POPULARITY
In this conversation, Liz Rohr and Shelby Pope discuss the importance of taking a comprehensive history of substance use, and how to assess and treat stimulant use disorder. They cover the challenges healthcare providers face in asking the right questions, and emphasize the need for open conversations and non-judgmental approaches.They cover screening for addiction, how to elicit a substance use history, including types and routes of substance use. Shelby covers the mechanism of action of cocaine and methamphetamine in the brain, the withdrawal symptoms associated with stimulant use disorder, and the next steps for primary care providers in managing patients with stimulant use disorder. They also explore the use of psychosocial interventions and off-label pharmacologic treatments for stimulant use disorder.TakeawaysOpen and non-judgmental conversations are essential when discussing substance use with patients.Screening practices, such as using screeners like PHQ-2, SBIRT, and DAST, can help identify substance misuse or struggles.Taking a comprehensive history of substance use, including the type, amount, frequency, and motivation, is crucial for providing appropriate care.Healthcare providers should be aware of the different routes of administration and the potential risks associated with each.Stimulant use disorder, particularly cocaine and methamphetamine use, can have significant adverse effects and poor outcomes. Cocaine and methamphetamine are both monoamine neurotransmitter reuptake inhibitors, increasing serotonin, norepinephrine, and dopamine levels in the brain.There is a withdrawal syndrome associated with stimulant use disorder, characterized by depression, fatigue, and sleep disturbances.In managing patients with stimulant use disorder, primary care providers should consider triage based on severity and acuity, and refer patients to appropriate resources such as rehab or the ER.Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the mainstay of treatment for stimulant use disorder.Off-label pharmacologic treatments for stimulant use disorder include mirtazapine, bupropion, injectable naltrexone, topiramate, and psychostimulants.It is important for healthcare providers to be aware of state regulations and their own comfort level in prescribing off-label medications for stimulant use disorder.For a full transcript and conversation chapters, visit the blog: https://www.realworldnp.com/blog/treating-substance-use-disorder ______________________________© 2024 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
We continue our discussion with Dr. Rachel Goode. Dr. Rachel is an Assistant Professor at the School of Social Work, University of North Carolina at Chapel Hill (UNC-Chapel Hill) and a licensed clinical social worker. She received her PhD, MPH, and MSW from the University of Pittsburgh. Her research interests include developing, implementing, and evaluating interventions to address racial/ethnic and socioeconomic disparities in obesity and eating disorders. HER Health Collective has four key initiatives after narrowing down the myriad of topics affecting mothers. These include, Equity of maternal care, Rejecting Diet Culture, Perinatal Mood & Anxiety Disorders and Expectations of Motherhood. Dr. Rachel's work targets several of these same areas. We discuss how our work coincides and the importance of sharing our personal experiences with food insecurity. Dr. Rachel shares ways to make peace with food, and so much more! Today's episode includes a discussion of the following topics: The difficulty of the public and medical system to recognize when something is disordered. The importance of sharing your story. How to heal your relationship with food and how to eat again. Building a healthy relationship with food at any weight. Why it's more important to feel good in your body. How to make peace with food. The importance of self-determining your desires. The vision of her research going into the medical system. The changes needed in how the medical community is trained to approach and treat marginalized patients. Episode Resources: NCEED - https://www.nceedus.org/ SBIRT screening tool - https://eatingdisorderscreener.org/ Living FREE Lab - https://livingfreelab.org/ Dr. Rachel featured in The Daily Tar Heel - https://www.dailytarheel.com/article/2023/01/university-rachel-goode-feature Intuitive Eating Resources: https://www.intuitiveeating.org/ Counselor Directory: https://www.intuitiveeating.org/certified-counselors/ https://christyharrison.com/haes-anti-diet-intuitive-eating-providers-eating-disorder-recovery HER Health Collective, Directory of Providers: https://herhealthcollective.com/her-experts/ Thank you to our Podcast Sponsor, Camp Gladiator! Get a free week of classes - campgladiator.com/trainer/tammyyalch Support Mama Needs a Moment! Become a patron through our Mama Needs a Moment Patreon. https://www.patreon.com/HERHealthCollective --- Support this podcast: https://podcasters.spotify.com/pod/show/herhealthcollective/support
Dr. Chuck Smith works as an addictionologist in South Florida where he provides patient care including detox, residential, and outpatient management of addictive diseases. He is a graduate of Marshall University and the West Virginia School of Osteopathic Medicine. Dr. Smith has completed an Addiction Medicine Fellowship at the University of Florida. Dr. Smith is also a co-author of the book, Understanding Addiction: Knowing Science, No Stigma. Dr. Smith is an expert in the field of addiction medicine and has firsthand experience with the humiliation and shame that accompanies substance use disorder. Dr. Smith had a successful medical practice and lost everything including his ability to practice medicine due to his substance use addiction. After losing his medical license, everything else crumbled. He spent seven years to recovery, he sought treatment, then lived in a sober living house, and was able to be a certified drug and alcohol counselor, then got into a fellowship in addiction medicine. Now he practices medicine and teaches other physicians addiction medicine and what lifesaving questions to ask patients. Dr. Smith believes, “you can’t think your way into sober living, but you can live your way into sober thinking”. Key things discussed: 10% of Americans are at risk for substance use disorder – how we got this number. Key risk factors that can lead to substance use disorder. Understanding the brain and addiction - Vulnerable and damaged dopamine reward system – Prefrontal Cortex. Medical Training to physicians - screening tools – SBIRT (screen, brief intervention, and referral to treatment) and other tools. Effective treatment approaches for physicians, nurses, and pilots = 70% or more success rate. Sober Curious. The book is for education and those vulnerable to substance use disorder. The future. More about Dr. Smith: Instagram: @dr.chucksmith Website: https://helpsaddiction.com Amazon: https://www.amazon.com/Understanding-Addiction-Know-Science-Stigma/dp/17372520X
After cigarettes and tobacco, alcohol has the highest morbidity and mortality of any drug of abuse. It is also legal. Recently in the news, Canada has shifted its approach from sharing what makes you at risk for addiction to what are the actual risks of drinking when compared to those that don't drink. Here we discuss the new low risk drinking guidelines for Canada, the medical professions involvement in addiction care, how health care providers can screen for alcohol use disorder, what's involved in the assessment, approaches to detoxification, maintenance medications, therapies, and connections to resources. We hope it inspires you to learn more about how to help people who want to reduce the harms of alcohol use. Old low risk drinking guidelines https://www.canada.ca/en/health-canada/services/substance-use/alcohol/low-risk-alcohol-drinking-guidelines.html#a2 New Canadian drinking guidelines https://ccsa.ca/sites/default/files/2022-08/CCSA-LRDG-Update-of-Canada%27s-LRDG-Final-report-for-public-consultation-en.pdf Approach to alcohol use from bccsu https://www.bccsu.ca/alcohol-use-disorder/ Pdf document summary of addiction medicine approach to alcohol https://www.bccsu.ca/wp-content/uploads/2021/01/AUD-Guideline.pdf We also have numerous videos on the relevant therapies including motivational interviewing, CRA and CRAFT. 0:00 introduction 1:47 Addiction Medicine's alcohol origins 3:24 Canadian centre on substance use in addiction (CCSA) guidelines 7:40 Lucky Bastard Distillery 12:10 Canadian drinking man meme 18:30 SBIRT (short, brief, intervention, referral to treatment) 19:09 CAGE Assessment 19:54 THE AUDIT (alcohol use disorder is identification test) 20:44 PAWSS: prediction of alcohol withdrawal severity scale 22:07 The 4 C's of addiction 27:55 The detoxification process 29:10 ‘White knuckling it' 30:45 AA and the acceptance of addiction medication 32:20 Gabapentin 33:58 The maintenance phase 34:57 GAIN (Global appraisal of individual needs) Assessment 36:20 The treatment phase 33:33 Summary Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove's clinical and academic work. The content should not be taken as direct medical advice or clinical instruction. #Lived experience #pwid #addiction #recovery #Captainhooked #wiplove lamba #jean-paul michael #addiction medicine #psychotherapy #CCSA #Alex Caudarella #lucky bastard distillery #SBIRT #CAGE Assessment #THE AUDIT PAWSS #The 4 C's of addiction #white knuckling #AA #Gabapentin #GAIN Assessment
Dr. Diego Ponieman is responsible for Somos Community Care clinical projects, which are focused on reducing avoidable hospitalizations through proactive, coordinated care and evidence-based interventions with Medicaid members who are at risk for or are experiencing chronic conditions such as diabetes, hypertension and asthma. Diego continues to work on adding nutrition and lifestyle changes as a strong therapeutic intervention. He is working with SOMOS community care and underserved communities through local clinics in order to bring a food oasis with the hoping to transform this food desserts into healthier neighborhoods. Diego Ponieman was born and raised in Buenos Aires, Argentina, where he completed Medical School at the University of Buenos Aires. He completed his Internship and Residency at Albert Einstein/Montefiore Medical Center in New York City. He later completed an Academic Fellowship in General Internal medicine at Mount Sinai School of Medicine where he still remains as a faculty member. He also sees patients as a Primary Care Physician at his private practice Metropolis Medical in upper Manhattan . Diego continues to work on adding nutrition as a strong therapeutic intervention. He is working with SOMOS community care and underserved communities through local clinics in order to bring a food oasis with the hoping to transform this food desserts into healthier neighborhoods. Diego has led a team to add the primary care team in the treatment of SUD in the office, from adding screening through SBIRT to facilitating Bupe certification and partnering with CBO's to work directly with our community providers.
Bartie McLaren, PsychD and Natalie Bennett, PsychD CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/E0nHU2E2db (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The Planning Committee and faculty have no relevant financial relationships with ineligible companies interests to disclose. Original Date: June 16, 2022 End Date: Junw 16, 2023
Bartie McLaren, PsychD and Natalie Bennett, PsychD CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/E0nHU2E2db (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The Planning Committee and faculty have no relevant financial relationships with ineligible companies interests to disclose. Original Date: June 16, 2022 End Date: Junw 16, 2023
Free training? Free tools? Free technical assistance? Yes, that is correct! The Rural Telementoring Training Center (RTTC) accomplishes this through telementoring technology. What is telementoring? You need to listen to our conversation with Trisha Melhado and Suyen Schneegans with RTTC to learn more. “We provide free training, tools, and technical assistance to support the implementation and evaluation of current and new telementoring programs for rural healthcare workers.' ~Trisha Melhado Trisha Melhado is the Evaluation Lead for the national Rural Telementoring Training Center. Trisha has experience in various research roles where she provides research guidance to faculty and residents on all aspects of the research process with an emphasis on study methodology and statistical analysis. She has successfully collaborated with faculty from multiple institutions to implement multi-year grant-funded projects and has worked on Cancer Prevention and Research Institute of Texas, Department of Defense, and Health Resources & Services Administration funded grants as well as provided analytical and statistical expertise to projects. She has presented research at local and national conferences in addition to co-authoring several publications. At the RTTC, she is the evaluation team lead. Suyen Schneegans is the Training & Technical Assistance Staff Lead for the national Rural Telementoring Training Center. She has a MA from the University of Texas at San Antonio in Bicultural Bilingual Studies with a concentration in Cultural Studies and is a graduate of the University of the Incarnate Word with a BA in Spanish, Literature, and Language and a minor in Psychology. Suyen has worked on various social science projects pertaining to substance use disorders, community health, screening, brief intervention, referral to treatment (SBIRT). She is also a qualitative researcher and has presented at numerous local and national conferences and co-authored several publications. At the RTTC she is the training and technical assistance team lead. If you would like to know more, visit www.ruraltelementoring.org.
Please subscribe now for as little as 5$ and gain access to a community of over 800 awesome, curious, kind, funny, brilliant, generous souls Check out StandUpwithPete.com to learn more All this month and next I will be promoting GiveWell.org and I hope you will consider sending them a donation. They will match new donors up to $250! Please go to GiveWell.org/StandUp 25 mins Dr Aaron Carroll is one of my closest friends and one of the finest people I know. He is one of the most reasonable and thoughtful guys as well. He is a professor of pediatrics and associate dean for research mentoring at the Indiana University School of Medicine. He is also vice president for faculty development at The Regenstrief Institute. And now Aaron is the Chief Health Officer at IU. Dr. Carroll's research focuses on the study of information technology to improve pediatric care and areas of health policy including cost-effectiveness of care and health care financing reform. He is the author of The Bad Food Bible and the co-author of three additional books on medical myths. Subscribe to his YouTube Channel Buy his books Read him at The NY Times 52 mins Dr. Andrew Kolodny is the Medical Director of Opioid Policy Research at the Heller School for Social Policy and Management. His primary area of focus is the prescription opioid and heroin crisis devastating families and communities across the country. He is also the executive director of Physicians for Responsible Opioid Prescribing, an organization with a mission to reduce morbidity and mortality caused by overprescribing of opioid analgesics. Dr. Kolodny previously served as Chief Medical Officer for Phoenix House, a national non profit addiction treatment agency and Chair of Psychiatry at Maimonides Medical Center in New York City. Dr. Kolodny has a long-standing interest in public health. He began his career working for the New York City Department of Health and Mental Hygiene in the Office of the Executive Deputy Commissioner. For New York City, he helped develop and implement multiple programs to improve the health of New Yorkers and save lives, including city-wide buprenorphine programs, naloxone overdose prevention programs and emergency room-based screening, brief intervention and referral to treatment (SBIRT) programs for drug and alcohol misuse. Check out all things Jon Carroll Follow and Support Pete Coe Follow and Support Gareth Sever Pete on YouTube Pete on Twitter Pete On Instagram Pete Personal FB page
(3:26) Por primeira vez na historia tivemos este ano máis turistas no espazo ca astronautas, e a perspectiva da posta en marcha de estacións espaciais privadas deixa de ser unha quimera. Javier Pedreira "Wicho" analiza en Efervesciencia as novas tendencias da exploración espacial. (20:06) O profesor de psicoloxía da USC Antonio Rial Boubeta preséntanos as evidencias científicas que amosan a efectividade de facer un peneirado precoz das adicións. Nesta liña o seu grupo de investigación traballou nun proxecto de implantación do modelo SBIRT en Galicia. Este cribado nos centros de saúde está pensado para detectar precozmente e tratar adicións en adolescentes, tanto adicións con substancia como adicións sen substancia (xogo on-line, videoxogos e consumo problemático de internet). Ao fío das adicións nos adolescentes facemos un faladoiro con Belén Montesa (psicóloga experta en adicións), Fernando Lacaci (presidente da Confederación de ANPAS galegas) e Sabela Rodríguez García (Orientadora do IES A Cachada de Boiro) www.efervesciencia.org
On this podcast, Margaret Soukup discusses the success of their School-Based Screening and Brief Intervention and Referral to Treatment at King County, WA. Margaret designed, directed and implemented the Best Starts for Kid's SBIRT initiative in collaboration with twelve school districts, local and state partners, community-based providers and community stakeholders throughout King County. Read the case study here. >> https://tickithealth.com/success-stories/king-county-uses-digital-empathy-to-better-identify-students-in-need-and-better-connect-students-to-support/ Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Dr. Kolodny chats with Dr. Lev about the Opioid Lawsuits. They say people who do not learn from history are doomed to repeat history. The history for tobacco, opioids, vaping and marijuana follows a pattern: Health claims Normalization of use Disaster is finally recognized Lawsuits Andrew Kolodny, M D Dr. Kolodny previously served as Chief Medical Officer for Phoenix House, a national non profit addiction treatment agency and Chair of Psychiatry at Maimonides Medical Center in New York City. Dr. Kolodny has a long-standing interest in public health. He began his career working for the New York City Department of Health and Mental Hygiene in the Office of the Executive Deputy Commissioner. For New York City, he helped develop and implement multiple programs to improve the health of New Yorkers and save lives, including city-wide buprenorphine programs, naloxone overdose prevention programs and emergency room-based screening, brief intervention and referral to treatment (SBIRT) programs for drug and alcohol misuse. Dr. Kolodny’s testimony before for the United States Congress is available here. Senate Caucus on International Narcotics Control. May 14, 2014 America’s Addiction to Opioids: Heroin and Prescription Drug Use Homeland Security and Governmental Affairs. January 17, 2018 Unintended Consequences: Medicaid and the Opioid Epidemic Committee on Energy & Commerce, Subcommittee on Health, U.S. House of Representatives. February 28, 2018 Combatting the Opioid Crisis See the listing of Dr. Kolodny’s publications on PubMed here. Awards and Honors University of Chicago Leon I. Goldberg Award (2019)
We've seen the struggles that nurses go through which is why we created this podcast. In this podcast, we provide cutting-edge, evidence-based information from practice, research and leadership to keep nurses up to date while on the go. You can even earn professional development credits just for listening to the show. Stay tuned until the end of the episode to find out how. This first episode is all about screening, brief intervention and referral to treatment and supporting nurses to learn about and apply the SBRIT process in practice. What's in this episode: What SBRIT is Why universal screening would be beneficial Updates in the DSM-5 to terminology How SBIRT rules out non-problem users How it can be used in the non-medical world The 7 goals of a screening tool Questions asked on a universal screening For more resources, head to www.wellnesswarriors.healthcare If you are an RN, you can receive Nursing Professional Development (NCPD) credits by going to www.wellnesswarriors.healthcare and click “Receive NCPD credit”. The Mentor-Facilitated Training Award Dissemination Project was funded by NIDA CTN DI in partnership with the National Institute on Drug Abuse and the American Association of Colleges of Nursing (AACN) Pennsylvania State University Ross and Carol Nese College of Nursing is approved as a provider of nursing continuing professional development by the Pennsylvania State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. RNs who attend all three sessions and complete the pre and post evaluation are eligible to receive 2.0 contacts hours through 12/31/2021.
Approximately 93,000 drug overdoses took place in 2020, the highest number ever in a single year. Many life-saving resources are available, yet only one in 10 receive treatment. So many suffer in silence and stigma plays a major role. Stephen D'Antonio shares his experience becoming an advocate for his son, who overcame an alcohol use disorder, and partnering with other parents and health care organizations. He joins Sandeep Kapoor, MD, to discuss substance use disorders, shattering stigma and more. Meet the experts Dr. Sandeep Kapoor is Assistant Vice President of Addiction Services for Northwell's Emergency Medicine Services, as well as Director of SBIRT, that's Northwell's Screening, Brief Intervention and Referral to Treatment program. Stephen D'Antonio is the Executive Vice President for Shatterproof, a national nonprofit organization dedicated to ending the addiction crisis. He also helped create the podcast series “My Child & Addiction.” Resources Northwell's Screening, Brief Intervention and Referral to Treatment (SBIRT) program is open six days a week, 10 a.m. to 8 p.m. Call 516-465-5955 to speak to a team member. Stephen created the "Just Five" series to help people understand the most important concepts and facts regarding addiction: https://justfive.org/northwell/ Call SAMSHA's national hotline: 1-800-622-HELP
COVID-19 has skyrocketed rates of substance use disorder. Sandeep Kapoor, MD, joins Shatterproof executive director Stephen D'Antonio to explain how people can find resources, educate themselves, diffuse stigma and save lives. Meet the experts Dr. Sandeep Kapoor is Assistant Vice President of Addiction Services for Northwell's Emergency Medicine Services, as well as Director of SBIRT, that's Northwell's Screening, Brief Intervention and Referral to Treatment program. Stephen D'Antonio is the Executive Vice President for Shatterproof, a national nonprofit organization dedicated to ending the addiction crisis. He also helped create the podcast series “My Child & Addiction.” Resources Northwell's Screening, Brief Intervention and Referral to Treatment (SBIRT) program is open six days a week, 10 a.m. to 8 p.m. Call 516-465-5955 to speak to a team member. Stephen created the "Just Five" series to help people understand the most important concepts and facts regarding addiction: https://justfive.org/northwell/ Call SAMSHA's national hotline: 1-800-622-HELP
João, Kaue e Rapha com a participação do psiquiatra Rodolfo discutem sobre rastreio, impacto e tratamentos do transtorno associado ao uso do álcool. Minutagem em breve. 1. Kriston L, Hölzel L,Weiser A-K, Berner MM, Härter M. Meta-analysis: are 3 questions enough to detect unhealthy alcohol use? Ann Intern Med. 2008;149(12):879-888. doi:10.7326 2. Weisner C, Matzger H, Kaskutas LA. How important is treatment? one-year outcomes of treated and untreated alcohol-dependent individuals. Addiction. 2003;98(7):901-911. doi:10 .1046/j.1360-0443.2003.00438.x 3. Barata IA, Shandro JR, Montgomery M, et al. Effectiveness of SBIRT for Alcohol Use Disorders in the Emergency Department: A Systematic Review. West J Emerg Med. 2017;18(6):1143-1152. doi:10.5811/westjem.2017.7.34373 4. Falk D,Wang XQ, Liu L, et al. Percentage of subjects with no heavy drinking days: evaluation as an efficacy endpoint for alcohol clinical trials. Alcohol Clin Exp Res. 2010;34(12):2022-2034. doi:10.1111/j.1530-0277.2010.01290.x 5. Anton RF, O’Malley SS, Ciraulo DA, et al; COMBINE Study Research Group. Combined pharmacotherapies and behavioral interventions for alcohol dependence: the COMBINE study: a randomized controlled trial. JAMA. 2006;295(17): 2003-2017. doi:10.1001/jama.295.17.2003 WEERAKOON, Sitara M.; JETELINA, Katelyn K.; KNELL, Gregory. Longer time spent at home during COVID-19 pandemic is associated with binge drinking among US adults. The American Journal of Drug and Alcohol Abuse, 2020. POLLARD, Michael S.; TUCKER, Joan S.; GREEN, Harold D. Changes in adult alcohol use and consequences during the COVID-19 pandemic in the US. JAMA network open, v. 3, n. 9, p. e2022942-e2022942, 2020 BASTOS, Francisco Inácio Pinkusfeld Monteiro et al. III levantamento nacional sobre o uso de drogas pela população brasileira. 2017. O’Connor EA, Perdue LA, Senger CA, et al. Screening and Behavioral Counseling Interventions in Primary Care to Reduce Unhealthy Alcohol Use in Adolescents and Adults: Updated Systematic Review for the U.S. Preventive Services Task Force. Evidence Synthesis No. 171. AHRQ Publication No. 18-05242-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2018. 3 NATIONAL INSTITUTE ON ALCOHOL ABUSE; ALCOHOLISM (US). Helping Patients who Drink Too Much: A Clinician's Guide: Updated 2005 Edition. US Department of Health and Human Services, National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism, 2007. 2 CURRY, Susan J. et al. Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults: US Preventive Services Task Force recommendation statement. Jama, v. 320, n. 18, p. 1899-1909, 2018. MILLSTEIN, Susan G.; MARCELL, Arik V. Screening and counseling for adolescent alcohol use among primary care physicians in the United States. Pediatrics, v. 111, n. 1, p. 114-122, 2003. Committee on Substance Use and Prevention. Substance use screening, brief intervention, and referral to treatment [published online June 20, 2016]. Pediatrics. doi:10.1542/peds.2016-1211 PEREIRA, Bruna Antunes de Aguiar Ximenes; SCHRAM, Patricia Franco Cintra; AZEVEDO, Renata Cruz Soares de. Avaliação da versão brasileira da escala CRAFFT/CESARE para uso de drogas por adolescentes. Ciência & Saúde Coletiva, v. 21, p. 91-99, 2016. MÉNDEZ, Eduardo Brod et al. Uma versão brasileira do AUDIT-Alcohol Use Disorders Identification Test. Pelotas: Universidade Federal de Pelotas, p. 69, 1999. Richard Saitz, Murray B Stein, Michael Friedman. Psychosocial treatment of alcohol use disorder. Uptodate Abril 2021. Approach to treating alcohol use disorder. Richard Saitz, Andrew J Saxon, Michael Friedman. Uptodate Abril 2021. [26/5 20:26] Raphael Coelho Cm Epm: KELLY, John F.; HUMPHREYS, Keith; FERRI, Marica. Alcoholics Anonymous and other 12‐step programs for alcohol use disorder. Cochrane Database of Systematic Reviews, n. 3, 2020. [26/5 20:26] Raphael Coelho Cm Epm: Brief intervention for unhealthy alcohol and oth
Join our host Paul Dunne and our two guests from the University of the Sciences, Andrew Peterson, Executive Director, Substance Use Disorders Institute and George Downs, Professor of Clinical Pharmacy. On this episode they will discuss how the role of the pharmacists is crucial as both a clinician and as a trusted resource. Andrew and George’s mission are to educate pharmacists and pharmacy students on the opioid abuse epidemic. Throughout the course of the podcast, they will dive deeply into identifying and treating the patient, motivational interviewing techniques, behavioral change modeling, as well as strategies and techniques. Among these, are the application of the “SBIRT” protocol (Screening-Brief Intervention-Referral to Treatment), a model for addiction prevention. The team will also share their concerns about the growing opioid addiction challenges within the pharmacy profession, how to self-identify it, recovery, and maintenance. Being the most accessible healthcare providers available, the role of the pharmacist is crucial as both a clinician and as a trusted resource.
Christy Alten-Osmera has worked 26 years with Keystone Treatment Center, primarily with adolescents. She has experience working residential, outpatient and in the schools. She is currently the program director and clinical supervisor for the inpatient adolescent unit at Keystone. She is a certified non-violent crisis intervention instructor. She is an internationally certified alcohol and drug counselor, a licensed substance abuse counselor, and a licensed professional counselor of mental health, as well as a qualified mental health professional for SD. She is on the state of SD’s Behavioral Health Advisory Council, and SBIRT subcommittee. She sits on the board for the National Rural Alcoholism and Drug Abuse Institute.Christy obtained her Master’s degree in Mental Health Counseling at Walden University, based out of Minneapolis, MN. Her undergrad work was at the University of South Dakota, where Christy received her Bachelor’s degree in biology and allied health (alcohol and drug abuse studies).Outside of Keystone, she enjoys spending time with her husband, 3 children, and multiple pets (some say a small zoo!). She loves the outdoors, photography, and is actively involved in her local church.
In this episode we are joined by Dr. Debbie Singer and Dr. Paula Riggs to discuss their successful collaboration screening adolescents for substance abuse disorders, implementing the SBIRE (screening for evaluation) vs SBIRT (referral for treatment) approach, and its rationale and effectiveness in this partnership between primary care pediatrics and psychiatry. Debbie Singer, MD is a primary care pediatrician at Every Child Pediatrics in Denver, Colo. and Fellow of the American Academy of Pediatrics (FAAP). Paul Riggs, MD is Director of the Division of Addiction Science, Prevention & Treatment; Vice Chair of Faculty Affairs for the Department of Psychiatry and Professor of Psychiatry at the University of Colorado School of Medicine; and Director of the Encompass Clinic. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org
Evaluation Survey for Attendance Certificate here:https://www.surveymonkey.com/r/PPJQCSPComplete information and disclosures available at:http://keepitsacred.itcmi.org/2020/12/podcast-reducing-cancer-through-alcohol-screening-brief-intervention-and-referral-to-treatment/This presentation contains a raw discussion of alcohol use, intended for an adult audience. Listener discretion advised.Release Date: December 18, 2020Expiration Date: December 17, 2023Learning Objectives/Outcomes:At the conclusion of this activity, the healthcare team will be able to:Recognize the relationship between alcohol and several types of cancer in American Indian and Alaska Native Communities.Examine the importance of including a brief intervention and referral for treatment along with a culturally appropriate alcohol screening approach.Develop strategies that integrate culturally appropriate screening, brief intervention, and referral to treatment (SBIRT) for alcohol for tribal health systems.Presenters:Cathy Edgerly, Master of Health ScienceCommunity Health Comprehensive Cancer ConsortiumInter-Tribal Council of MichiganAngela Asa, PA-CPhysician Assistant - Family MedicineNimkee Memorial Wellness CenterSaginaw Chippewa Indian TribeDr. Daniel C. Maloney, MDChief Medical OfficerBay Mills Medical OfficeBay Mills Indian CommunityTarget Audience: Physicians, nurses, health educators, administrators, and support staff working with American Indian and/or Alaska Native communities.Continuing Education (CE) Credit Information:There is no registration fee to participate in this activity. In order to receive continuing education credit, learners must listen to the 60 minute podcast, and complete an online evaluation (see link below). Please contact mwillette@itcmi.org if you have any questions or problems with the system. Individuals taking this course for the first time are eligible for CME/CE credit. Complete Evaluation for Certificate Here: https://www.surveymonkey.com/r/PPJQCSPIn support of improving patient care, IHS Clinical Support Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. PhysiciansThe IHS Clinical Support Center designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses This activity is designated 1.0 contact hour for nurses. Disclosure Statement: As a jointly accredited provider of continuing education, the IHS Clinical Support Center must ensure balance, independence, objectivity, and scientific rigor in its educational activities. Course directors/coordinators, planning committee members, faculty, reviewers and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. All those who are in a position to control the content of this educational activity have completed the disclosure process and have indicated that they do not have any relevant financial relationships or affiliations with any manufacturers or commercial products to disclose.There is no commercial interest support for this educational activity.To review the Survey Monkey Privacy Policy for details on how user information submitted in the evaluation is protected. http://www.surveymonkey.com/mp/policy/privacy-policy/
On this episode we discuss different types of advocacy and intra agency growth. Greg Huckins is a peer-support specialist working for a recovery community organization as a member of the SBIRT team in the local hospital emergency department. His role is to help guide individuals through the beginning stages of recovery. JoAnna Vance is a person in long-term recovery from substance use disorder and is the region lead for the Recovery Advocacy Project in West Virginia. https://www.recoveryvoices.com/https://challengesinc.org/
Adolescent Screening, Brief Intervention, and Referral for Treatment for Alcohol and Other Drug Use.
Join Dr. Renee Bauer to learn about strategies for teaching in psychiatric nursing. Students get SBIRT and Psychological First Aid Certificates and engage in other activities to build their knowledge and competencies for care for patients with mental health needs.
While working with the largest non-profit addiction treatment provider, Amara saw the relief of families who finally found the best-fit treatment approach after often wasting years of time and treasure. Vowing not to waste her experience which combined treatment and legal expertise with a trusted professional network, Amara was inspired to create a team of advisors who share her passion and commitment to creating the most efficient strategies. She also is a national speaker on topics including parent coaching, communication skills, and mental health and dependency education. Amara is former Chair of the Dallas Bar Association's Peer Assistance Committee and Highland Park ISD’s Parent Education Committee. She founded Dallas One Love, a non-profit raising awareness about the warning signs of relationship abuse; and a member of the CARE committee. In addition to certification for screening, brief interventions, and referral to treatment (SBIRT), Amara received her law and masters in business degrees from the University of Richmond after graduating from the University of Virginia.M2 delivers real talk on solutions to addiction, alcoholism, and unmanageable habits. We air weekdays on Facebook, Twitter and YouTube at 7:30PM/CST offering spiritual solutions to human problems. To learn more visit www.M2TheRock.com.
In 2019 we released 45 new podcasts covering books from best-selling authors such as Dopesick from Beth Macy and American Overdose from Chris McGreal, to important developments such as the MDL and the J&J Oklahoma trial and people making headlines such as Joe Rannazzisi, former head of diversion control from the DEA. As I look back I realize how many amazing people, places and things we were lucky enough to profile on our series in 2019. The one that stood out for me, was episode 250, with Dr. Andrew Kolodny. Dr. Kolodny’ s candid insights into the policy missteps at the FDA that enabled an epidemic to grow out of control for over two decades were a revelation to me and I hope, to our listeners as well. So, as we close out 2019, we’re pleased to re-release an abbreviated version of our interview with Dr. Andrew Kolodny. Today’s guest, Dr. Andrew Kolodny, is an authority on the opioid epidemic. As a Senior Scientist and, Co-Director of Opioid Policy Research at the Heller School for Social Policy and Management, Dr. Kolodny has a deep-rooted interest in public health. He began his career working for the New York City Department of Health and Mental Hygiene, helping develop and implement multiple programs to improve health and save the lives of New York City citizens. These initiatives included: city-wide buprenorphine programs, life-saving naloxone overdose prevention programs and emergency room-based screenings, and brief interventions and referrals to treatment (SBIRT) programs for alcohol and drug misuse. Using his expert knowledge and vast experience fighting the opioid epidemic, Dr. Kolodny guides us through the FDA’s missteps that helped fuel our nation’s worst health crisis in history. Join us on today’s podcast as we uncover the mistakes that helped perpetuate a growing opioid crisis and the missed opportunities to keep it in check.
Andrew Kolodny, M.D., is one of the nation's leading experts on the prescription opioid and heroin crisis. He is the Co-Director of The Opioid Policy Research Collaborative at the Heller School for Social Policy and Management. His primary area of focus is the prescription opioid and heroin crisis devastating families and communities across the country. He is also the executive director of Physicians for Responsible Opioid Prescribing, an organization with a mission to reduce morbidity and mortality caused by overprescribing of opioid analgesics. Dr. Kolodny previously served as Chief Medical Officer for Phoenix House, a national non-profit addiction treatment agency and Chair of Psychiatry at Maimonides Medical Center in New York City. Dr. Kolodny has a long-standing interest in public health. He began his career working for the New York City Department of Health and Mental Hygiene in the Office of the Executive Deputy Commissioner. For New York City, he helped develop and implement multiple programs to improve the health of New Yorkers and save lives, including citywide buprenorphine programs, Naloxone overdose prevention programs and emergency room-based screening, brief intervention and referral to treatment (SBIRT) programs for drug and alcohol misuse.
419 -13 Useful Brief Interventions Instructor: Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC CEUs are available at allceus.com/counselortoolbox Objectives ~ Review the benefits of brief interventions ~ Identify the goals of brief interventions ~ Explore 13 brief interventions that can be used with most clients Benefits ~ Reduce no-show ~ Increase treatment engagement ~ Increase compliance […]
In the eleventh episode of our "Coding with Ann" podcast series, Ann Finn will review coding for SBIRT (Screening, Brief Intervention, and Referral to Treatment) for substance use, including E/M CPT codes paired with ICD-10 diagnosis codes for alcohol and drug use. This podcast series assists family planning providers with appropriate and timely reimbursement. To download a copy of the transcript, please visit http://www.ctcfp.org/coding-with-ann/.
Today’s guest, Dr. Andrew Kolodny, is an authority on the opioid epidemic. As a Senior Scientist and, Co-Director of Opioid Policy Research at the Heller School for Social Policy and Management, Dr. Kolodny has a deep-rooted interest in public health. He began his career working for the New York City Department of Health and Mental Hygiene, helping develop and implement multiple programs to improve health and save the lives of New York City citizens. These initiatives included: city-wide buprenorphine programs, life-saving naloxone overdose prevention programs and emergency room-based screenings, and brief interventions and referrals to treatment (SBIRT) programs for alcohol and drug misuse. Using his expert knowledge and vast experience fighting the opioid epidemic, Dr. Kolodny guides us through the FDA’s missteps that helped fuel our nation’s worst health crisis in history. Join us on today’s podcast as we uncover the mistakes that helped perpetuate a growing opioid crisis and the missed opportunities to keep it in check.
What was it like to grow up when marijuana became available? How can someone learn to be fulfilled out of treating those with addiction? How can psychologists help patients with addiction? At what point does drinking alcohol become higher risk? Dr. Duff-Boehm teaches us the importance of collaborative care and having a multi-faceted approach.Podcast Referenced: "The Tim Ferriss Show – Dr. Andrew Weil on Optimal Health, Plant Medicine, and More" https://podcastnotes.org/2018/12/08/weil/Websites Referenced: "Screening, Brief Intervention, and Referral to Treatment (SBIRT)" https://www.samhsa.gov/sbirtAmerican Society of Addiction Medicine https://www.asam.org/Find Treatment SAMHSA https://www.samhsa.gov/find-treatmentAlcoholics Anonymous https://www.aa.org/Al-Anon https://al-anon.org/Host: Dr. Lauren Williams, MDGuest: Dr. Nancy Duff-Boehm, PhDContact: InsightInPsych@gmail.comIf you're a fan of the show, please leave us a five star review to help others gain more insight into psychiatry.
Are you ready to communicate better this year? Then this is the episode for you! Mallori DeSalle is my guest and she's the expert on integrating humor to make the conversations go a little bit smoother. I had the great pleasure of spending some time with my her at the conference last year and her energy is contagious! What conference you ask? Well...the AATH conference of course! This year's conference is in Chicago and is being held from the 4th through the 7th of April. Check it out at www.aath.org! Mallori and I talk about a lot of topics in this interview so you're going to want to have some paper around to take notes. Enjoy! More on Mallori.. Mallori DeSalle is a licensed mental health counselor, nationally certified counselor, a medication-assisted treatment specialist and an internationally certified prevention specialist. Over the last 15 years working in mental health, substance abuse and prevention fields, she has provided services as a community prevention coordinator, therapist, health-educator, professor and professional trainer. Since 2008, Ms. DeSalle has been a faculty member within the Department of Applied Health Science in the School of Public Health at Indiana University, Bloomington. Within her appointment at the university, Mallori serves Prevention Insights (a university institute) as the Outreach Coordinator and Lead Motivational Interviewing (MI) Trainer. She is a member of the Motivational Interviewing Network of Trainers and listed on the National ATTC SBIRT Trainers’ Registry. Ms. DeSalle provides MI and SBIRT training to multidisciplinary audiences across the world. Mallori has been a member of AATH since 2018 and is currently in Humor Academy Level 1. She uses humor to engage learners, to poke fun at the process of learning and to make it easier to learn by laughing.
Solidify your knowledge on Alcohol Use Disorder (AUD) treatment and more! Quiz yourself on the 5 pearls we will be covering: Throwback: At what levels of drinking does unhealthy alcohol use start, and how do you screen for unhealthy alcohol use? (1:47) What does the brief intervention and counseling part of SBIRT entail? (4:43) What are the first line medications for AUD and contraindications to them? (11:11) What are the second-line medications for AUD and their limitations? (18:14) What new therapies are being studied for for alcohol use disorder? (22:09) Pearls Recap (25:06) For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2018/11/07/5-pearls-on-treatment-of-alcohol-use-disorder/ tag: naltrexone, acamprosate, gabapentin, topiramate, SBIRT, neuromodulation, nalmafene, psychaedelics, audit-c
Jeff Olivet talks with a Project Amp mentor and researcher about a brief mentorship intervention pilot that paired youth with young adults in recovery to enhance resiliency and prevent alcohol and other drug use. Visit thinkt3.com and follow us on Twitter, Facebook, and LinkedIn for more resources to grow your impact. Bring Project Amp to Your Community! For more info about Project Amp, including implantation resources, visit www.projectamp4youth.com. Learn More SBIRT: Screening, Brief Intervention, and Referral to Treatment Young People in Recovery Motivational Interviewing Risk & Protective Factors (SAMHSA) Risk & Protective Factors (Youth.gov) Strengths-Based Models Conrad N. Hilton Foundation
Jeff Olivet talks with a Project Amp mentor and researcher about a brief mentorship intervention pilot that paired youth with young adults in recovery to enhance resiliency and prevent alcohol and other drug use. Visit thinkt3.com and follow us on Twitter, Facebook, and LinkedIn for more resources to grow your impact. Bring Project Amp to Your Community! For more info about Project Amp, including implantation resources, visit www.projectamp4youth.com. Learn More SBIRT: Screening, Brief Intervention, and Referral to Treatment Young People in Recovery Motivational Interviewing Risk & Protective Factors (SAMHSA) Risk & Protective Factors (Youth.gov) Strengths-Based Models Conrad N. Hilton Foundation
Sarah Oliveira McDonald, a long time listener of our podcast and part of the La Hacienda family, extended an invitation on behalf of La Hacienda Treatment Center for our team to visit their incredible campus located in Hunt, Texas. As our listeners know, we are always searching for treatment facilities that provide exemplary services. We volunteered our time with a mission to get to know their staff who are considered family and interview some of their clinical team.Please welcome Dr. Katie McQueen to the show. We had the honor of listening to one of the many educational sessions she provides for staff and residents. She joined us in her office to discuss addiction and co-occurring disorders. Join us for an eye opening discussion about the full spectrum of addiction disorders with some special focus on food addiction. Katie McQueen, MD, is a nationally recognized expert in the field of addiction medicine. She has written several book chapters and articles related to addiction and has lectured extensively on screening, brief intervention, and referral to treatment (SBIRT), as well as prescription drug misuse, and addiction as a medical disorder. While on faculty at Baylor College of Medicine and UTHSC-Houston, Dr. McQueen developed and was the Medical Director for InSight, the State of Texas SBIRT program. InSight screened more than 90,000 Harris County residents for substance use problems and provided both brief intervention and more intensive services when appropriate to more than 20,000 patients. Her pioneering work in SBIRT has been recognized by the Office of National Drug Control Policy and the Substance Abuse and Mental Health Services Administration. Prior to joining the medical staff at La Hacienda she practiced Internal Medicine and Addiction Medicine in Houston, Texas.For more information please visit www.lahacienda.com.
Host Jeff Olivet speaks with Andy Matthews, a Project Amp mentor in Philadelphia. Project Amp, an initiative of the Center for Social Innovation, is a brief mentorship intervention developed in partnership with Young People in Recovery and funded by the Conrad N. Hilton foundation. Project Amp explores the role young adults in recovery can play in adolescent substance use prevention and early intervention. It builds on a model of screening, brief intervention, and referral to treatment, or SBIRT. Project Amp recently tested the approach in communities across the country, including the PHMC clinic in Philadelphia. Andy Matthews served as a Project Amp mentor in that community.
Host Jeff Olivet speaks with Andy Matthews, a Project Amp mentor in Philadelphia. Project Amp, an initiative of the Center for Social Innovation, is a brief mentorship intervention developed in partnership with Young People in Recovery and funded by the Conrad N. Hilton foundation. Project Amp explores the role young adults in recovery can play in adolescent substance use prevention and early intervention. It builds on a model of screening, brief intervention, and referral to treatment, or SBIRT. Project Amp recently tested the approach in communities across the country, including the PHMC clinic in Philadelphia. Andy Matthews served as a Project Amp mentor in that community.
Referral to Treatment and SBIRT Role Plays