Overdose Deaths Involving Psychostimulants Have Increased
Drug overdose deaths involving psychostimulants, such as cocaine and methamphetamine, have increased drastically in the United States over the past decade, particularly after the rise of the opioid epidemic in 2014. From 2010 to 2019, overdose deaths involving psychostimulants were nearly 16 times higher than in the decade prior. Additionally, since 2016, overdose deaths in polysubstance use, such as psychostimulants in combination with synthetic opioids, have increased sharply.
Source: CDC WONDER
How Is ORN Responding?
In October 2020, ORN broadened its scope to include education and training to address misuse of psychostimulants. To build capacity to respond to requests in this area, ORN built a diverse team with experience in prevention, treatment and recovery of stimulant use disorder (StUD) from across the continuum of care. Co-chaired by Frances R. Levin, MD, and Bryan Hartzler, PhD, this workgroup leads the network’s efforts in identifying educational resources, vetting consultants, and creating training materials as needed. Nearly two dozen new consultants with StUD expertise have been added to ORN's national network of nearly 800 consultants -- with hundreds more available to support on request. Additionally, ORN's bank of evidence-based resources has been updated with new StUD specific material to support education and training in that area.
How can ORN help you? Visit www.OpioidResponseNetwork.org to submit a request for StUD training and/or education. Within one business day a technology transfer specialist will respond to learn more about your request and determine how ORN can help.
This data spotlight is part of a monthly series brought to the Impact Bulletin by ORN partner organization, RTI International. Stay tuned for more.
Funding for this initiative was made possible (in part) by grant no. 1H79TI083343 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
New and upcoming resources and trainings (all free!) from the Opioid Response Network (ORN). Do you have needs for education and training in the prevention, treatment and recovery of opioid use disorders and stimulant use? Learn more and submit a request at www.OpioidResponseNetwork.org.
Hot Topic Webinars from the American Osteopathic Academy of Addiction Medicine
Northwest Portland Area Indian Health Board Launches Behavioral Health ECHO Program
Clinicians serving American Indian and Alaska Native people are invited to participate in the Behavioral Health ECHO Program operated by the Northwest Portland Area Indian Health Board in partnership with the ORN. The program provides comprehensive information for clinicians to integrate evidence-based treatment with holistic, trauma informed and culturally appropriate care. CE will be offered. More here.
Adoption of Virtual Services in Judicially Led Diversion Programs Preliminary Findings: National Center for State Courts Report
The National Center for State Courts, Rulo Strategies and the Wayne State University Center for Behavioral Health and Justice, in partnership with the ORN, conducted one of the first nationwide explorations of virtual services in judicially led diversion programs since March 2020. The focus of the subsequent report is judicially led diversion programs, an umbrella term that encompasses drug courts, opioid courts, and recovery-oriented compliance dockets. Access here.
New Boston Medical Center App Provides Information, Guidance for Treating Patients with Opioid Use Disorder
Boston Medical Center, with the ORN, created an app that provides guidelines and resources for treating opioid use disorder with buprenorphine and naltrexone. Information on opioid use disorder treatment with methadone and pain management strategies are also included. Access via The Apple App Store and Google Play Store.
American Psychiatric Association Launches Medications for Opioid Use Disorder Virtual Learning Collaboratives
In partnership with the ORN, the American Psychiatric Association has launched a series of four 8-week virtual learning collaboratives on topics focused on using medications for opioid use disorder to treat patients. Each collaborative is led by a faculty expert and participants will earn up to 8.0 CMEs by completing various activities such as watching pre-recorded webinars, calling into office hours, participating in group discussions, analyzing case vignettes, and completing an individual project. More here.
PCSS-X is a free, six-session course that was created to give practitioners guidance on implementing medications for the treatment of opioid use disorder (OUD) into your practice. The first live Zoom session is Thursday April 8 at 3:00 pm ET.
PCSS-X is intended for an interprofessional audience, and participants are welcome to attend whichever sessions are most relevant to their current situation. Please go here for a summary of each session. Prescribers with frontline experience prescribing medications for OUD and developing clinic workflows will be available during each session to answer participants’ questions and discuss real-world cases.
SESSION 1 – EXPLORE, PART 1 – April 8 AT 3:00 PM ET
Facilitator: Sherry Larkins, PhD, Director of International Programs and Research Sociologist, Integrated Substance Abuse Programs at the University of California, Los Angeles – Semel Institute for Neuroscience and Human Behavior
Cost: No fee
Target Audience: Physicians, nurse practitioners or other advanced practice nurses, PAs, psychologists, social workers, clinical administrators and healthcare teams.
Credit Designations Available: AMA PRA Category 1 Credit™, Nursing Contact Hours, AAPA Category 1 CME credit, SW CE credit, and Interprofessional Continuing Education (IPCE) credit.
Webinar Description: Have you considered prescribing Medications for Opioid Use Disorder (MOUD) to treat your patients with opioid use disorder (OUD)? Have you wondered what is required to prescribe buprenorphine or other pharmacotherapies? If you answered yes to either or both of these questions, this PCSS Exchange session could provide you with the critical information and steps in determining the readiness of your site and clinical leadership. Initiating MOUD into your setting requires that you understand how pharmacotherapies work, including buprenorphine and its various formulations. Programs must think through the business case for service expansion and strategize how to best engage key staff.
Educational Objectives: At the conclusion of Session 1, participants should be able to:
Go here for more CME information.
The American Osteopathic Academy of Addiction Medicine (AOAAM) is a partner of the Opioid Response Network, a coalition of 40 national organizations. The Physician Assistant Education Association (PAEA) is collaborating with the AOAAM to connect OUD-focused clinical sites with PA education programs. The goal is that collaboration will bolster the behavioral health workforce with qualified, well-trained, early-career practitioners.
PA students joining clinical sites for their rotations will be ready to apply their broad medical and behavioral health training to provide team-based psychiatric care, MAT, and primary care. With expanded OUD-treatment training and experience, these graduates will improve access to care for behavioral health practices and increase the availability of providers, helping to address health disparities related to OUD.
By participating in the program, behavioral health clinical sites will be connected with PA programs seeking to set up full-time, supervised, 4- to 8-week rotations for their students. Any honorariums or other compensation will need to be negotiated with the participating PA programs.
PAEA is specifically seeking training sites in New Hampshire, North Carolina, Kentucky, California, Northern Virginia, and Maryland. They are also immediately seeking a clinical placement specialist at Wichita State University in Kansas. They have lost two clinical sites placing graduation for several students in jeopardy. Placement for the following dates
Suspected Opioid Overdoses Increased During the Pandemic
Suspected opioid overdoses reported from over 2,600 agencies across the United States showed an increase in the months following the onset of the COVID-19 pandemic. From March to May 2020, 62 percent of agencies in counties that provided data reported an increase in suspected overdose submissions.
Source: Overdose Detection Mapping Application Program (ODMAP)
ODMAP submissions January 1, 2020 to March 18, 2020 compared to March 19, 2020 to May 19, 2020
How Has ORN Responded?
One example: Early in the pandemic, the Opioid Response Network (ORN) identified urgent need for education and training regarding changing regulations and guidance concerning the use of telehealth/telemedicine in the management of substance use disorders to help combat a suspected increase in overdoses. One response came from ORN partner, the American Osteopathic Academy of Addiction Medicine, which created a telehealth webinar series. Over 4,000 individuals registered to learn about: federal telehealth regulations; strategies for conducting group and individual sessions; and management of opioid use disorder in the context of social distancing, stay at home, and shelter in place orders. Access the webinars here and other ORN COVID-19 resources here.
This data spotlight is the first in a new monthly series brought to the Impact Bulletin by ORN partner organization, RTI International. Stay tuned for more.
About the Opioid Response Network (ORN):
ORN provides free, localized training and education for states, communities, organizations and individuals in the prevention, treatment and recovery of opioid use disorders and stimulant use. Learn more and submit a request at www.OpioidResponseNetwork.org.
Alter, A. 2020. COVID-19 impact on US national overdose crisis. Overdose Detection Mapping Application Program. Retrieved from here.
Funding for this initiative was made possible (in part) by grant nos. 1H79TI083343 and 6H79TI080816 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
One of the benefits of AOAAM membership is the opportunity to earn CME. Members can receive 3 AOA Category 1-B CME credits as a peer reviewer for manuscripts submitted to the Journal of Addictive Diseases for publication consideration. If you are interested in this opportunity please send a short email to R. Gregory Lande, DO at JAD@aoaam.org describing your interest and experience reviewing manuscripts along with your CV. If you have limited experience with peer reviewing we can provide guidance and support to facilitate your contributions to academic publishing.
We are pleased to announce that the American Osteopathic Academy of Addiction Medicine is a National Advocacy Partner for the 2021 Addiction Medicine Advocacy Conference to be held on March 22-March 23.
We are excited to join the American Society of Addiction Medicine (ASAM) and the other National Advocacy Partners for this two-day virtual advocacy event. We look forward to advancing addiction medicine together by advocating for legislative objectives that support addiction prevention and treatment and the professionals working every day to save patient lives.
The deadline to register is March 1, 2021. Attendance is for ASAM members only. To become an ASAM member, click here. ASAM members can register for the2021 Addiction Medicine Advocacy Conference by clicking here.
We value your participation in this year’s advocacy conference and look forward to an active collaboration in 2021 on behalf of the millions of people who need and deserve evidence-based addiction prevention and treatment.
Hope to “see” you in March!
We want to make you aware of an upcoming event on Thursday, October 22, 2020, at 2pm EST. CDC's upcoming Clinician Outreach and Communication Activity (COCA) webinar on this date will feature subject matter experts from CDC, the Substance Abuse and Mental Health Services Administration (SAMHSA), and the American Society for Addiction Medicine (ASAM) to highlight existing resources and exceptions for clinicians who prescribe medications for opioid use disorder, increase awareness of existing community-based linkage to care resources, and discuss the outpatient telemedicine experience from a front-line provider perspective. You can find more information about this call, including the webinar link and dial-in numbers, at this link: https://emergency.cdc.gov/coca/calls/2020/callinfo_102220.asp
Many of you who have been attending our monthly external stakeholder listening sessions have expressed the importance of increasing awareness on these topics among providers and identifying additional resources for the communities you serve. We are excited about the forum this call will provide and hope that it can spurn additional conversations through our recurring listening sessions. Our next session is scheduled for October 30th at 1pm, and we hope you all can join us as we continue to discuss opportunities to enhance resources and linkage to care among persons who use drugs or have substance use disorder.
Many thanks for the incredible work you all do.
Amy Board, Unit LeadPersons Who Use Drugs or Have Substance Use Disorder
Disproportionately Affected Populations Team
Community Interventions and Critical Populations Task Force
CDC COVID-19 Response
The AOAAM Addiction Medicine Board Certification Review Course is now open for registration. This course has been specifically designed to assist physicians who have qualified to take the American Osteopathic Association’s subspecialty certification exam in Addiction Medicine. Those planning to take the OCC (Recert) examination will also find this course immensely useful.
The initial exam for AOA Addiction Medicine certification is scheduled for December 7-13, 2020. The OCC (Recert) Addiction Medicine Examination is also scheduled at this time
View more details on the AOA website.
Eligible DOs can obtain the certification after spending 1,000 practice hours on Addiction Medicine over a two-year period.
Wednesday, August 5, 2020
To help increase the number of physicians who are certified addiction specialists—which the nation needs more of as it battles an opioid epidemic—AOA Certifying Board Services recently began offering a clinical pathway to AOA board certification in Addiction Medicine.
This certification is available to DOs who are AOA or ABMS board-certified in a primary specialty. To be eligible for the certification’s clinical pathway, they must have spent a minimum of 1,000 practice hours over a two-year period on Addiction Medicine. The two years of practice do not need to be continuous; however, they must have taken place in the five-year period prior to application.
At least half of the practice hours must be devoted to direct patient care. The other half can include activities such as published research, teaching activities within an accredited medical school or ACGME residency, and live or recorded live CME activities.
In 2018, over 67,000 people died from drug overdoses in the U.S., a significantly higher number than died in car accidents that year. Now, experts fear that the COVID-19 pandemic is worsening the opioid epidemic, with some areas reporting dramatic increases in the number of opioid-related deaths.
The nation has a shortage of physicians who are certified addiction specialists, according to a 2017 White House report. In 2009, it was estimated that the nation needed at least 6,000 such specialists, the report noted. In 2017, there were only 4,400 certified addiction specialists in the U.S., and demand would have been even greater than in 2009 due to the worsening opioid epidemic.
To assist patients with substance use disorder in accessing high-quality health care, the AOA is committed to credentialing physicians who have specialized knowledge of addiction medicine, says AOA President Thomas L. Ely, DO.
“Many communities across the country are reeling from the double blows of the opioid epidemic and the COVID-19 pandemic,” he says. “Each has been devastating for countless families and stretched many public health departments to the breaking point.
“Increasing the pool of physicians who are certified in addiction medicine is necessary to provide greater access to high-quality treatment among patients with substance use disorders. Our DOs are eager to address substance use disorders using a whole-person approach to care.”
The clinical pathway will be available for three years following the first administration of the initial exam.
During this period, AOA Addiction Medicine certification will also be available to DOs who have completed an AOA- or ACGME-accredited fellowship in Addiction Medicine, DOs with active American Board of Addiction Medicine certification, and DOs who completed an American College of Academic Addiction Medicine fellowship within the five years prior to applying.
Following the end of the three-year period, physicians will only be able to qualify for AOA subspecialty certification in Addiction Medicine by completing an ACGME-accredited addiction medicine fellowship.
The AOA Bureau of Osteopathic Specialists is currently reviewing eligibility criteria for MDs to obtain AOA subspecialty certification in Addiction Medicine.
The initial exam for AOA Addiction Medicine certification is scheduled for Dec. 7-13, 2020. View more details on the exams page.
More information about the certification, eligibility and required documentation is available in this FAQ.
R Gregory Lande
The American Civil War resulted in massive numbers of injured and ill soldiers. Throughout the conflict, medical doctors relied on opium to treat these conditions, giving rise to claims that the injudicious use of the narcotic caused America’s post-bellum opium crisis. Similar claims of medical misuse of opioids are now made as America confronts the modern narcotic crisis. A more nuanced thesis based on a broader base of Civil War era research suggests a more complex set of interacting factors that collectively contributed to America’s post-war opium crisis.
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The mission of the American Osteopathic Academy of Addiction Medicine is
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disease of addiction.
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