Substance/Opioid Use Disorder Resources
View materials from this event hosted by Department of Health Care Finance, DBH Training Institute, & Integrated Care DC on May 9, 2023. The in-person workshop was designed for behavioral health providers and other organizations seeking to prepare for the integration of behavioral health into the District’s Medicaid Managed Care Program. Presenters shared information and facilitated exercises to help leadership, clinical and operational staff, and other stakeholders develop the organizational competencies needed to succeed in managed care, including an understanding of managed care principles, how to communicate effectively with managed care partners, and how to effectively demonstrate the value of care through quality measurement and population health.
Representatives from CRISP DC demonstrated how to use the platform to improve care coordination for patients across the healthcare system.
Fentanyl continues to have an increased presence in the drug supply necessitating reconsideration of prevailing treatment approaches for OUD. This session will explore inadvertent exposure and aspects of OUD treatment that may require updating given the high level of fentanyl now experienced in DC.
Health Management Associates invites you to join us for a lunch and learn workshop to learn more about Overdose Prevention and how to save a life in DC. In this interactive lunch and learn we will discuss DC’s Naloxone Distribution Program and the organizations currently providing Naloxone and provide:
an overview of DC’s Standing Order and Samaritan Law
an overview of the uses of opioids
information on how naloxone stops an overdose and provide information on the action steps to take to save a life and stop an overdose.
Where and how individuals can access naloxone, syringe services, and fentanyl test strips in DC.
Xylazine is rapidly increasing in the illicit drug supply. A powerful animal sedative, xylazine causes respiratory depression, bradycardia, and hypotension, raising the risk of overdoses and complicating the reversal of overdoses. Xylazine also causes unique skin lesions and risk for severe infections. This quick take gives basic information about xylazine.
Because many women and persons of childbearing age pregnant with SUD may not readily share information with providers and because pregnancy is a period where the motivation for change is extremely high, positioning providers to identify and care for this population has great potential for establishing a recovery path and changing lives. This webinar will review the risks and effects of SUD among women of childbearing age, pregnant and parenting persons and their affected infants, including screening and treatment considerations, breastfeeding decisions and ideal mechanisms for engagement and support of women and other pregnant persons on their recovery journey. We will also cover the short and long-term effects of SUD exposure on the infants, including non-pharmacologic alternative interventions and follow-up considerations.
During this brief presentation, Kristan McIntosh, LMSW, shares an overview of what a Certified Community Behavioral Health Clinic (CCBHC) is, discusses why it is an important opportunity to build behavioral health system capacity, and talks about some upcoming opportunities to become (or partner with) a CCBHC.
This hour-long presentation will discuss the Value-Based Payment framework and where the Medicare bundled payment available to Opioid Treatment Programs (OTPs) fits. It will also include information about how to appropriately bill the bundled payment in various situations, and when to bill separately for additional services.
This one-page self-assessment can be utilized before individual or group MAT appointments; this tool aligns with ASAM criteria allowing the provider to plan for the current session and to aid in treatment planning. With a slight modification, this could also be used by persons not on MAT in preparation for individual or group appointments for substance use disorders. Critical questions required for all telehealth appointments are reviewed, such as the address and phone number where the person can be reached today.
The Department of Health Care Finance (DHCF) awarded grants to local organizations to support new telehealth services for residents in Wards 7 and 8 as well as residents of homeless shelters and public housing developments. These projects connect patients to specialists using interactive audio, video, or other new technology. DHCF also awarded grants to local organizations to support telemedicine services among the District’s medication-assisted therapy (MAT) network of providers, including providers authorized (“waivered”) to treat opioid dependency with buprenorphine. During this session, we will hear from the three Tele-MAT grantees about their programs’ successes, challenges and lessons learned. An overview of Tele-MAT will be provided in part 2 of this series on January 25, 2021, 12:00pm - 1:00pm ET.
The front of this handout reviews what providers need to know, do and have a plan for prior to individual or group telehealth sessions. The back of the handout reviews important features of Zoom (TM) for those staff using Zoom (TM) as a platform for delivering telehealth sessions.
This one-page handout will help patients understand when they will start buprenorphine, based on the last time they used opioids and their current level of symptoms. It describes how to take buprenorphine in order for it to help with cravings and withdrawal symptoms, what dose of medication to take when starting and afterwards, and other important information about buprenorphine.
This short take talks about the added importance of building trust and integrating culturally and linguistically evidence-informed social, physical and behavioral health services during pregnancy. The short take place particular emphasis on pregnant people who use drugs because historically stigma, racism and other isms have often meant their care has not been clinically appropriate.
This Clinical Guide provides comprehensive, national guidance for optimal management of pregnant and parenting women with opioid use disorder and their infants. The Clinical Guide helps healthcare professionals and patients determine the most clinically appropriate action for a particular situation and informs individualized treatment decisions.
This short take video demonstrates how to teach and use guided imagery with your patients/clients for stress management. Guided imagery leverages the mind-body connection to efficiently relax the body through the use of imagination.
This short take video is a demonstration of how to use progressive muscle relaxation as a strategy for stress reduction with your patients/clients. This technique for relaxation was developed in the 1920s by Dr. Edmund Jacobson. This technique has been now used for decades to address stress, anxiety, and depression and is used proactively as a strategy to maintain positive mental health and improve quality of life as demonstrated in studies.
This short take video demonstrates how to teach deep breathing techniques to a patient/client as a strategy for stress management. Abdominal breathing is the term often used to describe this breathing technique. The term belly breathing is often used with pediatric patients/clients. Breathing exercises can help individuals with stress or anxiety disorders. Abdominal breathing can mitigate hyperarousal in the body when under stress and help to focus the mind.
Cognitive Behavioral Therapy (CBT) is a type of psychotherapeutic treatment that helps people learn how to identify and change maladaptive thought patterns that have a negative influence on behavior and emotions. This short take video will cover the key principles of CBT and a few basic techniques that are utilized for various conditions.
Contingency management is an evidence-based treatment plan for substance use disorder. This type of treatment, a major topic in media and public policy circles, promotes behavior change and reinforces positive behaviors. This short take video discusses contingency management treatment in more detail and how to increase its use in more practices.
There are a variety of strategies and interventions to help individuals cope with the impact of trauma on their wellness and functioning. Many evidence-based treatments and promising treatments involve the teaching and use of skills to help the individual cope with trauma. One category of those skills is helping individuals to connect and get grounded in their body as a way to cope with and manage affect dysregulation, intrusive thoughts and imagery, distress and dissociation. Many new treatments for PTSD and trauma-related disorders are emerging that are focused primarily on working with the body to bring about relief. "Getting into the body" skills can be integrated into treatment for PTSD and trauma-related disorders or used in a consultation model to build mastery with the individual and support functional restoration.
There are a variety of strategies and interventions to help individuals cope with the impact of trauma on their wellness and functioning. Many evidence-based treatments and promising treatments involve the teaching and use of skills to help the individual cope with trauma. One category of those skills is helping individuals to connect with and experience their emotions a way to cope with and manage affect dysregulation, intrusive thoughts and imagery, distress and dissociation. "Experiencing emotion" skills can be integrated into treatment for PTSD and trauma-related disorders or used in a consultation model to build mastery with the individual and support functional restoration.
Problem-Solving Therapy (PST) is a form of therapy that provides people with tools to identify and solve problems that arise from life stressors that can have a negative impact on their day-to-day lives. Its aim is to improve individuals’ overall quality of life and can be used to treat depression, among other conditions. It is based on a model that takes into account the importance of real-life problem-solving including how to manage real-life stressors when they arise. The presentation will cover key PST principles and tools that can be used in everyday life.
There are many evidence-based techniques that are easy to learn and practice, with good results in individuals struggling with physical and mental health challenges. This workshop with briefly introduce participants to some of the more common and effective practices including progressive muscle relaxation, guided imagery, diaphragmatic breathing, relaxation response, and mindfulness-based stress reduction. Speakers: Shannon Robinson, MD (HMA), Marsha Johnson, MSW, LCSW (HMA)
Viewing Time 1 Hour
Integrated Care DC is managed by the DC Department of Health Care Finance (DHCF) in partnership with the DC Department of Behavioral Health (DBH). This project is supported by the U.S. Department of Health and Human Services (HHS). A total of $4,598,756, or 74 percent, of the project is financed with federal funds, and 1,639,167, or 26 percent, is funded by non-federal sources. The contents are those of the author(s) and do not necessarily represent the official views of, or an endorsement by, HHS or the U.S. Government.