How To Treat An Addict
|
|
- Earl Small
- 3 years ago
- Views:
Transcription
1 Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependency Pompidou Treatment Platform, Cyprus, May 2009 Helle Petersen Senior Medical Officer National Board of Health Denmark
2 Agenda A national strategy for improving quality and safety in the medical treatment of drug addiction in Denmark 1. Overview: Epidemiology, history & legal framework : Guidance : Quality Improvement Proces
3 Epidemiology - Denmark 5 mio inhabitants drug abusers opioids (+BZ, cocaine, alcohol etc) cannabis in addiction treatment programs opioid substitution treatment 90 % methadone 10 % buprenorphine
4 Denmark infrastructure 5 Regions: Hospitals Psychiatry General Practitioners 98 municipalities: Medical and social treatment for drug addiction Social care
5 Organization of medical treatment of opioid addiction in Denmark The municipality is responsible for providing social & medical treatment for drug addiction Only doctors in the municipality and in the criminal system can prescribe long- term opioid substitution treatment No specialist qualifications in addiction medicine
6 Short History of Substitution Therapy in DK 1970 Methadone only used in short detox-programs 1980 Methadone maintenance therapy runned by General Practitioners counties take over, first full-time employed doctors in addiction treatment programs 2007 Structure reform, 98 municipalities take over 2007 Buprenorphine first-line drug 2008 Guidance on Medical Treatment of Drug Abusers in Substitution Therapy for Opioid Dependence 2009 Implementation of a national quality assurance system
7 Structural Characteristics Treatment for drug addiction placed in the social system Distinction between the social and the medical treatment of drug abuse Regulation by different laws (Health Act & Social Act) and different Ministries The medical treatment plan is part of the social action plan No specialization in addiction medicine Limited research tradition in addiction medicine in DK No coordination between alcohol- and drug abuse treatment Lack of medical ressources and recruitment Limited tradition for documentation in the social treatment
8 Needs for Quality Improvement (QI) in Opioid Maintenance Treatment Quality assurance systems appears in health care sector (Hospitals, General Practise) in the late 1990ties Danish Society of Addiction Medicine: Several conferences and study trip to the Netherlands (reform, Resultaten Score-program) 2004 Governmental decision & funding of QI of Methadone Treatment 2008 Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependence 2009 Quality Assurance of Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependence
9 Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependence, July 2008 Overall purpose: Reduction of drug-related morbidity and mortality Law based Specifies the care and conscientiousness that must be exercised by doctors providing drug users with medical treatment The process: Project manager: full time for 2½ year Expert panels (addiction field, family medicine, psychiatry, infection medicine, gynaecology, lab-medicine etc.) Reference group: Ministries of Health and Social Affairs, Local Government Denmark, Prison and Probation Service, Centre for Alcohol and Drug Resarch, Danish Society of Addiction Medicine Duration Costs: 3 mio DDK (0.4 mio )
10 Target group for the guidance Medical doctors providing treatment for opioid dependent individuals municipal treatment systems for drug abuse general practitioners the Prison and Probation Service All other doctors providing treatment for drug addicts hospitals (ex. emergency wards, psychiatric hospitals, departments for infectious medicine, gyn&obstetrics) Administrators in municipalities & local treatment systems
11 Standards for quality in medical services in drug addiction treatment Organization, law, responsibilities Diagnosis of drug abuse Somatic comorbidity (e.g. bacterial infections, TB, COLD ) Viral infections (hiv, hepatitis A,B,C) Psychiatric comorbidity Opioid pharmacotherapy Multiple substance abuse Urine analysis Prevention of pregnancy Pregnancy in opioid addiction
12 Method Practitioners handbook 1. Projectleader Professionel knowledge & experience Formulation of clinical relevant problems/topics Comprehensive study search Draft for each standard/chapter 2. Approval of each standard/chapter by relevant expert group 3. Final approval by reference group (decicion/policy makers) 4. Public hearing (users org., professionals, adminstr.)
13 What are new standards? Diagnosis and medical treatment of drug abuse Buprenorphine, first-line Methadone, second-line (2009: inj. heroin) Diagnosis of drugrelated somatic and mental problems and referral to relevant treatment Follow-up, case management, in cooperation with GPs and hospitals Regular medical examinination e.g. by admission and once a year Rutine serological screening for hiv and hepatitis Systematic vaccination (Hepatitis A+B) All women offers referral to rutine gynecological tjeck up by admission (smear, cervical dysplasi) and ad hoc Advise about STD & contraceptives
14 Quality assurance system from 2009 Primary goals: To estimate compliance to the law based guidance Assurance of consistent and acceptable quality of the most significant medical core services Systematic measurement of structure, proces and performance of medical treatment facilities in municipalities Identifying lack in quality Basis for continuing quality development of the medical services in the treatment of drug addiction Contribute to the organisational planning of treatment in the municipality Monitorering medical services in the municipal drug addiction treatment system
15 Methodes for the quality assurance system Definition of 20 clinical useful indicators for core medical services in relation to standards defined in the guidance Expert panel IT-monitoring system with central database Municipalities collect data for medical treatment at all addiction treatment programs Municipalities will get access to data Feedback from National Board of Health Report anually Summary data permitting comparisons over time across the country between municipalities within a municipality
16 Indicators All doctors must once a year collect data for all new patients on services delivered in relation to medical examination screening for mental disorders medical treatment plan serological screening (hepatitis, hiv) vaccination (hep A+B) prescription of buprenorphin for new in treatment ECG at methadon dose > 120 mg prescription of benzodiazepine > 4 weeks treatment for alcohol addiction anticonception counseling Standard questionnaire in all medical files
17 Municipalities & economy Municipalities collect data from the questionnaires in the medical files at all treatment programs and report data (as pro rata share of all new patients) to a central database in the National Board of Health Price of the system: 10 mio Dkr (1,35 mio Euro) a year to the municipalities ¼ mio Dkr ( Euro) a year to the National Board of Health to management, evaluation, feedback
18 Contacts Link: Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependency Guide_Substtreatm_Drugabuse.pdf
Development of the guidelines on the pharmacotherapy of addiction case study Croatia
Development of the guidelines on the pharmacotherapy of addiction case study Croatia Croatia Marina Kuzman Dragica Katalinic Croatian National Institute of Public Health Cyprus, 2009. Drug use and drug
More informationResources for the Prevention and Treatment of Substance Use Disorders
Resources for the Prevention and Treatment of Substance Use Disorders Table of Contents Age-standardized DALYs, alcohol and drug use disorders, per 100 000 Age-standardized death rates, alcohol and drug
More informationAddiction Psychiatry Fellowship Rotation Goals & Objectives
Addiction Psychiatry Fellowship Rotation Goals & Objectives Table of Contents University Neuropsychiatric Institute (UNI) Training Site 2 Inpatient addiction psychiatry rotation.....2 Outpatient addiction
More informationSupervision on the borderline of health and social care. Nordic Supervisory Conference Helsinki 1.-2. oktober 2015
Nordic Supervisory Conference Helsinki 1.-2. oktober 2015 Parallel supervisory visits in Denmark Treatment areas with supervisory visits from the Danish health and medicines authority and the Danish social
More informationOutpatient/Ambulatory Health Services
Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician
More informationNon medical use of prescription medicines existing WHO advice
Non medical use of prescription medicines existing WHO advice Nicolas Clark Management of Substance Abuse Team WHO, Geneva Vienna, June 2010 clarkn@who.int Medical and Pharmaceutical role Recommendations
More informationOpioid Treatment Guidelines. Denis G. Patterson, DO University of Nevada, Reno 7/15/2015
Opioid Treatment Guidelines Denis G. Patterson, DO University of Nevada, Reno 7/15/2015 Opioid Treatment Guidelines Opioid Treatment Guidelines Chronic opioid therapy to treat chronic non-cancer pain (CNCP)
More informationObjectives: Perform thorough assessment, and design and implement care plans on 12 or more seriously mentally ill addicted persons.
Addiction Psychiatry Program Site Specific Goals and Objectives Addiction Psychiatry (ADTU) Goal: By the end of the rotation fellow will acquire the knowledge, skills and attitudes required to recognize
More informationSubstance Abuse During Pregnancy: Moms on Meds. Jennifer Anderson Maddron, M.D LeConte Womens Healthcare Associates
Substance Abuse During Pregnancy: Moms on Meds Jennifer Anderson Maddron, M.D LeConte Womens Healthcare Associates 2010 National Survey on Drug Use and Health An estimated 4.4% of pregnant women reported
More informationGetting help for a drug problem A guide to treatment
Getting help for a drug problem A guide to treatment Who we are The National Treatment Agency for Substance Misuse is part of the National Health Service. We were set up in 2001 to increase the numbers
More informationCollaborative Care for Pregnant Women with Substance Use Disorders
Collaborative Care for Pregnant Women with Substance Use Disorders Alane O Connor DNP Maine Dartmouth Family Medicine Residency MaineGeneral Medical Center Dartmouth Medical School Vanderbilt University
More informationAproved by order No 702 as of 22 12 1997 by the Ministry of Health Care
Translation form Lithuanian THE MINISTRY OF HEALTH ORDER OF THE REPUBLIC OF LITHUANIA 22 12 1997 No 702 Vilnius Conformation of the application procedure of Substitution therapy to opioid addicts In September
More informationVarious therapies are used in the
National Survey of Substance Abuse Treatment Services The N-SSATS Report January 28, 2010 Overview of Opioid Treatment Programs within the United States: 2008 In Brief In 2008, a total of 1,132 (8 of all
More informationSpecialist Alcohol & Drug Services in Lanarkshire
Specialist Alcohol & Drug Services in Lanarkshire This brochure describes what help is available within Lanarkshire s specialist treatment services. These include the North Lanarkshire Integrated Addiction
More informationOffice-based Treatment of Opioid Dependence with Buprenorphine
Office-based Treatment of Opioid Dependence with Buprenorphine David A. Fiellin, M.D Professor of Medicine, Investigative Medicine and Public Health Yale University School of Medicine Dr. Fiellin s Disclosures
More informationTreatment of opioid use disorders
Treatment of opioid use disorders Gerardo Gonzalez, MD Associate Professor of Psychiatry Director, Division of Addiction Psychiatry Disclosures I have no financial conflicts to disclose I will review evidence
More informationThe prevalence of use of psychotropic drugs, buprenorphine and methadone on the streets, the polyuse of substances in Finland
The prevalence of use of psychotropic drugs, buprenorphine and methadone on the streets, the polyuse of substances in Finland Hannu Alho, Professor Unit on Prevention and Treatment of Addictions, National
More informationAPPLICATION/ INFORMATION PACKAGE
APPLICATION/ INFORMATION PACKAGE We are glad that you are considering coming to LIFE Recovery. For your safety and well-being, we would like you to understand what our expectations are once you are admitted
More informationThe Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office
The Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office Adopted April 2013 for Consideration by State Medical Boards 2002 FSMB Model Guidelines
More informationEPIDEMIOLOGY OF OPIATE USE
Opiate Dependence EPIDEMIOLOGY OF OPIATE USE Difficult to estimate true extent of opiate dependence Based on National Survey of Health and Mental Well Being: 1.2% sample used opiates in last 12 months
More informationBeyond SBIRT: Integrating Addiction Medicine into Primary Care
Beyond SBIRT: Integrating Addiction Medicine into Primary Care Community Clinic Association of Los Angeles County 14 th Annual Health Care Symposium March 6, 2015 Keith Heinzerling MD, Karen Lamp MD; Allison
More informationCare Management Council submission date: August 2013. Contact Information
Clinical Practice Approval Form Clinical Practice Title: Acute use of Buprenorphine for the Treatment of Opioid Dependence and Detoxification Type of Review: New Clinical Practice Revisions of Existing
More informationA Danish perspective on the treatment of substance users in Norway
Treatment reforms Denmark MADS UFFE PEDERSEN A Danish perspective on the treatment of substance users in Norway will try and follow suit and compare the development of the I Norwegian structure for dealing
More informationMEDICAL ASSISTANCE BULLETIN
ISSUE DATE SUBJECT EFFECTIVE DATE MEDICAL ASSISTANCE BULLETIN NUMBER *See below BY Prior Authorization of Opiate Dependence Treatments Pharmacy Service Leesa M. Allen, Deputy Secretary Office of Medical
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)
More informationTreatment of Prescription Opioid Dependence
Treatment of Prescription Opioid Dependence Roger D. Weiss, MD Chief, Division of Alcohol and Drug Abuse McLean Hospital, Belmont, MA Professor of Psychiatry, Harvard Medical School, Boston, MA Prescription
More informationOpioid Prescribing for Chronic Pain: Guidelines for Marin County Clinicians
Opioid Prescribing for Chronic Pain: Guidelines for Marin County Clinicians Although prescription pain medications are intended to improve the lives of people with pain, their increased use and misuse
More informationIdentifying and Managing Substance Use During Pregnancy
Identifying and Managing Substance Use During Pregnancy Joseph B. Landwehr, Jr., MD Director, Perinatal Center IU Health Ball Memorial Hospital OBJECTIVES Overview of illicit drug use in pregnant women
More informationOpioid Treatment Programs at the Baltimore City Detention Center
Opioid Treatment Programs at the Baltimore City Detention Center Greg Warren, MA, MBA Director of Substance Abuse Services Maryland Department of Public Safety and Correctional Services OTP Interventions
More informationMEDICAL ASSISTANCE BULLETIN
ISSUE DATE September 4, 2015 SUBJECT EFFECTIVE DATE September 9, 2015 MEDICAL ASSISTANCE BULLETIN NUMBER *See below BY Prior Authorization of Opiate Dependence Treatments, Oral Buprenorphine Agents - Pharmacy
More informationAn integrated approach to addressing opiate abuse in Maine. Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009
An integrated approach to addressing opiate abuse in Maine Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009 Background Defining the problem: Opiates pain relievers (OxyContin,
More informationTestimony of. Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment
Testimony of Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment New York City Department of Health and Mental Hygiene before the New York City
More informationAddiction Pharmacotherapies in Integrated Systems OPIOIDS
Addiction Pharmacotherapies in Integrated Systems OPIOIDS Univ. Prof. Dr.. Gabriele Fischer Department of Psychiatry Addiction clinic Medical University Vienna DELIVERY SYSTEMS FOR SUBSTANCE ABUSE TREATMENT
More informationRULES OF DEPARTMENT OF HEALTH DIVISION OF PAIN MANAGEMENT CLINICS CHAPTER 1200-34-01 PAIN MANAGEMENT CLINICS TABLE OF CONTENTS
RULES OF DEPARTMENT OF HEALTH DIVISION OF PAIN MANAGEMENT CLINICS CHAPTER 1200-34-01 PAIN MANAGEMENT CLINICS TABLE OF CONTENTS 1200-34-01-.01 Purpose 1200-34-01-.06 Notifications 1200-34-01-.02 Definitions
More informationDisclosure. C.R. Sullivan, MD 1. Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu. The West Virginia Model
West Virginia University School of Medicine BEHAVIORAL MEDICINE & PSYCHIATRY Morgantown, WV Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu Disclosure Reckitt Benckiser
More informationBrief intervention in a general hospital for problematic prescription drug use: Outcome at 3- and 12-month follow-up
Brief intervention in a general hospital for problematic prescription drug use: Outcome at 3- and 12-month follow-up Gallus Bischof, Anne Zahradnik, Christiane Otto, Brit Crackau, Ira Löhrmann, Ulrich
More informationDevelopments in the Norwegian overdose situation
Developments in the Norwegian overdose situation Thomas Clausen Professor (Dr. med) thomas.clausen@medisin.uio.no 16.-18. October 2013 Agenda The overdose-situation Development and trends National responses
More informationOpioid Treatment Services, Office-Based Opioid Treatment
Optum 1 By United Behavioral Health U.S. Behavioral Health Plan, California Doing Business as OptumHealth Behavioral Solutions of California ( OHBS-CA ) 2015 Level of Care Guidelines Opioid Treatment Services,
More informationTitle: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis
The American Association for the Treatment of Opioid Dependence, provider #1044, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org,
More informationHow To Understand The Benefits Of Heroin Assisted Treatment
Les rencontres de Biarritz ATHS 12 29.09. 02.10.2015 The role and function of heroin-assisted treatment at the system level Ambros Uchtenhagen Swiss Research Institute for Public Health and Addiction WHO
More informationMEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES. I. Requirements for Prior Authorization of Hepatitis C Agents
MEDICAL ASSISTANCE HBOOK PRI AUTHIZATION OF PHARMACEUTICAL SERVICES I. Requirements for Prior Authorization of Hepatitis C Agents A. Prescriptions That Require Prior Authorization Prescriptions for Interferon,
More informationAmerican Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Office-based Opioid Agonist Treatment (OBOT) BACKGROUND Methadone maintenance treatment of opioid addiction was developed in 1965 and implemented
More informationImpact of Systematic Review on Health Services: The US Experience
Impact of Systematic Review on Health Services: The US Experience Walter Ling MD Integrated Substance Abuse Programs (ISAP) UCLA The effectiveness of interventions for addictions: The Drug and Alcohol
More informationGuidelines for Cancer Pain Management in Substance Misusers Dr Jane Neerkin, Dr Chi-Chi Cheung and Dr Caroline Stirling
Guidelines for Cancer Pain Management in Substance Misusers Dr Jane Neerkin, Dr Chi-Chi Cheung and Dr Caroline Stirling Patients with a substance misuse history are at increased risk of receiving inadequate
More informationTREATMENT MODALITIES. May, 2013
TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.
More informationDependence and Addiction. Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania
Dependence and Addiction Marek C. Chawarski, Ph.D. Yale University David Metzger, Ph.D. University of Pennsylvania Overview Heroin and other opiates The disease of heroin addiction or dependence Effective
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call
More informationBehavioral Health Provider Implementation of Whole Health Integrative Treatment Services
Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services Maryland Integrative Learning Community Lynn H Albizo, Director of Public Affairs Maryland Addictions Directors
More informationPractice Protocol. Buprenorphine Guidance Protocol
Practice Protocol Buprenorphine Guidance Protocol Developed by the Arizona Department of Health Services Division of Behavioral Health Services Effective Date: 02/23/11 Title Buprenorphine Guidance Protocol
More informationDEPARTMENT OF PSYCHIATRY. 1153 Centre Street Boston, MA 02130
DEPARTMENT OF PSYCHIATRY 1153 Centre Street Boston, MA 02130 Who We Are Brigham and Women s Faulkner Hospital (BWFH) Department of Psychiatry is the largest clinical psychiatry site in the Brigham / Faulkner
More informationCommunity Based Treatment and Care for Drug Use and Dependence
CBTx Community Based Treatment and Care for Drug Use and Dependence Information Brief for Southeast Asia Community Based Treatment refers to a specific integrated model of treatment for people affected
More informationTreatment of Opioid Dependence: A Randomized Controlled Trial. Karen L. Sees, DO, Kevin L. Delucchi, PhD, Carmen Masson, PhD, Amy
Category: Heroin Title: Methadone Maintenance vs 180-Day psychosocially Enriched Detoxification for Treatment of Opioid Dependence: A Randomized Controlled Trial Authors: Karen L. Sees, DO, Kevin L. Delucchi,
More informationConsiderations in Medication Assisted Treatment of Opiate Dependence. Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT
Considerations in Medication Assisted Treatment of Opiate Dependence Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT Disclosures Speaker Panels- None Grant recipient - SAMHSA
More informationSouth Gloucestershire Drug & Alcohol Services. How to get help for drug and alcohol problems. www.southglos.gov.uk
South Gloucestershire Drug & Alcohol Services How to get help for drug and alcohol problems www.southglos.gov.uk South Gloucestershire Drug and Alcohol Services offer advice, support and treatment to those
More informationA Drug Policy for the 21st Century. Office of National Drug Control Policy
A Drug Policy for the 21st Century October 18, 2014 International Nurses Society on Addictions Health Care Reform & Its Impact on Addictions Nursing: Navigating Change through the Rapids David K. Mineta,
More informationSummary: There are four major initiatives underway that address integration of substance abuse care with physical and mental health.
Summary: Section E.306.2(b)(1) requires the Secretary of Administration and the Chief of Health Care Reform to submit a report on current and additional strategies to achieve a more comprehensive health
More informationPredictors of Substance Abuse Treatment Engagement among Rural Appalachian Prescription Drug Users
Predictors of Substance Abuse Treatment Engagement among Rural Appalachian Prescription Drug Users Jennifer R. Havens, PhD, MPH Carrie B. Oser, PhD Carl G. Leukefeld, PhD Study Objective The objective
More informationOpioid overdose can occur when a patient misunderstands the directions
Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription
More informationDeath in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery
Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery Marvin D. Seppala, MD Chief Medical Officer Hazelden Betty Ford Foundation This product is supported by
More informationSUBOXONE /VIVITROL WEBINAR. Educational Training tool concerning the Non-Methadone Medication Assisted Treatment Policy that is Effective on 1/1/12
SUBOXONE /VIVITROL WEBINAR Educational Training tool concerning the Non-Methadone Medication Assisted Treatment Policy that is Effective on 1/1/12 WEBINAR INTRODUCTIONS Cynthia Parsons- Program Manager
More informationMinimum Insurance Benefits for Patients with Opioid Use Disorder The Opioid Use Disorder Epidemic: The Evidence for Opioid Treatment:
Minimum Insurance Benefits for Patients with Opioid Use Disorder By David Kan, MD and Tauheed Zaman, MD Adopted by the California Society of Addiction Medicine Committee on Opioids and the California Society
More informationJennifer Sharpe Potter, PhD, MPH Associate Professor Division of Alcohol and Drug Addiction Department of Psychiatry
Buprenorphine/Naloxone and Methadone Maintenance Treatment Outcomes for Opioid Analgesic, Heroin, and Combined Users: Findings From Starting Treatment With Agonist Replacement Therapies (START) Jennifer
More informationINPATIENT SUBSTANCE USE DISORDER SERVICES (LEVEL IV DETOXIFICATION SERVICES)
INPATIENT SUBSTANCE USE DISORDER SERVICES (LEVEL IV DETOXIFICATION SERVICES) Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific
More informationThe Use of Non-Opioid Pharmacotherapies. for the Treatment of Alcohol Dependence
M00K02 Alcohol and Drug Abuse Administration Department of Health and Mental Hygiene The Use of Non-Opioid Pharmacotherapies for the Treatment of Alcohol Dependence Introduction The 2011 Joint Chairmen
More informationMedication-Assisted Addiction Treatment
Medication-Assisted Addiction Treatment Molly Carney, Ph.D., M.B.A. Executive Director Evergreen Treatment Services Seattle, WA What is MAT? MAT is the use of medications, in combination with counseling
More information2011 Opioid Treatment Program (OTP) Survey
20 Opioid Treatment Program (OTP) Survey Data on Substance Abuse Treatment Facilities with OTPs DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Acknowledgments
More informationNational Campaign Against Drug Abuse (NACADA) Authority in Kenya. Center for Substance Abuse Treatment
National Campaign Against Drug Abuse (NACADA) Authority in Kenya Center for Substance Abuse Treatment t C t f S b t Ab T t t Center for Substance Abuse Treatment Substance Abuse Mental Health Services
More informationNew Port Centre. 5. DHQ Drug History Questionnaire 6. Adverse Consequences Questionnaire 7. Tracking Sheet With Scores of Other Provincial Assessments
New Port Centre Page 1 of 2 NIAGARA HEALTH SYSTEM PORT COLBORNE GENERAL SITE 260 Sugarloaf Street, Port Colborne ON, L3K 2N7 Phone (905) 378-4647 Ext 32500 Fax: (905) 834-3002 E-mail: NewPortAdmin@niagarahealth.on.ca
More informationRULES OF THE TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
RULES OF THE TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES CHAPTER 0940-05-42 MINIMUM PROGRAM REQUIREMENTS FOR NON-RESIDENTIAL OPIOID TREATMENT PROGRAM FACILITIES TABLE OF CONTENTS
More informationPutting Addiction Treatment Medications to Use: Lessons Learned
Putting Addiction Treatment Medications to Use: Lessons Learned George E. Woody, M.D. Laura McNicholas, M.D., Ph.D. Department of Psychiatry, University of Pennsylvania School of Medicine and Philadelphia
More informationThe NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System.
New Jersey Substance Abuse Monitoring System The NJSAMS Report May 2011 Admissions to Substance Abuse Treatment in New Jersey eroin is a semi-synthetic opioid drug derived from morphine. It has a high
More informationPrescriber Behavior, Pain Treatment and Addiction Treatment
Prescriber Behavior, Pain Treatment and Addiction Treatment Mary Fleming, M.S. Director, Office of Policy, Planning, and Innovation Substance Abuse and Mental Health Services Administration NGA Policy
More informationAlcohol and Prescription opiate abuse: Responsibilities of Stakeholders to reduce the problem. Thomas Kosten MD
Alcohol and Prescription opiate abuse: Responsibilities of Stakeholders to reduce the problem Thomas Kosten MD Waggoner Chair & Professor of Psychiatry & Neuroscience Baylor College of Medicine Past-President,
More informationTHE DRUG DETOX UNIT AT MOUNTJOY PRISON A REVIEW
1 THE DRUG DETOX UNIT AT MOUNTJOY PRISON A REVIEW By Dr. Des Crowley, General Practitioner INTRODUCTION The Drug Detox Unit was opened in July 1996 at Mountjoy Prison in response to the escalating drug
More informationPresentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas
Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas David Lakey, MD Commissioner, Department of State Health Services Lauren Lacefield Lewis Assistant Commissioner,
More informationAppendices to Interim Report on the Baltimore Buprenorphine Initiative. Managed Care Organization Information Pages
Appendices to Interim Report on the Baltimore Buprenorphine Initiative Appendix A Managed Care Organization Information Pages Appendix B Buprenorphine Online Physician Training Information Packet Appendix
More informationIN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act
IN THE GENERAL ASSEMBLY STATE OF Ensuring Access to Medication Assisted Treatment Act 1 Be it enacted by the People of the State of Assembly:, represented in the General 1 1 1 1 Section 1. Title. This
More informationCost and Benefits of Therapeutic Communities
Cost and Benefits of Therapeutic Communities by Martien Kooyman, MD, PhD Paper presented at the National Conference on Drug Abuse Treatment and Rehabilitation Sofia on May 13 th 2006 Cost and Benefits
More informationOpioid Agonist Therapy: The Duration Dilemma Edwin A. Salsitz, MD, FASAM Mount Sinai Beth Israel, New York, NY March 10, 2015
Q: I have read 40 mg of methadone stops withdrawal, so why don t we start at 30mg and maybe later in the day add 10mg? A: Federal Regulations stipulate that 30mg is the maximum first dose in an Opioid
More informationTENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION
TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION The Tennessee Board of Medical Examiners has reviewed the Model Policy Guidelines for Opioid Addiction Treatment
More informationOhio Legislative Service Commission
Ohio Legislative Service Commission Bill Analysis Brian D. Malachowsky H.B. 378 130th General Assembly () Reps. Smith and Sprague BILL SUMMARY Prohibits a physician from prescribing or personally furnishing
More informationOverview of Chemical Addictions Treatment. Psychology 470. Background
Overview of Chemical Addictions Treatment Psychology 470 Introduction to Chemical Additions Steven E. Meier, Ph.D. Listen to the audio lecture while viewing these slides 1 Background Treatment approaches
More informationCURE & CARE 1 MALAYSIA CLINIC
CURE & CARE 1 MALAYSIA CLINIC TOWARDS AN INTEGRATED TREATMENT AND REHABILITATION FOR PEOPLE WHO USE DRUGS By : DR.SANGEETH KAUR NATIONAL ANTIDRUGS AGENCY MINISTRY OF HOME AFFAIRS BACKGROUND The Cure &
More informationAPPLICATION FOR Page 1/7 RESIDENTIAL TREATMENT
APPLICATION FOR Page 1/7 Instructions: The following form is required to begin the application process to Stonehenge. The form should be printed and completed by hand, then faxed or mailed to Stonehenge
More informationWeb-Based Resources. Locating Treatment
Web-Based Resources Locating Treatment http://dpt2.samhsa.gov/treatment/ -- This is the Substance Abuse and Mental Health Services Administration s (SAMHSA) page for locating both public and private opiate
More informationWHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention
WHO/UNODC/UNAIDS position paper Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention World Health Organization WHO Library Cataloguing-in-Publication Data Substitution
More informationCroydon Drug and Alcohol Services. Directory of drug and alcohol services available in Croydon
Croydon Drug and Alcohol Services Directory of drug and alcohol services available in Croydon April 2012 Croydon Treatment & Recovery Partnership Contact details Lantern Hall 190 Church Road Croydon CR0
More informationMedical Malpractice Treatment Alprazolam benzodiazepine - A Case Study
Improving Outcomes in Patients Who are Prescribed Alprazolam with Concurrent Use of Opioids Pik-Sai Yung, M.D. Staff Psychiatrist Center for Counseling at Walton Background and Rationale Alprazolam is
More informationLicensure of Substance Abuse Treatment Programs Required Amendments
Licensure of Substance Abuse Treatment Programs Required Amendments Public Health Council August 12, 2015 Jim Cremer, Deputy Director Erica Piedade, Director of Quality Assurance & Licensing, Overview
More informationSubstance Abuse 2014-2015. Chapter 10: Substance Abuse
Substance Abuse 214-215 Chapter 1: Substance Abuse 265 214-215 Health of Boston Substance Abuse Substance abuse involves the excessive use of alcohol or illicit substances (e.g., marijuana, cocaine, heroin,
More informationRekindling House Dual Diagnosis Specialist
Rekindling House Dual Diagnosis Specialist Tel: 01582 456 556 APPLICATION FOR TREATMENT Application Form / Comprehensive Assessment Form Please provide as much detail as you can it will help us process
More information2011 State Profile California
20 State Profile California National Survey of Substance Abuse Treatment Services (N-SSATS) The National Survey of Substance Abuse Treatment Services (N-SSATS) is an annual survey of facilities providing
More informationTreatment of Opioid Use Disorders in Jails and Prisons Why, When, and How
Treatment of Opioid Use Disorders in Jails and Prisons Why, When, and How Kevin Fiscella, MD, MPH Professor, Family Medicine, Public Health Sciences, Community Health University of Rochester School of
More informationBenzodiazepine Detoxification and Reduction of Long term Use
Benzodiazepine Detoxification and Reduction of Long term Use Malcolm Lader 1 Model of general drug misuse and dependence. Tactical interventional options Social dimension Increasing breaking of social
More informationNational Perspectives in Medication Assisted Treatment
National Perspectives in Medication Assisted Treatment Addiction Medicine Asheville March 21,2014 Melinda Campopiano, MD Medical Officer Substance Abuse & Mental Health Services Administration Guten Appetit
More informationHow To Treat Anorexic Addiction With Medication Assisted Treatment
Medication Assisted Treatment for Opioid Addiction Tanya Hiser, MS, LPC Premier Care of Wisconsin, LLC October 21, 2015 How Did We Get Here? Civil War veterans and women 19th Century physicians cautious
More informationCommissioning fact sheet for clinical commissioning groups
Commissioning fact sheet for clinical groups July 2012 This fact sheet sets out the services to be commissioned by clinical groups (CCGs) from April 2013. It also sets out the complementary services to
More informationEver wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier?
Ever wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier? Good News: Medical treatments called opioid (oh-pee-oyd) maintenance can help you! Injecting heroin puts you
More informationSEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK
National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal
More informationThe concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007
The concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007 Ulf Malmström coordinator, PhD National Board of Health and Welfare Cyprus May 2009 Why establish
More information