curall/2098 Utah Harm Reduction Coalition: www.utahharmreduction.org One Voice Recovery: onevoicerecovery.com Utah Naloxone: www.utahnaloxone.org Warrior Spirit Recovery: www

Medication-Assisted Treatment (MAT) is considered the gold standard for treating opioid use disorder. But it doesn’t work for everyone, and for those unresponsive to MAT, the next use of illicit street drugs could be their last. This month, Staff Sergeant Conor King introduced us to SaferSupply, a program for those who are either not ready for recovery or just unsuccessful with MAT. As a drug investigation expert for the Victoria Police Department of British Columbia, King shares his expertise to break down this game-changing program. Join us on this week’s episode of the Cover2 Resources PPT Podcast, where we explore the potential impact of pharmaceutical-grade drugs on drug-related crime, homelessness, and overdose deaths.

Castle Craig Hospital has a total of 120 beds on campus where guests share triple rooms for both sexes. There is an extended nursing area with over 100 full-time carers and a long-term care facility with extended nursing facilities. Built over 200 years ago, the castle is surrounded by lush greenery, including trees and manicured gardens. Private rooms are also available, with private rooms for up to four people in a single room. https://worldsbest.rehab/castle-craig/ The common area consists of matching red walls and large windows covered with ornate curtains. There are antique coffee tables and oriental rugs, and there is a large dining room with an antique table and chairs and a small dining table. The extended care area includes a cottage with a separate dining room, and guests are served three healthy meals and nutritious snacks daily. The continental breakfast includes fresh fruit, eggs, oatmeal and oatmeal. Dinner favorites are chicken, turkey, beef, lamb, pork, fish, chicken and fish supper Fridays. Before treatment, each patient is subjected to a comprehensive evaluation and receives an individual treatment plan. Mobile phones and laptops are checked upon arrival, and telephone privileges and access for home computers are limited. Medication Assisted Treatment (MAT), which includes Suboxone and Librium, is available and is used at Castle Craig, where a Minnesota model targeting abstinence is used. Detox periods vary, but are typically between four and ten days, and customers are monitored around the clock. If necessary, they can be re-evaluated and the detox time varies. In the first phase of care, four to five clients are assigned to a team of ten therapists. Each client takes part in a three-day group and the treatment lasts between six and ten weeks. The weekly treatment includes three to four sessions a week, three days a week for three weeks, with weekly follow-up examinations. There is also a women's group dealing with gender issues, and there are also sessions for men and women on topics such as depression, anxiety, depression and anxiety disorders. These issues are the subject of the first phase of care at Castle Craig Hospital and the second phase. Dual diagnosis care is available and residents in need of care are moved to a hut for up to six weeks. There are 34 staff, including nurses, doctors, social workers, physiotherapists, occupational therapists, nurses and nurses. Treatment at Castle Craig Hospital is considered through evidence-based procedures such as applying a combination of physical and mental health, as well as social and psychological support. Clients can also participate in video conferencing sessions with therapists and follow-up care at locations in London and Amsterdam, Holland. Residents undergo hyperbaric oxygen therapy in an oxygen chamber that looks like a submarine. Clients inhale pure oxygen under pressure, and clients can inhale and exhale into the pressure chamber for up to 30 minutes at a time. Castle Craig Facilities Other alternative therapies include art, drum and horse therapy, and there is a gym available, although exercise is also an important part of the program. Castle Craig is a 12 Step Facility Support the show (https://worldsbest.rehab)

Dr. Mike Kalfas is a trailblazer in the field of addiction medicine and helps thousands of people in their fight against addiction. He is an expert in Medication Assisted Treatment (MAT) and loves his work.  It didn’t start out like this and certainly wasn’t the plan. Dr. Kalfas always wanted to be a family doctor and treat the families in his community. Pretty soon he found himself sharing office space with the local drug and alcohol unit. Because of a lack of staff,  he was politely urged to take a role within that very rehab center. Begrudgingly, he agreed and started seeing patients suffering from addiction. Dr. Kalfas, on some level, was stigmatized like many others and he openly admits that. He felt that he would be working with a population that was breaking the law and they had to face the consequences.  It didn’t take long for him to realize that addiction was much more complex than that and also a very “real” thing. He pledged to do anything and everything he could to help and he has been doing so for over 20 years. For more information: www.stigmatizedpodcast.com Our Team... Production & Music: Gwynne Sound - gwynnesound.com Artwork: Neltner Small Batch - www.neltnersmallbatch.com Photography: Jon Willis – www.jonbob.com and Lindsey Steinhauser - www.facebook.com/lindsey.hamelsteinhauser Find us on Social Media... Facebook: www.facebook.com/StigmatizedPodcast Twitter: www.twitter.com/the_rev_trev Instagram: @stigmatizedpod Pinterest: www.pinterest.com/StigmatizedP National Suicide Prevention Lifeline 1-800-273-8255 We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.

Episode 7 - Suboxone: One Film at a TimeThe sun rises over the San Joaquin Valley, California. Today is April 15, 2020. Viral diseases anyone? The American Society for Colposcopy and Cervical Pathology (ASCCP) recommended HPV vaccination for clinicians routinely exposed to HPV. This recommendation encompasses the complete provider team, including physicians, nurse practitioners, nurses, residents, and fellows, and others in the fields of OB/GYN, family practice, gyn-onc, and dermatology. While there is limited data on occupational HPV exposure, ASCCP, recommends that members actively protect themselves against the risks(1).  This recommendation on HPV vaccination for health care workers was published on February 19, 2020. We thought it would be pertinent to remind you about the viral infections that we CAN prevent, since there are some viruses for which we do NOT have a vaccine yet.  Welcome to Rio Bravo qWeek, the podcast of the Rio Bravo Family Medicine Residency Program, recorded weekly from Bakersfield, California, the land where growing never stopsThe Rio Bravo Family Medicine Residency Program trains residents and students to prevent illnesses and bring health and hope to our community. Our mission: To Seek, Teach and Serve. Sponsored by Clinica Sierra Vista, Providing compassionate and affordable care to patients throughout Kern and Fresno counties since 1971. Quote: “Improvement begins with I.” – Arnold H. GlasowImprovement is a never-ending process, and we must remind ourselves who needs to improve first? It’s normally us. That’s why “improvement begins with I”, I think that was a brilliant quote. Today our guest is Golriz Asefi. She is a smart, compassionate, dynamic PGY1 who is excited to talk to us after her community medicine rotation. She told me she enjoyed a lot working with Dr Beare, our street medicine doctor, whom I hope can be our guest in this podcast one day. Welcome, Dr Asefi. As you know we will ask you 5 questions. Let’s start with our first question number 1. 1. Who are you?I’m Dr Golriz Asefi, I’m a PGY1 here at Rio Bravo family medicine residency program. I grew up in the Bay Area (California). I went to UC Berkeley and then to Ross University School of Medicine. I picked our residency program because I was very interested in community medicine and helping the underserved. On my “spare time” I like to take long walks by the beach and go hiking with my friends. I also have a newly found love for yoga and barr method. 2. What did you learn this week?This week I learned about suboxone. Suboxone is a combination of buprenorphine (a partial opioid agonist) and naloxone (an opioid antagonist). It is used in the treatment of opioid use disorder along with counseling and other behavioral therapy. Suboxone is a class III controlled substance in the form of sublingual pill, sublingual film or buccal film.Comment: Suboxone is part of the Medication-Assisted Treatment (MAT) of opioids. It is the use of medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. These medications operate to normalize brain chemistry, block the euphoric effects of opioids, relieve physiological cravings, and normalize body functions without the negative effects of the abused drug.Suboxone is a combined medication. Why do we have both an agonist and antagonist in the same dose you might ask? Well it’s to prevent abuse, you see naloxone when taken sublingually as directed is minimally absorbed, whereas when injected, it is a strong blocker of the opioid receptor. So, you can get the antagonistic effect of naloxone. When taken sublingually naloxone is poorly absorbed, therefore patients experience less withdrawal symptoms. The “Ceiling effect”Buprenorphine exhibits what’s called a “ceiling effect”, which occurs because suboxone partially stimulates opioid receptors even when saturated. Even exponentially increasing the dose only achieves limited additional effect– similar to approaching an asymptote - remember those hyperbolas and parabola in high school geometry? Basically, never reach full effect.  Therefore, it has a lower chance of abuse and accidental overdose. Suboxone vs MethadoneMethadone is full opioid agonist. It is a PO liquid administered through methadone clinics to which patients must go to everyday, and get the medication. Take-home privileges can be eventually earned for methadone.  Suboxone has lower chances of overdose because it is a partial agonist, however, dropout rates are higher. Suboxone can be prescribed to be taken at home, so it is more convenient(2).Candidates for suboxone Opiate users who are motivated for treatment and are willing to adhere to scheduled visits and treatment.  They should understand the indications, risks, benefits, and alternatives. Ideally, they should not be on other CNS depressants, such as alcohol and benzos, however, suboxone is preferable over methadone for people who use CNS depressants or are at higher risk of respiratory failure. Suboxone can also be used during pregnancy.Contraindications to suboxone:-Severe liver impairment.-Conditions that already increases risk of respiratory depression such as head injuries or taking CNS depressants such as benzodiazepines or alcohol. Mixing large amounts of other medications with buprenorphine can lead to overdose or death(2).Required Training to Prescribe SuboxonePrescription is regulated by the DATA (Drug Addiction Treatment Act of 2000), you need to complete a MAT (medication assisted treatment) training which is currently available free of cost. To qualify as an MD, you need to have an active medical license and DEA license. The training takes about 8 hrs for MDs, 24hrs for NPs, CNMs, and PAs. You can take the training at anytime, even as a resident, and save the certificate until you receive your MD license and DEA license. The training is 100% online, you can print your certificate and apply for an X-license to prescribe suboxone. The information is found online at PCSSNOW.ORG (Providers Clinical Support System)(3)3. Why is this knowledge important for you and your patients?Suboxone is underutilized by primary care providers. Opioid use disorder leads to a lot of socioeconomic problems, such as increased rates of suicide, accidental overdose, HIV, HepC, marital problems, and unemployment. About 46,000 people died of opiate related deaths in 2018, steadily rising from 21,000 in 2010. Of that, 18,000 was due to prescription opioids(4). Luckily, treatment of the disorder decreases all of the above. MAT has shown to improve mortality due to opioid overdose, increase retention in treatment, decrease illicit opiate use and other criminal activity, increase patient’s ability to gain and maintain employment, improve birth outcomes in pregnant women with substance use disorder, lower risk of contracting HIV and HepC. You can see, Dr Arreaza, you can make a big impact in your patients if you get this training, you will change lives and whole communities by providing this life-changing treatment. Comment: This is something I learned recently. Having a substance use disorder reprograms your brain, it is like being thirsty and not finding water to drink. So when we tell our patients, “Just stop taking Norco”, it is similar to tell them, “Just stop drinking water.” We have to develop empathy to some of the most neglected patients in our society. Not many people are helping these patients! And many of them also have mental illness, as many as 30-60%, depending on the source you read. So, it’s a good idea to get trained to help this vulnerable population.4. How did you get this knowledge?I was working with Dr. Beare during my community medicine rotation. I really enjoyed learning about suboxone and seeing how rewarding this experience was between him and his patients. This made me want to do more research and present this topic to my colleagues. As Dr. Beare likes to say: “Treating addiction is like treating any other complex chronic disease. There is no such thing as quick fix.” We as physicians need to listen to our patients, to care and to treat this difficult condition.5. Where did this knowledge come from?-SAMHSA – substance abuse and medical health service administration, The National Institutes of Health, an Up to Date article, and other articles. See details below.______________________Speaking Medicalby Lisa Manzanares The medical word of the day is leukorrhea.  It is the flow of whitish, yellowish, or greenish discharge from the vagina. Leukorrhea can be normal, or it can be a sign of infection. Leukorrhea commonly occurs during pregnancy, and is normal if the discharge is thin, white, and odorless. Physiologic leukorrhea is a normal condition occurring within several months to 1 year of onset of menses in adolescent girls.  Leukorrhea that is not normal can be caused by bacteria: bacterial vaginosis, chlamydia, gonorrhea, or postpartum endometritis. Fungal causes include candida species. Parasites can cause it, too: specifically, Trichomonas vaginalis.So, when your patient complains of vaginal discharge, be sure to sound smart in your notes and document that the patient has leukorrhea._________________________Espanish Por Favor (Spanish Word of the Day) by Claudia CarranzaHi this is Dr Carranza on our section Espanish por favor. The Spanish word for this week is rodilla. What comes to your mind when you hear the word rodilla? Does it sound to you like a popular Mexican food? Well, rodilla has nothing to do with quesadilla. Rodilla is a large joint in our body that may wear off over time and gets injured easily. Yes, you guessed it, rodilla means knee. This word comes from the Latin root “rota” or “rueda” which means round or wheel. Patients may come to you with the complaint: “Doctor, me duelen las rodillas” or “Doctor, tengo la rodilla hinchada” which means: “Doctor, my knees hurt” or “Doctor, my knee is swollen”. Most likely the patient will point at one or both of their knees which will guide your assessment. Now you know the Spanish word of the day, rodilla. Have a great week and take care!     __________________________________________For your Sanity (Medical joke of the day)by Golriz Asefi and Lisa ManzanaresThe Expensive DentistPatient: Doctor, how much to have this tooth pulled?Dentist: $100.00. Patient: What? $100.00 for just a few minutes of work? Dentist: Well, I can extract it very slowly if you like.The Invisible PatientClerk: Doctor, there's a man on line 1 who thinks he's invisible.Doctor: Well, tell him we can't see him right now.__________________________________________Conclusion: During this episode, we had a glimpse of the Medication Assisted Treatment for Opioid Use Disorder. Suboxone can be the answer to many patients who are desperately looking for help to overcome their addictions. Suboxone can make a difference, one film at a time. We also were reminded of another way to say vaginal discharge, leukorrhea; and learned how to say knee in Spanish, rodilla. May you continue to enjoy your training and stay safe. See you next week!   This is the end of Rio Bravo qWeek. We say good bye from Bakersfield, a special place in the beautiful Central Valley of California, United States, a land where growing is happening everywhere.If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or by visiting our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. Our podcast team is Hector Arreaza, Lisa Manzanares, Claudia Carranza, and Golriz Asefi. Audio edition: Suraj Amrutia. ________________________________References“ASCCP: Clinicians Routinely Exposed to HPV Should Receive Vaccine”, OBG Project Alert, https://www.obgproject.com/2020/03/03/asccp-clinicians-routinely-exposed-to-hpv-should-receive-vaccine/, accessed on April 13, 2020.Buprenorphine, SAMHSA, https://www.samhsa.gov/medication-assisted-treatment/treatment/buprenorphine , accessed on Apr 13, 2020.Waiver Training for Physicians, Providers Clinical Support System, https://pcssnow.org/medication-assisted-treatment/waiver-training-for-physicians/   Overdose Death Rates, National Institute on Drug Abuse, https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-ratesStrain, Eric, MD, “Pharmacotherapy for opioid use disorder”,  https://www.uptodate.com/contents/pharmacotherapy-for-opioid-use-disorder?search=suboxone&source=search_result&selectedTitle=2~19&usage_type=default&display_rank=1, accessed on March 23, 2020. Velander JR. “Suboxone: Rationale, Science, Misconceptions”, Ochsner J. 2018;18(1):23–29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855417/ , accessed on March 23, 2020.Srivastava, Anita; Kahan, Meldon; Nader, Maya (March 2017), "Primary care management of opioid use disorders: Abstinence, methadone, or buprenorphine-naloxone?". Canadian Family Physician. 63(3): 200–205. ISSN1715-5258. PMC5349718. PMID28292795.

In June 2017, Dr. Belma Andric, Chief Medical Officer of the Health District of Palm Beach County, Florida, joined Greg on the Cover2 podcast. She shared a unique pilot program that started Medication Assisted Treatment (MAT) for overdose victims right in the emergency room (ER). Unlike previous MAT addiction programs, the pilot program included 8 days of house calls to deliver medication and monitor patient progress. The success of that program inspired a new treatment initiative in Palm Beach County, an ER Addiction Stabilization Unit (ASU) specially designed for those struggling with substance use disorder (SUD). Since its inception, the ASU has treated over 350 patients. Similar to regional centers of excellence that address conditions such as heart, stroke, or cancer care, Palm Beach County now has the first center for evidence-based addiction care. Just two weeks after the ribbon-cutting ceremony officially opening the ASU, Greg met with Dr. Andric and her team. Together, they introduced this ground-breaking program that, through a public-private partnership, leading the way in overdose treatment, life-long addiction care, and reducing the stigma surrounding addiction and addiction treatment. Join us on this week’s podcast as Dr. Andric and her team share how they helped create the first ASU in Palm Beach County, Florida.

Sue Hall speaks with Marlies Perez and Ivan Bhardwaj with the California Dept Of Health Care Services about MAT and how to get more information on Opioid Use Disorder https://choosemat.org/

Today’s episode is on patients with substance use disorders in medication-assisted treatment (MAT). Some of the key points that will be covered include:What is medication-assisted treatmentWhat are the goals of an MAT treatment programMedications used in MAT treatment Drug testing during MATPurpose of drug testingTypes of drug testingSpecimen collectionSpecimen validityTest confirmationThis episode features Quest Diagnostics Senior Medical Advisor, Dr Jeff Gudin, and Medical Science Liaison, Dr Jack Kain. You may download the PDF version of this presentation here >To learn more, please visit QuestDrugMonitoring.com for information on our Drug Monitoring Test Directory and offerings, as well as educational resources and insights from our team of toxicology experts. At Quest Diagnostics, we are committed to providing you results and insights to support your clinical decisions.

(Rockingham County, NC) - Community Care show host Jeff Pruett, (Rockingham County Opioid Task Force) talks with ALEF BEHAVIORAL GROUP, President/CEO/Program Sponsor Dr. Ron Flack, Jr., MA, PhD, ICADC, NCADC-II.Dr Flack's 13+ year addiction treatment career includes stints as Vice President/Vice-Chair of the North Carolina Association for Treatment of Opioid Dependence, as well as coalition member of the North Carolina Substance Use Disorder Federation. Dr. Ron has also served in various leadership capacities for a variety of addiction treatment providers across the state. The native North Carolinian holds an International certification for alcohol and drug services, a National certification for alcohol and drug services, a bachelor’s degree in Health and Human Services, a master’s degree in Divinity, and a doctorate degree in Biblical Counseling. For Dr. Ron, evidence-based Medication-Assisted Treatment (MAT) is a proven necessity. And his extensive education and experience ensures ALEF is the kind of cutting-edge Opioid Treatment Provider (OTP) that meets the needs of the community in the most effective way possible.To learn more about ALEF BEHAVIORAL GROUP, Please visit: www.alefbg.com

There has been an incredible surge in methamphetamine overdose deaths and In Ohio the surge has been as much as 130%. Dr. James Sturmi, MD, American Board of Addiction Medicine Fellow and Ohio Medical Director for Pinnacle Treatment Centers, discusses this increase in deaths, what the surge in meth is related to, eliminating the stigma associated with Medication Assisted Treatment (MAT), the prevalence of the opioid epidemic and the larger picture of treating substance use disorder (SUD).

Talk to a Dr. Berg Keto Consultant today and get the help you need on your journey (free consultation). Call 1-540-299-1557 with your questions about Keto, Intermittent Fasting, or the use of Dr. Berg products. Consultants are available Monday through Friday from 8:30 am to 9 pm EST. Saturday & Sunday 9 am to 5 pm EST. USA Only. Take Dr. Berg's Free Keto Mini-Course! Dr. Berg talks about opioid and heroin addictions and are they really a disease or merely a symptom. When someone is addicted to opioids or heroin or any drug, what's happening is certain neurotransmitters are creating certain effects and sensations like pleasure. This includes dopamine, GABA, serotonin, etc. In fact, the effect of some of these drugs is 10x that of food and sex. This makes it highly addictive. At first, the person feels incredible, then the body starts to protect itself and resist it causing a downgrade of its receptors. This leads to a lack of absorption as well as a lack of production of dopamine. It's the neurotransmitter depletion that creates withdrawal symptoms and addiction. Certain drugs are then recommended, like methadone. This is replacing one drug for another. It is called Medication Assisted Treatment (MAT). Here's the problem. It comes with a package, first of all, there are massive side effects and a new addiction to this drug. SIDE EFFECTS COULD INCLUDE: -seizures -decrease libido -impotence -weight gain -hallucinations -sleep apnea -vomiting -heart arrhythmia -death (over 3300 in 2015) -suicide thoughts -depression -apathy -panic attacks -paranoia Dr. Eric Berg DC Bio: Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional & natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government & the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning. ABOUT DR. BERG: https://bit.ly/2FwSQQT DR. BERG'S STORY: https://bit.ly/2RwY5GP DR. BERG'S SHOP: https://bit.ly/2RN11yv DR. BERG'S VIDEO BLOG: https://bit.ly/2AZYyHt DR. BERG'S HEALTH COACHING TRAINING: https://bit.ly/2SZlH3o Follow us on FACEBOOK: https://www.messenger.com/t/drericberg TWITTER: https://twitter.com/DrBergDC YOUTUBE: https://www.youtube.com/user/drericberg123 Send a Message to Dr. Berg and his team: https://www.messenger.com/t/drericberg

In this episode, we speak with Chris Bender, Pharm. D. about medication assisted treatment (MAT) of opioid addiction. Chris guides us through the clinical, controversial, and corrections-focused aspects of MAT. If you don't know methadone from suboxone, you'll want to listen. Chris Bender, Pharm. D. is a pharmacist with the Diamond Drug Information Center. Links to articles referenced in this episode: "Opioid Crisis Fast Facts" via CNN: https://www.cnn.com/2017/09/18/health/opioid-crisis-fast-facts/index.html "Opioid Overdose Crisis", via the National Institutes of Health https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis "NH to start offering Suboxone treatments in prisons", via the New Hampshire Union Leader https://www.unionleader.com/news/crime/nh-to-start-offering-suboxone-treatment-in-prisons/article_c3804a69-865e-5c93-93e1-c87a6a541b9f.html "There’s a highly successful treatment for opioid addiction. But stigma is holding it back", via Vox https://www.vox.com/science-and-health/2017/7/20/15937896/medication-assisted-treatment-methadone-buprenorphine-naltrexone

Kevin Bingham is the Chief Results Officer at Chesapeake Employers Insurance Company, and President and CEO of their wholly owned corporate venture capital subsidiary iCubed Ventures, LLC. He is a renowned public speaker and has published more than 80 articles on important trends impacting the insurance industry.  He has published nine articles on the Opioid Epidemic.  The Opioid Abuse Epidemic – Turning the Tide (2013), Physician Insurer Magazine The Challenging Task of Stemming Opioid Abuse (2014), Inside Medical Liability Magazine 10 Strategies to Combat Rx Abuse Epidemic – An Insurer’s Perspective – Examining TFAH’s Report and Considerations for Insurers (2014) http://www.propertycasualty360.com/2013/12/02/10-strategies-to-combat-the-rx-abuse-epidemic---an?t=workers-compensation    Winning the War Against Opioid Addiction (2014) http://www.insurancethoughtleadership.com/articles/winning-the-war-against-opioid-addiction-and-abuse#axzz2wawEw0P1   The Challenging Task of Stemming Opioid Abuse (2014) – A Call to Action: Educate Everyone, Inside Medical Liability Magazine online extra How to Help Reverse the Opioid Epidemic (2016) http://insurancethoughtleadership.com/how-to-reverse-the-opioid-epidemic/   Article and Podcast – Facing the Opioid Epidemic – An Ecosystem Approach to a Wicked Problem (2017), Deloitte University Press https://dupress.deloitte.com/dup-us-en/multimedia/podcasts/fighting-opioid-crisis-heroin-abuse-ecosystem-approach.html   Physician & Patient Communications - An Important Step Before Writing That Opioid Script (2017), BenefitsPro http://www.benefitspro.com/2017/05/31/patient-physician-risk-communications-an-importan    Non-Opioid Treatment Alternatives – Avoiding Dependency & Addiction (2017), Claims Magazine http://www.propertycasualty360.com/2017/08/08/non-opioid-treatment-alternatives?page=2&slreturn=1502457888&page He is an Associate of the Casualty Actuarial Society (ACAS), a Member of the American Academy of Actuaries (MAAA) and is a Certified Specialist in Predictive Analytics (CSPA). Additionally, he is a AAA volunteer, CAS volunteer, and an Advisory Board Member and MPL Conference Chair of ExecSummit. Kevin joins us today to share how workers’ compensation insurers are making a difference in helping prevent opioid dependency and addiction.  He provides some background on the history of the opioid epidemic, where leaders have helped to change the perception around opioid use, what some workers’ compensation insurers are doing to drive positive change, the impact of addiction on employers and employees, and some helpful hints to leverage in your daily efforts to help injured workers, friends and loved ones beat this epidemic.    “America currently has 5% of the world’s population but we consume about 80% of the Opioid supply, and if you go to some of the more carved out drugs we consume about 99% ”  – Kevin Bingham Today on Spot On Insurance: Kevin’s background and how he developed a passion for winning the war against opioid addiction and dependency. The difference between stimulants, opiates and tranquilizers, and how that fits into the Federal Controlled Substances Act (Schedule I – IV). Impactful stories of how opioids have impacted people all around us – positive and not so positive. The history of the five vital signs and how the 5th vital sign of pain came about. How workers’ compensation insurers are addressing the opioid epidemic to significantly lower opioid usage and medical spend. The impact of opioid addiction on employers and the struggles they are facing hiring drug-free workers. Tips for fighting the opioid epidemic   Kevin’s recommended websites: CDC website (https://www.cdc.gov/drugoverdose/index.html) CDC guidelines (https://www.cdc.gov/drugoverdose/prescribing/guideline.html) Common elements in guidelines for prescribing opioids for common pain (https://www.cdc.gov/drugoverdose/pdf/common_elements_in_guidelines_for_prescribing_opioids-a.pdf) CDC nonopioid treatment for chronic pain flyer (https://www.cdc.gov/drugoverdose/pdf/nonopioid_treatments-a.pdf) NCHS data visualization pilot which allows you to drill down to the state and county level on overdose deaths per 100,000 (https://blogs.cdc.gov/nchs-data-visualization/drug-poisoning-mortality/) 2015 MA Governor’s Opioid Working Group Report (https://www.mass.gov/files/documents/2016/07/vb/recommendations-of-the-governors-opioid-working-group.pdf) Brandeis University PDMP center of excellence (http://www.pdmpassist.org/) Stamp out the stigma website (http://stampoutstigma.com/pledge.html) Oregon Narcan training video (https://www.oregon.gov/oha/ph/ProviderPartnerResources/EMSTraumaSystems/Pages/epi-protocol-training.aspx) Chesapeake Employers’ Insurance Company opioid kit (https://www.ceiwc.com/safety-university/Special%20Programs/index.html) Kevin’s recommended APPs: Substance Abuse and Mental Health Services MAT APP (SAMHSA) –  Medication Assisted Treatment (MAT) education, 355 page book on MAT SAMHSA Treatment Locator APP – Location based treatment locator providing facility information (e.g., location, type of care, treatment approaches, etc.)  Connect with Kevin Bingham: www.ceiwc.com Email: kbingham@ceiwc.com linkedin.com/in/kevin-bingham-5578521 Kevin Bingham, ACAS, CSPA, MAAA Chief of Results for Subsidiary Initiatives Chesapeake Employers’ Insurance Company Your workers’ compensation specialist 8722 Loch Raven Blvd. Towson, MD 21286-2235 P 410-494-2371 kbingham@ceiwc.com www.ceiwc.com This episode was brought to you by….. Insurance Licensing Services of America (ILSA), America’s Premier Insurance Compliance and Licensing experts. To learn more about ILSA and their services, visit ILSAinc.com. Connect, Learn, Share Thank you for joining us on this week’s episode of Spot On Insurance. For more resources and episodes, visit SpotOnInsurance.com. Subscribe so you never miss an episode. Love what you’re learning, Spot Light your review on iTunes and share your favorite episodes with friends and colleagues!

Sue Hall speaks with Marlies Perez with The Dept. Of Health Care Services about the opioid  epidemic in California. Learn about the Medication Assisted Treatment (MAT) Project and find out how to recognize the signs and get treatment. http://choosemat.org/

The opioid epidemic is the biggest public health crisis we currently face, with an average of 130 Americans dying every day from an opioid overdose. Medication Assisted Treatment (MAT) is an evidence-based treatment for substance use disorder that combines FDA-approved medication with counseling and behavioral health therapy but is often associated with stigma therefore limiting access and availability. In this episode, we explore Pennsylvania’s multi-pronged approach to addressing the opioid epidemic in the state and efforts to expand access to MAT. Dr. Rachel Levine, current Secretary of Health in Pennsylvania, has made opioid use a key focus of her work and will discuss how state health leadership is critical to advancing policy. Steve Seitchik, MAT Coordinator for the PA Department of Corrections, will provide a unique perspective on the importance of MAT access and provision for incarcerated populations.    Guests: Rachel Levine, MD; Secretary of Health for the Commonwealth of Pennsylvania Steven Seitchik, MA; MAT Statewide Coordinator, PA Department of Corrections

Caroline Bonham, MD stops by the CIT ECHO to talk about Medication Assisted Treatment (MAT) for substance use disorders. If you would like to join the CIT ECHO please email Jennifer Earheart or check it out online here. Don’t forget to follow us on Facebook or Twitter.If you are enjoying these episodes that means someone else might as well so please share them with others and let us know you are enjoying them, leave a review on Apple Podcasts! Contact UsDon’t forget to contact us to be on the podcast at Ask@goCIT.org or call us at 505-333-8128.Music used in this episode is the song Cheese by David Szesztay from the Free Music Archive.Support the show (https://www.paypal.com/donate/?token=4Z-T3A1LPSUP3tcGbzXY9LF4511KMzsngJOcoo1ZS1K07sQo0oqdDjX0_3uPa9FD7kb8K0&country.x=US&locale.x=US)

Caron Treatment Centers’ Jennifer Archut answers questions from parents about the latest treatment options available to address the disease of opioid addiction, including Medication-Assisted Treatment (MAT).   Podcast Disclaimer The Parent-to-Parent Radio/Podcasts on this Site are provided as a service to you from other parents and do not represent professional clinical advice. The views and opinions expressed in the Parent-to-Parent Radio/Podcasts are not necessarily those of Caron or its affiliates. Nothing contained in the Parent-to-Parent Radio/Podcasts is intended to be instructional for clinical diagnosis or treatment. The information should not be considered complete, nor should it be relied on to suggest a course of treatment for a particular individual. It should not be used in place of a visit, call, consultation or the advice of your physician or other qualified health care provider. You should never disregard clinical advice or delay in seeking it because of something you have heard or read in the Parent-to-Parent Radio/Podcasts. Caron and its affiliates are neither responsible nor liable for any direct, indirect, incidental, consequential, special, exemplary, punitive, or other damages arising out of or relating in any way to the Parent-to-Parent Radio/Podcasts, content or information contained therein or any hyperlinked web site. Your sole remedy for dissatisfaction with the Parent-to-Parent Radio/Podcasts, content or information contained therein, and/or hyperlinked web sites is to stop using the Parent-to-Parent Radio/Podcasts or hyperlinked web sites. Please be advised that the Parent-to-Parent Radio/Podcasts may be protected by federal and international copyright or other laws, and your right to reprint, republish, modify, reproduce, or distribute the Parent-to-Parent Radio/Podcasts may be limited accordingly.

Kerri talks to EMS Captain Tara Tucker about Medication Assisted Treatment (MAT), why we hate it and why it's a good idea anyway.

Kerri talks to EMS Captain Tara Tucker about Medication Assisted Treatment (MAT), why we hate it and why it's a good idea anyway.

This week, hosts Mark Masselli and Margaret Flinter speak with renowned addiction expert Dr. Tom McLellan, Founder and CEO of the Treatment Research Institute, committed to promoting evidence-based approaches to drug treatment and drug policy. He discusses addiction as a chronic disorder, the effectiveness of Medication Assisted Treatment (MAT) for opioid and alcohol addiction, and the need to improve addiction medicine training for clinicians and health care providers. The post America’s Addiction Crisis: Treatment Research Institute Founder Dr. Tom McLellan on Science-Based Approach to Drug Treatment and Policy appeared first on Healthy Communities Online.

SMART Recovery was thrilled to host Dr. Don Sheeley, in a conversation about MAT: Medication for Opiates, Alcohol and More, the medical options now available to help address opiate and alcohol use disorders.  Don is uniquely positioned to speak with us, as a long-time volunteer at SMART, as an Emergency Room physician, and as a practitioner in his own practice: www.actsmartnewyork.com. Donald Sheeley, MD, ABIM, ABEM, ASAM, is currently principal of an outpatient practice for Addiction and ACT Psychotherapy in Saratoga Springs, NY, utilizing a unique combination of Medication Assisted Treatment (MAT) and addiction counseling based on ACT (Acceptance and Commitment Therapy). Don’s contributions to SMART Recovery have been immense in his 8 years of service.  He has facilitated the SMART Recovery meeting in Saratoga Springs, NY since 2010 and has been a frequent contributor to SMART's Blog, a voice for SMART excellence, and mentor to the facilitator community.  He was awarded the Joseph Gerstein Award for Exemplary Service to SMART Recovery in 2017, SMART's highest honor.  DON'T FORGET! SMART Recovery depends on your Donations! Please visit SMART Recovery or Click the Donate button below. © 2018 SMART Recovery®.  Music created and copyright 2017 Donald Sheeley with unlimited use as is donated to SMART Recovery. 

Opioid-use disorder (OUD), a risk factor and major contributor to opioid-related deaths, is often underdiagnosed and undertreated.  Currently there are three FDA-approved pharmacologic treatments for OUD maintenance therapy: methadone, buprenorphine (with or without naloxone), and naltrexone.  Despite definitive evidence that methadone and buprenorphine products are effective in the treatment of OUD, there are still considerable accessibility and availability barriers that patients face when seeking Medication Assisted Treatment (MAT). The EXtended-release naltrexone vs Buprenorphine/naloxone for Opioid Treatment (X:BOT) trial compared the efficacy and safety of XR-NTX and BUP-NX to induce and maintain a patient with OUD on MAT as well as reducing opioid overdoses, relapses, and cravings. Guest Author:  Jordan L. Wulz, PharmD, MPH, BC-ADM, CHC Music by Good Talk

Marc Burrows is an advocate for Medication-Assisted Treatment (MAT) in South Carolina. He is in long term recovery from substance use and tells his story of how buprenorphine added to his success. Today, he works as a peer support specialist, helping others in their journey through MAT. He promotes evidence-based practices and supports legalization of all drugs. His mission is to reduce the negative consequences caused by the criminalization of drug use. References https://www.facebook.com/marc.burrows.14/

Show Topic:  You could've heard the collective GASP, when Medication Assisted Treatment (MAT) was introduced into the main stream treatment culture about 15 years ago. The backlash was predictable and not entirely without merit. We'll discuss this transition and the culture change that has ensued...albeit begrudgingly. We'll also talk about what these Medications are that are being used, the best practices that make their use effective, AND the realities of MAT within the residential treatment environment. Show Segments: Recap, Sports/News, Show Topic, Recovery Support Time