Advocacy Workshop, National Rx Drug Abuse Summit, April 2-4, 2013. Advocacy Workshop: Successful Strategies for Community Change - Part 1 presentation by Dr. Sarah Melton and Dr. Andrew Kolodny.

1. 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

2. 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.

3. 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.

4. 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

5. 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

6. 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/

7. 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 writing
h>p://www.cnsproduc;ons.com

8. 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

9. Students involved in
addiction treatment
program
• Research
• Building relationships
• Special populations
• Public health
• Fighting the stigma

10. Service
Drug Disposal Programs
• DEA National Take-Back Initiative
• American Medicine Chest Challenge

11. Service
• Student
organiza;on
projects
– Great
American
Smokeout
– Informa;onal
resources
in
grocery
stores
– Community
educa;on
programs
– Opioid
dependence
program

12. 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
large
h>p://www.etsu.edu/com/cme/SubstanceAbuse.aspx

13. 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 Program
h>p://www.etsu.edu/com/cme/msvprescrip;on.aspx

14. 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/)

15. Partnering with Stakeholders
• Na;onal
Associa;on
of
Boards
of
Pharmacy
– Commercial
sample
h>p://www.nabp.net/programs/consumer-­‐protec;on/awarxe/

16. 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.

17. 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

18. National Rx Abuse Summit Update
Chris Lopez, PharmD Candidate 2014
Jake Peters, PharmD Candidate 2015
April 4, 2013
Youth program

19. 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

20. The Beginnings at GCOP
Youth program

21. What Have We Been Up to Lately?
Youth program

22. 2nd Place Winners at APhA-ASP Annual Meeting
Youth program

23. Where are We Going from Here?
Youth program

24. We’re on the Web
• General Generation Rx Website
http://gattoncopgenerationrx.weebly.com/index.html
• Generation Rx Provider Toolkit Website
http://etsugenerationrxprovidertoolkit.weebly.com/index.html
• Don’t forget to “Like” us on Facebook
Youth program

25. Developed by
The Ohio State University
College of Pharmacy
This program is made possible
with a grant from the
Cardinal Health Foundation
Youth program