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 writing

h>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 in addiction treatment program

•  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 large

h>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 Program

h>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  

Youth program

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

The Beginnings at GCOP

Youth program

What Have We Been Up to Lately?

Youth program

2nd Place Winners at APhA-ASP Annual Meeting

Youth program

Where are We Going from Here?

Youth program

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

Developed by The Ohio State University College of Pharmacy

This program is made possible with a grant from the Cardinal Health Foundation