Successful Strategies for Community Change: Part 1 Dr. Sarah Melton Associate Professor of Pharmacy Prac;ce, Ga>on College of Pharmacy Prac;ce Dr. Andrew Kolodny President, Physicians for Responsible Opioid Prescribing
Learning Objec;ves 1. Inves;gate grassroots advocacy strategies to get involved to limit prescrip;on drug abuse. 2. Inves;gate the eﬀec;veness of adding addic;on educa;on into healthcare curriculums. 3. Outline strategies to coordinate eﬀorts between community advocates and clinicians to stop prescrip;on drug abuse.
Disclosure Statement • Sarah Melton has no ﬁnancial rela;onships with proprietary en;;es that produce health care goods and services. • Chris Lopez has no ﬁnancial rela;onships with proprietary en;;es that produce health care goods and services. • Jake Peters has no ﬁnancial rela;onships with proprietary en;;es that produce health care goods and services. • Andrew Kolodny has no ﬁnancial rela;onships with proprietary en;;es that produce health care goods and services.
Integration of Addiction Education Throughout the Curriculum Sarah T. Melton, PharmD, BCPP, BCACP, CGP, FASCP Associate Professor of Pharmacy Practice Omni Orlando Resort at ChampionsGate April 4, 2013
Didactic Program• Introduction to Pharmacy – Virginia Pharmacists Aiding Pharmacists Program• Basic Sciences – Pharmacology – 6 hours – Toxicology – 6 hours with elective optional• Law courses – Ethics – Controlled substance regulations – Prescription Monitoring Programs• Communications – Patient education Opioid dependence case, education about disease of addiction, treatment with buprenorphine – Objective structured clinical examination
Didactic Program• Pharmacotherapy Sequence – 12-hours of substance abuse – 6-hours of tobacco cessation • Rxforchange Program; University of California, San Francisco • http://rxforchange.ucsf.edu – 9-hours of pain management • Universal precautions in prescribing controlled substances • Controlled substance agreements • Urine drug screening • Monitoring function • Great resource: Virginia Commonwealth University School of Medicine Pain Education – http://www.paineducation.vcu.edu/
Mission-‐Focused Elec;ve – Once a week, 1.5 hour sessions – 2-week abstinence project – Required attendance at NA, AA, and Celebrate Recovery Meetings – Required reading • Book regarding addiction • Reflective writingh>p://www.cnsproduc;ons.com
Experiential : Opioid treatment program (interdisciplinary)• Introductory Pharmacy Practice Experience• Advanced Pharmacy Practice Experience• Service Program – Urine drug screening (collection, reading and documenting) – Group therapy – Individual therapy with addiction counselor – Confirming support group sessions – Attending NA/AA/Celebrate Recovery – Film counts
Students involved inaddiction treatmentprogram• Research• Building relationships• Special populations• Public health• Fighting the stigma
Service Drug Disposal Programs• DEA National Take-Back Initiative• American Medicine Chest Challenge
Service• Student organiza;on projects – Great American Smokeout – Informa;onal resources in grocery stores – Community educa;on programs – Opioid dependence program
Providing Continuing Education • Interdisciplinary, case-based – Discuss, strategize, and problem-solve complex patient cases – Focus on collaboration, communication and practice efficiencies – Form small groups to discuss their cases and reassemble to report outcomes to the group at largeh>p://www.etsu.edu/com/cme/SubstanceAbuse.aspx
Providing Continuing Education • Prescription Drug Abuse Education Forum – 4- or 8-hour CE for prescribers and pharmacists – Mandatory attendance required by students – Collaboration with One Care of Southwest Virginia and the Medical Society of Virginia – Six 4-hour CE sessions thus far – reached 600 providers • Topics – Addiction as a Disease – Virginia Prescription Monitoring Program – Law Enforcement: What is Happening on the Streets? – Methadone and Buprenorphine treatment – Appropriate Prescribing Habits – from perspective of an attorney – Recovery and non-pharmacological management – Health Practitioners Monitoring Programh>p://www.etsu.edu/com/cme/msvprescrip;on.aspx
Faculty and Staﬀ Development • Guest speakers – Industry – Health Department – Pharmacists Aiding Pharmacists Program – Law enforcement • Development – Signs and symptoms of dependence, abuse and withdrawal – Policies and procedures – Training preceptors in Screening, Brief Interven;on and Referral to Treatment (SBIRT) – Pharmacists Recovery Network (h>p://www.usaprn.org/)
Partnering with Stakeholders • Na;onal Associa;on of Boards of Pharmacy – Commercial sample h>p://www.nabp.net/programs/consumer-‐protec;on/awarxe/
Partnering with Stakeholders Mission One Care of Southwest Virginia is commi>ed to decreasing substance abuse and misuse, and related social, economic and health factors through planning, policy, data, and advocacy.
University of Utah School on Alcoholism and Other Drug Dependencies • Recognized interna;onally • Keep pace with increased awareness of the health and social problems of alcoholism and other drug dependencies • All areas of these problems are presented in training sessions for professional and lay personnel • The School provides students with the latest methods and techniques for working eﬀec;vely in their respec;ve disciplines h>p://medicine.utah.edu/uas/index.htm
National Rx Abuse Summit Update Chris Lopez, PharmD Candidate 2014 Jake Peters, PharmD Candidate 2015 April 4, 2013 Youth program
What is Generation Rx?• A program developed by The Ohio State University and the American Pharmacists Association along with the Cardinal Health Foundation to “Prevent the abuse and misuse of prescription medications.” Youth program
We’re on the Web• General Generation Rx Websitehttp://gattoncopgenerationrx.weebly.com/index.html• Generation Rx Provider Toolkit Websitehttp://etsugenerationrxprovidertoolkit.weebly.com/index.html• Don’t forget to “Like” us on Facebook Youth program
Developed byThe Ohio State UniversityCollege of PharmacyThis program is made possiblewith a grant from theCardinal Health Foundation Youth program