POPULARITY
The CDC's Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. In doing so, it seems to give the impression that pain seen in cancer is inherently different than pain seen in other conditions and that those with cancer may not have the same risk for opioid use disorder as compared to other conditions. Today's podcast tackles these issues and more with three amazing guests: Katie Jones, Jessica Merlin, and Devon Check. We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. In particular, we talk about Katie's and Jesica's paper in NEJM titled “Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Lastly, we discuss Katie's paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. If you want to do a deeper dive, here are some other references we talk about in the podcast: Previous podcasts on substance use disorder Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho Substance Use in Older Adults: A Podcast with Ben Han Palliative Care, Chronic Pain, and the Opioid Epidemic: GeriPal Podcast with Jessie Merlin Expert consensus-based guidance Expert consensus-based guidance on approaches to opioid management in individuals with advanced cancer-related pain and nonmedical stimulant use Consensus-Based Guidance on Opioid Management in Individuals With Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder Expert Panel Consensus on Management of Advanced Cancer-Related Pain in Individuals With Opioid Use Disorder
Listen as Kat, a clinical psychology doctoral candidate, shares her perspective on mental health and substance abuse
12-14-22 AJ DailyCAB Insider: Market UpdateAdapted from an article by Paul Dykstra, Certified Angus Beef Bud Box or Tub System: Which is Best for Handling Cattle? Adapted from an article by Heather Smith Thomas, Angus Beef Bulletin National Poll Reveals Promising Trends in Rural Opioid Misuse; More Work Needed Adapted from a release by Ross Hettervig, National Farmers Union FACA Congratulates Additional Recipients of USDA Climate-Smart Pilot Project Funding Adapted from a release by the American Farm Bureau Federation Compiled by Paige Nelson, field editor, Angus Journal. For more Angus news, visit angusjournal.net.
Episode 26 - August 2022 Topic: The Role of Peer Support Specialists in Preventing Prescription Opioid Misuse Host: James Millward, DMSc, PA-C Guests: Richard Bottner, DHA, PA-C, CPHQ, and Jessi Davis, MHPS, RSPS Resources: View the Foundation's full suite of resources: “Preventing Prescription Opioid Misuse in Special Patient Populations” National Association of Peer Supporters (N.A.P.S.) N.A.P.S. - National Practice Guidelines for Peer Specialists and Supervisors Johns Hopkins Medicine - Armstrong Institute for Patient Safety and Quality - Peer Supporters United States Government Accountability Office - Substance Use Disorder - Medicaid Coverage of Peer Support Services for Adults
Repeat guest Mary Nelson Robertson visits the Crop Doctors' Podcast studio in Stoneville to discuss her efforts with the PROMISE Initiative with Mississippi State Extension (http://extension.msstate.edu/the-promise-initiative). In addition to the PROMISE Initiative, which is an acronym for Preventing Opioid Misuse in the Southeast, Mary Nelson's other Extension areas include prescription opioid misuse, mental health first aid, and farm stress. Mary Nelson communicates some staggering statistics related to opioid misuse and farm stress within the farming community.
Dr. Brian Kelly (Purdue University, West Lafayette, Indiana) discusses a study that found recent efforts to curb opioid prescriptions appear to have had an effect on reducing prescription opioid misuse and dependence, with no evidence that shifts in local-level opioid dispensing affected odds of heroin use, frequency of heroin use, or heroin dependence. Afterwards, Journal Editor-in-Chief Dr. Ned Kalin discusses what pulls the March issue of AJP together. Kelly interview [00:30] Why county level data? [01:22] What accounts for the variation between counties? [02:28] Decreased prescription rates did not lead to increased heroin usage [04:07] How do we ensure the needs of those who need pain management? [04:55] What should happen with opioid dispensing practices? [06:10] National Survey on Drug Use and Health [07:30] Next steps [08:35] Kalin interview [09:34] Vuolo and Kelly [09:58] Watts et al. [11:25] O'Keeffe et al. [14:25] Sohal [17:35] Chung et al. [18:35] Summary [23:05] Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Stitcher, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. Watch Deputy Editor Daniel S. Pine, M.D., present highlights from the May 2021 issue. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
Government Accountability Office (GAO) Podcast: Watchdog Report
Opioid misuse has resulted in the deaths of over 840,000 Americans since 1999, and the pandemic has exasperated this crisis. The pandemic has exacerbated this problem. In fact, more than 75,000 deaths were attributed to overdoses between April 2020…
Interviews with Vincent Calleo, MD, medical director of the Upstate New York Poison Center; and Jeanette Zoeckler, PhD, director of preventive services for Upstate's Occupational Health Clinical Center
Interview with Jeanette Zoeckler, PhD, director of preventive services for Upstate's Occupational Health Clinical Center
Join host Dr. Brian Privett, MD in a conversation with addiction and psychiatry specialist Dr. Alison Lynch, MD from UIHC in Iowa City.
Host & Guest: Kim Bjorn, MSW, LICSW and Chelsea Amato, BSW, Tacoma Pierce County Opioid Task Force Coordinator Topic: Opioid misuse, including the stigma it carries as well as possible solutions --- Send in a voice message: https://anchor.fm/elevate-health/message
Prescription opioids are often the first-line therapy to treat chronic and acute pain among farmers. Prescribing opioids to farmer populations that may not seek regular treatment or have access to alternative therapies increases the risk for potential opioid misuse. Properly assessing for these characteristics among other abuse or addiction risk factors, is critical in providing treatment that is both appropriate and effective. The training module will seek to provide insight on misuse risk factors among farmers to better inform healthcare providers on warning signs in this specific cohort. By the end of the webinar, participants will be able to: List potential risk factors for opioid misuse among farmers. Understand proper opioid misuse assessment strategies. Identify effective alternatives for treating chronic and acute pain among farmers
Dr. Joe Santangelo, Chief Quality and Safety Officer for Munson Healthcare and Dr. Jim Whelan, Dr. Jim Whelan, Chief Medical Officer, Cadillac Hospital; Medical Director of the Munson Clinically Integrated Network, Munson Healthcare; and Medical Director, Wexford PHO give an overview of how opioids are affecting our patients and providers in the Munson Healthcare region. They discuss how the pandemic has impacted opioid misuse with data from the Munson Healthcare System. The red flags providers should be looking for and how to start the conversation when you are suspicious of opioid misuse. They also talk about upcoming changes with the buprenorphine waiver and what Munson Healthcare is working on to support both patients and providers when it comes to opioids.
Jasmine McCammon, Geneia’s lead principal data scientist, discusses the Geneia Data Intelligence Lab opioid predictive model that she created.
New and expectant mothers face unique challenges when seeking treatment for an opioid use disorder. On top of preparing for motherhood, expectant mothers often face barriers to accessing treatment, which typically involves taking safer opioids to reduce dependency over time. The approach is called medication assisted therapy, or MAT, and is a key component in […]
Summary - Opioids have a place for acute pain management - Opioids have also been associated with reductions in anxiety and depression - Dependence and tolerance develop quickly - Currently opioids are very easily diverted - Prevention needs to focus on all of the reasons people abuse opioids including stress and anxiety management, depression, and pain
Summary - Opioids have a place for acute pain management - Opioids have also been associated with reductions in anxiety and depression - Dependence and tolerance develop quickly - Currently opioids are very easily diverted - Prevention needs to focus on all of the reasons people abuse opioids including stress and anxiety management, depression, and pain Learn more about your ad choices. Visit megaphone.fm/adchoices
Può la Cannabis Medica essere uno strumento in grado di superare la così detta "crisi da oppioidi"? Il dott. Fabio Turco condivide i risultati di 4 ricerche condotte negli Stati Uniti su questo tema: - In our war against the opioid epidemic, could "weed" be a winner? Expert Rev Pharmacoecon Outcomes Res. 2020 Aug 17. - Medical cannabis for the reduction of opioid dosage in the treatment of non-cancer chronic pain: a systematic review Syst Rev. 2020 Jul 28;9(1):167. - Opioid Misuse and the Availability of Medical Marijuana Through Dispensaries J Stud Alcohol Drugs. 2020 Jul;81(4):489-496. - Exploring the effect of Colorado's recreational marijuana policy on opioid overdose rates Public Health. 2020 Aug;185:8-14.
Episode 18 - August 2020 Topic: Preventing Prescription Opioid Misuse Host: James Millward, DMSc, PA-C Guest: Laura Katers, MS, MCHS, PA-C Resources: View the Foundation's full suite of resources entitled "Preventing Prescription Opioid Misuse: Empowering Future Providers Through Education."Read more ›
For approximately 5 million people each year, wisdom-teeth removal is part of the rite of passage into adulthood. But for some, wisdom-teeth extraction represents a first exposure to opioids, and a recent study from Stanford University found that teens can end up in a battle with these medications after the procedure. Dr. Michael Mermigas clinical director of national dental opioid policy for UnitedHealthcare came on the program to discuss why dental procedures like wisdom-teeth extraction have a potential to lead to opioid misuse.
Recognize the symptoms of Opioid MISUSE, according to the American Psychiatric Association, Diagnostic and Statistical Manuel, personalized implications, along with present avenues of credible care and treatment.Contact:Michael David Clay, D. Min., M.A.Licensed Professional Clinical Counselorthewordhouse@frontier.com.
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)Host: Tracy McCrayEpisode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.Claim CME credit at ce.mayo.edu/opioidpc.
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)Host: Tracy McCrayEpisode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.Claim CME credit at ce.mayo.edu/opioidpc.
Knock Out Opioid Misuse Part 1: What and Why? by Atlantic Health System
Welcome to “Mind Your Mental Health” an Atlantic Health System podcast series presented by CONCERN EAP. During the month of October, look for our weekly four-part series on how we can all help Knock Out Opioid Misuse.
Welcome to “Mind Your Mental Health” an Atlantic Health System podcast series presented by CONCERN EAP. During the month of October, look for our weekly four-part series on how we can all help Knock Out Opioid Misuse.
Welcome to “Mind Your Mental Health” an Atlantic Health System podcast series presented by CONCERN EAP. During the month of October, look for our weekly four-part series on how we can all help Knock Out Opioid Misuse.
The latest edition of the Medical Association of Georgia's (MAG) ‘Top Docs Radio' show addresses the steps that the U.S. Attorney's Office in Georgia is taking to combat opioid misuse – as well as illegal drugs like heroin.
Patricia Strach is a professor of political science and public administration and policy at UAlbany's Rockefeller College of Public Affairs & Policy and the director for policy and research at the Rockefeller Institute of Government, a public policy think tank for the 64-campus wide SUNY system. Strach is the principle investigator of the institute's Stories from Sullivan, a series that examines how opioid misuse affects local communities and what kinds of policies could make a difference. Special thanks to Kyle Adams, host of the institute's Policy Outsider podcast (anchor.fm/policy-outsider), who helped make this episode happen, as well as to Patrick Dodson, for production assistance. Learn more about Stories from Sullivan: rockinst.org/stories-from-sullivan/ Photo credit: Rockefeller Institute of Government The UAlbany News Podcast is hosted and produced by Sarah O'Carroll, a Communications Specialist at the University at Albany, State University of New York, with production assistance by Patrick Dodson and Scott Freedman. Have a comment or question about one of our episodes? You can email us at mediarelations@albany.edu, and you can find us on Twitter @UAlbanyNews.
Dr. Scott Stonington is an assistant professor of anthropology at the University of Michigan and an internal medicine physician. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S. Stonington and D. Coffa. Structural Iatrogenesis — A 43-Year-Old Man with “Opioid Misuse”. N Engl J Med 2019;380:701-704.
In this episode Dr. Kathryn Dong, Dr. Michelle Klaiman and Dr. Aaron Orkin discuss the latest in naloxone in opioid overdose cardiac arrest and altered LOA, a 5-step approach to ED opioid withdrawal management and how we can improve mortality and morbidity in patients with opioid use disorder in the era of the opioid epidemic... The post Ep 116 Emergency Management of Opioid Misuse, Overdose and Withdrawal appeared first on Emergency Medicine Cases.
In anticipation of EM Cases Episode 116 on Opioid Misuse, Overdose and Withdrawal, Dr. Michelle Klaiman, Addictions and Emergency Medicine specialist, tells her Best Case Ever exemplifying how we can positively impact the lives of ED patients for years to come - even when they present with simple, run-of-the-mill diagnoses - by thinking outside the box and doing brief screening and interventions for patients with opioid use disorder. She discusses alternative pain control options as well as the use of suboxone to treat opioid withdrawal and opioid addiction.Best Case Ever exemplifying how we can positively impact the lives of ED patients for years to come, even when they present with simple, run-of-the-mill diagnoses, by thinking outside the box and doing brief screening and interventions for patients with opioid use disorder. The post BCE 76 Opioid Withdrawal appeared first on Emergency Medicine Cases.
The head of the federal Administration for Community Living, Assistant Secretary Lance Robertson, will present on older adults and opioid addiction as well as a panel of experts from various disciplines at this training. This is an interprofessional educational seminar on the impact of the opioid crisis on older adults which will provide techniques, interventions, and other tools to prevent opioid misuse and opioid overdose deaths among older adults. Topics include: statistics identifying the problem, description of the impact of the opioid crisis specifically on older adults and their families, warning signs of older adults suffering from opioid addiction, examples of situations which increase the risk for abuse/addiction among older adults and preventative measures to mitigate the risk, evidence-based effective pain management in the era of the opioid crisis, the impact of public policy on the opioid crisis, and substance abuse resources for health care professionals who work with older adults and their families. Physicians, psychologists, psychiatrists, chiropractors, physical therapists, occupational therapists, nurses, nurse practitioners, nursing home administrators, first responders, business leaders, public health administrators, and other professionals dealing with these situations are invited to attend this educational seminar.https://www.areaofficeonaging.com/event/5013
Mikelle Moore, Intermountain’s senior vice president for Community Health, talks with David Hasleton, MD, Intermountain’s medical leader for prescription opioid misuse, about best practices for prescribing opioids, meeting the needs of chronic pain patients, medication-assisted therapy, and public awareness campaigns. The opioid crisis is difficult to address, but Intermountain’s partnership with physicians and partners is helping us to understand opioid use disorder and save lives.
Providing an open channel of communication between pharmacists and patients, medication therapy management (MTM) allows pharmacists to optimize medications for their patients and patients to take an active role in their healthcare. As MTM services help pharmacists better understand how different medications interact with each other, MTM has been recommended as a way to identify and prevent opioid misuse. In an effort to provide greater incentive for Part D sponsors to use MTM programs, the Center for Medicare and Medicaid Innovation launched in January 2017 the 5-year Part D Enhanced Medication Therapy Management (eMTM) Model. The model is assessing whether incentives, such as payment and regulatory flexibilities, will result in enhancements in the MTM program, ultimately leading to improved patient outcomes and reduced costs. In this podcast, we speak with Brian Litten, JD, chief strategic officer, Tabula Rasa HealthCare; and Calvin Knowlton, BScPharm, MDiv, PhD, chief executive officer and founder of Tabula Rasa HealthCare, to get more insight into MTM and the eMTM model.
Every day, more than 115 Americans die after overdosing on opioids. Opioids are a classification of drugs that include prescription pain relievers, heroin, and synthetic drugs like fentanyl. The misuse of these drugs has become an epidemic across the country, and in the state of Maryland, in 2016, 2,089 overdose deaths occurred – with 1,119 of those deaths being related to the opioid drug fentanyl. As a declared public health crisis – what’s being done to combat and address the proliferation of and addiction to opioids? Guests on this who include:Darrell Hodge, Peer Recovery Specialist, REACHDr. Leana Wen, Baltimore City Health Commissioner Emily Keller, Hagerstown City Councilwoman
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)Host: Tracy McCrayEpisode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.Claim CME credit at ce.mayo.edu/opioidpc.
Dr. Phillips talks with representatives from the Heber Valley Medical Center about the hospital's new initiative to raise awareness for opioid misuse and overuse. We share ideas and resources available for people worried about opioid addiction and other dangers of taking opioids for pain management.
Preventing prescription drug abuse remains a top health priority for state and federal policy makers, and one that requires a comprehensive approach. In early 2016, the Centers for Disease Control and Prevention (CDC) announced several new opioid abuse prevention and treatment initiatives and as recently as July 22, 2016 President Obama signed into law S.524, the Comprehensive Addiction Recovery Act (CARA), a framework addressing opioid abuse prevention and treatment, including evidence-based interventions. Listen as AJ Ally, Vice President of Clinical Operations at Argus Health helps you understand the new policies and implications for managing the complexities of prescription opioid abuse. The following areas will be reviewed during this discussion: 1. Drivers for opioid misuse and overuse 2. Potential impact of retail pharmacies offering free naloxone without a prescription 3. Proposed approach to managing opioid abuse and misuse through analytics and convergent solutions 4. Utilization management guidelines (FDA, CDC, CARA) & implications to health plans and manufacturers 5. Down the horizon - new and innovative treatments and solutions
Dr. Daniel Alford is an associate professor of medicine at the Boston University School of Medicine. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. D.P. Alford. Opioid Prescribing for Chronic Pain - Achieving the Right Balance through Education. N Engl J Med 2016;374:301-3.
Pain leads to suffering. Opioid misuse leads to suffering. We strive to avoid both for our patients. On the one hand, treating pain is one of the most important things we do in emergency medicine to help our patients and we need to be aggressive in getting our patients' pain under control in a timely, [...] The post Episode 74 Opioid Misuse in Emergency Medicine appeared first on Emergency Medicine Cases.
Pain leads to suffering. Opioid misuse leads to suffering. We strive to avoid both for our patients. On the one hand, treating pain is one of the most important things we do in emergency medicine to help our patients and we need to be aggressive in getting our patients' pain under control in a timely, [...] The post Episode 74 Opioid Misuse in Emergency Medicine appeared first on Emergency Medicine Cases.
Guest: Cynthia Kear Guest: Tom McKeithen, Jr. Host: Alicia A. Sutton There is a national public health crisis concerning the misuse and overuse of opioid medications, and despite multiple large scale efforts to stem the tide, negative trends persist. In order to address risk and safety concerns, reduce serious adverse outcomes, and simultaneously ensure that pain patients maintain necessary access to opioids, the U. S. Food and Drug Administration (FDA) has developed a Risk Evaluation and Mitigation Strategy (REMS) that applies to all long-acting and extended-release opioid medications. Joining Alicia Sutton to discuss how REMS programs are being used to help inform and educate the medical community are Cynthia Kear and Tom McKeithen. Ms. Kear is Senior Vice President of the California Academy of Family Physicians, while Mr. McKeithen is Senior Consultant at Healthcare Performance Consulting
Juliana Milhofer, MMA policy analyst, reviews legislation designed to battle prescription opioid misuse.