Overview of Hospital Based Addiction – Enduring Activity

Overview of Hospital Based Addiction – Enduring Activity is organized by Rowan-Virtua School of Osteopathic Medicine (SOM).

ENDURING WEBINAR: January 26, 2024 – END DATE: January 30, 2027

Description:
This is an enduring webinar that will use a standardized, evidence-based substance use disorder (SUD) prevention, treatment, harm reduction, and recovery curriculum to train and inform health care licensees with prescribing authority, in compliance with federal and state statutory and regulatory guidelines. This enduring course is designed to inform New Jersey health care professionals on a comprehensive overview of hospital-based addiction care in both emergency medicine (EM) and inpatient care settings, from management of the most common substance use disorders (SUDs) to managing patient-directed discharge to harm reduction strategies.

Learning Objectives:
At the conclusion of this activity, participants will be able to:

1. Discuss the neurobiology of addiction, addiction cycle framework (binge/intoxication, withdrawal, and preoccupation/anticipation), and neuroadaptations in the domains of increased incentive salience, decreased brain reward and increased stress, and compromised executive function.

2. Identify the historical origins of the overdose crisis and influence of policy on its flaws and progressions, and discuss trends and statistics pertaining to medication for addiction treatment (MAT) and lack of access and barriers to utilization.

3. Recommend reasoning for screening, brief intervention, and referral for treatment (SBIRT) of patients with substance use disorder (SUD) in emergency medicine (EM) and inpatient care settings, and compare various screening methodologies for predicting aberrant substance-related behavior among patients receiving opioids for chronic pain management, and those using illicit fentanyl, heroin, and other substances.

4. Recognize chronic pain management strategies to minimize or avoid the use of opioids for pain management with a special focus on alternative pain therapies including Alternatives to Opiates (ALTO®) and adjunctive treatments to opioids for acute and chronic pain including osteopathic manipulative therapy (OMT).

5. Distinguish differences between the three Food and Drug Administration (FDA)-approved forms of medication for addiction treatment (MAT) for opioid use disorder (OUD), other forms of evidence-based treatment for other substance use disorders (SUD), and treatment decisions in emergency medicine (EM) and inpatient care settings guided by the effectiveness of modalities across the continuum of OUD and other SUD severity.

6. Implement integration of medication for addiction treatment (MAT) into emergency medicine (EM) and inpatient care setting clinical workflows, and articulate the influence of MAT guidelines and policies.

7. Integrate substance withdrawal management and stabilization in emergency medicine (EM) and inpatient care settings with focus on special populations including people who inject drugs (PWID), patients with co-occurring disorders (COD), pregnant people, adolescents and young adults (AYA), and older adults.

8. Demonstrate reasoning for increased patient access to psychiatric providers and behavioral health clinicians for co-occurring disorders (COD), and primary care providers (PCP) and infectious disease (ID) specialists for human immunodeficiency virus (HIV), hepatitis B (HBV), and hepatitis C (HCV) testing.

9. Identify the significance of harm reduction strategies and policies as a social and health care intervention for people who use drugs (PWUD) including people who inject drugs (PWID), with a special focus on lifesaving risk mitigation strategies including naloxone, fentanyl test strips (FTS), syringe services programs (SSP), and safer drug consumption services (SCS).

10. Develop best practices for teaching evidence-based and comprehensive addiction medicine curricula to medical students, residents, and fellows.