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  • The Role of the Hospital in the 21st Century Opioid Overdose Epidemic: The Addiction Medicine Consult Service (1 CME)

    Contains 4 Component(s), Includes Credits

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more the role hospitals play in the overdose epidemic from this journal article from The Journal of Addiction Medicine 2019.

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about the role hospitals lay in the overdose epidemic from this journal article from The Journal of Addiction Medicine 2019. Kelsey C. Priest, MPH, Dennis McCarty, PhD

    Learning objectives: 

    1.) Identify the commonalities and differences in organizational structure and design of U.S addiction medicine consult (AMC) services. 

    2.) Describe the primary responsibilities of AMC services.

    3.) Recognize potential policy levers for increasing or promoting hospital-based services for patients with OUD and other SUDs.


  • Buprenorphine Pharmacology Review: Update on Transmucosal and Long-acting Formulations (1 CME)

    Contains 4 Component(s), Includes Credits

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about buprenorphine pharmacology from this journal article from The Journal of Addiction Medicine 2019.

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about buprenorphine pharmacology in this journal article from The Journal of Addiction Medicine 2019. Sharon L. Walsh, PhD, Marion A. Coe, BA, Michelle R. Lofwall, MD

    Learning objectives: 

    1.) Explain how aspects of buprenorphine pharmacology (of both transmucosal and long-acting formulations) manifest its clinical effects

    2.) Provide an explanation of the differences in dose exposure provided by the different buprenorphine formulations

    3.) Define potency with a clinical example


  • How to Track Treatment Progress and Adherence with the ASAM Criteria

    Contains 1 Component(s)

    Learn more about tracking treatment progress, ensuring participants adhere to medication in addiction from this recorded webinar from Dr. David Mee-Lee

    Join Dr. David Mee-Lee, leading expert in substance use disorder treatment and Chief Editor of The ASAM Criteria®, for an informative webinar that will aid drug court team members in tracking treatment progress and ensuring that participants adhere to medication in addiction treatment.  This webinar, which is jointly sponsored by the National Association of Drug Court Professionals and the American Society of Addiction Medicine, is designed especially for judges, coordinators, prosecutors, defense attorneys, supervision officers, case managers, and other team members who refer, monitor, or otherwise support behavioral health treatment in drug courts.


    Participants will:

    1. Review the definition of addiction and the use of medication in addiction treatment.

    2. Recognize the stages of change and appropriate treatment for each stage. Address issues of compliance versus adherence—”doing time” versus “doing treatment and change.”

    3. Identify procedures to ensure treatment adherence, including communication among the interdisciplinary drug court team, quality and content of treatment provider reports, and the use of random drug testing.


    David Mee-Lee

    MD, FASAM

    David Mee-Lee, M.D. is a board-certified psychiatrist, and is certified by the American Board of Addiction Medicine (ABAM). Based in Davis, California, he trains and consults both nationally and internationally.  Dr. Mee-Lee is Chief Editor of the American Society of Addiction Medicine's (ASAM) Criteria for the Treatment of Addictive, Substance-Related, and Co-Occurring Conditions and is President of DML Training and Consulting. He is co-founder of the Institute for Wellness Education. Dr. Mee-Lee has forty years of experience in person centered treatment and program development for people with co-occurring mental health and substance use conditions.

  • Changes in Healthcare Encounter Rates Possibly Related to Cannabis or Alcohol following Legalization of Recreational Marijuana in a Safety-Net Hospital: An Interrupted Time Series Analysis (1 CME)

    Contains 4 Component(s), Includes Credits

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning about adverse healthcare encounters with cannabis related instances since the legalization of cannabis from The Journal of Addiction Medicine 2019.

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning about adverse healthcare encounters with cannabis related instances since the legalization of cannabis in this journal article from The Journal of Addiction Medicine 2019. Susan L. Calcaterra, MD, MPH, Christian J. Hopfer, MD, Angela Keniston, MSPH, and Madelyne L. Hull, MPH


    Learning objectives: 

    1.) Examine characteristics of patients with healthcare encounters possibly related to cannabis

    2.) Assess the temporal association between legalization of recreational marijuana and healthcare encounters possibly attributed to cannabis


  • The ASAM Treatment of Opioid Use Disorder Course 8-Hour Online

    Contains 6 Component(s), Includes Credits

    This course covers all approved medications to treat opioid use disorder and provides the 8 hours of education needed to receive a waiver to prescribe buprenorphine in an office-based setting.

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    8-Hour Online Course for Physicians*

    Welcome to The ASAM Treatment of Opioid Use Disorder Course. This course provides 8 hours of education needed for physicians  to receive a waiver to prescribe buprenorphine in an office-based setting. More information on waiver requirements can be found on the SAMHSA website.

    To begin the online course, please log-in to your left and locate the box that says, "Module 1" in the "Contents" tab. If you do not know your password, or you have forgotten it, select "Forgot Password" and you will be emailed a link to reset your password.

    All online modules and quizzes must be completed before you can claim credit for the course. Detailed instructions for completing the  course can be found under the tab titled, "Course Instructions."

    After completing the online modules, corresponding quizzes, and applicable evaluations, return here to claim CME for the course. If you have any questions, please contact education@ASAM.org.

    *NPs, PAs, CNMs, CRNAs, and other CNSs are required to complete no less than 24 hours of training. ASAM offers 24 hour packages for free. Click here for more information.

    Note: Resident & Fellow ASAM Members (in training) receive complimentary access to the 8-hour online ASAM Treatment of Opioid Use Disorder Course. Click here to become a member. Please note membership approval requires up to two business days.

    Daniel P. Alford

    MD, MPH, FACP, DFASAM

    Dr. Daniel P. Alford is an Associate Professor of Medicine, Assistant Dean of CME and Director of the Safe and Competent Opioid Prescribing Education (SCOPE of Pain) program at Boston University School of Medicine. He is a diplomate in Addiction Medicine by the American Board of Addiction Medicine (ABAM).

    He is director of the Clinical Addiction Research and Education Unit medical director of the Office-Based Opioid Treatment (OBOT) program and of the Massachusetts Screening, Brief Intervention, Referral to Treatment Training and Technical Assistance (MASBIRT TTA) program and former program director for the Addiction Medicine Fellowship program at Boston Medical Center (BMC). Since 2001 he has served as the course director of the Chief Resident Immersion Training (CRIT) Program in Addiction Medicine: Improving Clinical and Teaching Skills for Generalists funded by NIDA. He is president of the Association for Medical Education and Research in Substance Abuse (AMERSA). In 2011, he was recognized as a Champion of Change by the White House. In 2014 he received the Health Education Award from the American Medical Association.

    R. Corey Waller

    MD, MS, DFASAM

    R. Corey Waller, MD, MS, FACEP, DFASAM, is an addiction, pain and emergency medicine specialist. Dr. Waller earned his bachelor's degree in biology and his master's degree in neuromolecular biology at Southwest Texas State University in San Marcos, Texas. He earned his medical degree at University of Texas Medical School in San Antonio. Dr. Waller completed his emergency medicine residency at Thomas Jefferson University in Philadelphia. He is board certified and fellowship trained in addiction medicine.

    Debra Newman

    PA-C, MPAS, MPH

    Debra R. Newman, PA-C, MPAS, MPH currently serves as treatment provider for First Judicial District Court, Adult Drug Court for Santa Fe and Rio Arriba Counties, New Mexico. She is also working part-time as a contract provider in Chemical Dependency for Kaiser Permanente in Denver, Colorado. Debra has worked in residential treatment as well as out-patient adult psychiatry and addiction medicine. Her passion for addiction medicine began with her association with Project ECHO in 2008. While employed at an FQHC in northern NM in a region historically plagued with the highest per capita heroin death rate in the nation, Debra worked under an addiction medicine psychiatrist and several family practice physicians waivered to prescribe buprenorphine. For over four years, she managed over 200 buprenorphine patients monthly, as the only full-time provider for these patients, while also carrying a caseload of HCV and chronic pain patients. She is currently working with the PA Foundation and NIDA on a grant examining the role of PA’s in drug courts.

    Marian Currens

    Associate Director, University of Maryland Medical Center Midtown Campus

    Learning Objectives:

    1. Assess patients for the full spectrum of harmful opioid use including misuse and use disorder
    2. Describe the current epidemiologic trends in opioid misuse including overdose and use disorders
    3. Recall opioid use neurobiology as it applies to the development of an opioid use disorder and relapse risk
    4. Summarize the laws regulating office-based opioid treatment including the Drug Addiction Treatment Act of 2000 and the Comprehensive Addiction and Recovery Act of 2016
    5. Summarize the clinical pharmacology, efficacy and safety of methadone, buprenorphine and naltrexone in treating opioid use disorder
    6. Identify and assess patients who are appropriate for treatment with medications for an opioid use disorder in an office-based setting
    7. Describe procedures for setting up office systems to support medication prescribing for opioid use disorder
    8. Describe procedures for initiating, stabilizing, maintaining, monitoring and modifying treatment of patients on buprenorphine or naltrexone
    9. Summarize the assessment and management of patients with psychiatric and medical co-morbidities associated with opioid use disorder
    10. Describe unique issues of treating adolescents, young adults, pregnant and postpartum patients maintained on medications for opioid use disorder
    11. Summarize acute and chronic pain management strategies for patients with an opioid use disorder
    12. Apply for a waiver to prescribe buprenorphine to patients with opioid use disorder

    The Drug Abuse Treatment Act of 2000 (DATA 2000) specifies no less than 8 hours of training is necessary for physicians to obtain a waiver to engage in office-based treatment of opioid use disorder using drugs approved by the FDA on Schedules III, IV, and V. This course addresses those requirements using a curriculum approved by CSAT/SAMHSA and ASAM, who is one of the national organizations named in the DATA 2000 legislation as eligible to prepare and administer these courses.

    For 24-Hour Treatment of Opioid Use Disorder Course issuing AANP CE Credit: Click Here

    For 24-Hour Treatment of Opioid Use Disorder Course issuing AAPA Category 1 CME Credit or AMA PRA Category 1 CME Credit: Click Here


    This training is divided into two parts of 8 hours and 16 hours. If you have already completed the 8-hour DATA2000 course, you will only need to complete the second part of the 16-hour course.

    Legislation
    Comprehensive Addiction and Recovery Act (CARA)
    ASAM, AAPA and AANP have formed a collaborative to provide the 24-hour waiver training for physician assistants and nurse practitioners. The three organizations are authorized by statute to provide this training. Educational content has been identified and/or created to satisfy the 24-hour requirement as described in the Comprehensive Addiction and Recovery Act (CARA).

    HR6 - SUPPORT for Patients and Communities Act
    HR6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, added qualifying clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives to list of practitioners eligible to prescribe buprenorphine until October 1, 2023. The ASAM Treatment of Opioid Use Disorder Course is available for qualifying clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives.

    Qualify
    To qualify for a waiver, NPs, PAs, CRNAs, CNMs, and CNSs must:

    • Be licensed under state law to prescribe Schedule III, IV, or V medications for pain
    • Complete not less than 24 hours of appropriate education through a qualified provider
    • Through other training or experience, demonstrate the ability to treat and manage OUD
    • If required by state law, be supervised or work in collaboration with a qualifying physician to prescribe medications for the treatment of OUD

    Please ensure that your state regulations allow you to prescribe buprenorphine and other medications to treat Opioid Use Disorder before you apply for the waiver. Some states may have overriding state legislation that will prevent NPs/PAs from prescribing these medications even if Federal law allows it. Click here to learn more about applying for the waiver. 

    1. Providers who wish to obtain a waiver to prescribe buprenorphine in office-based treatment of opioid use disorders.
    2. Clinicians and healthcare team members working with providers who prescribe buprenorphine in office-based treatment of opioid use disorders.

    ASAM would like to acknowledge the following supporters:

    The ASAM Treatment of Opioid Use Disorder Course has been made available in part by an unrestricted educational grant from Indivior Inc.

    Funding for this initiative was made possible (in part) by grant no. 1H79TI026793-01 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.

  • Treatment of Opioid Use Disorder: Waiver Qualifying - St. Louis, MO - Friday, June 28, 2019

    Contains 7 Component(s), Includes Credits

    The ASAM Treatment of Opioid Use Disorder Course: Includes Waiver Qualifying Requirements covers all medications and treatments for opioid use disorder, and provides the required education needed to obtain the waiver to prescribe buprenorphine.

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    Friday, June 28, 2019 | 8:30 am CT - 1:00 pm CT

    Centene Corporation - Auditorium, First Floor
    7700 Forsyth Boulevard
    St. Louis, MO 63105

    Online Portion Due: June 27, 2019

    This course is offered in partnership with the American College of Obstetricians and Gynecologists. The curriculum for this course has been specifically designed for women's health providers.

    Welcome to The ASAM Treatment of Opioid Use Disorder Course online access. This course covers all medications and treatments for opioid use disorder, and provides the required education needed to obtain the waiver to prescribe buprenorphine. ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training.

    This is an 8-hour blended course combining 4 hours of online learning followed by 4 hours of live learning. The live portion of the course builds off content delivered in the online portion. Course faculty are expecting learners to complete the online portion before attending the live portion. You must complete both portions to receive credit for the course. 

    In the content section you will find 2 different components for the live learning. For those attending live in-person, you can skip over the live webinar portion to complete the CME Evaluation and claim your CME Certificate.

    For those attending Live-Via Webinar, you will have access to the "Live Webinar" component 30 minutes before the training. You will click on this link to access the webinar on the 29th. 

    Getting started: To begin the online portion of the course, please log-in to your right and locate the box that says "View Course." If you do not know your password, or you have forgotten it, select "Forgot Password" and you will be emailed a link to reset your password. Detailed instructions for completing the online portion of the course can be found under the tab titled "Course Instructions."

     If you have any questions, please contact education@ASAM.org.

    1. Locate the box on the right that says “View Course" and click “View Course"
      1. A new window will open with the course. Be sure your pop-up blocker is turned off.
    2. Complete Module 1 and Module 2 (equivalent to four hours of instruction)
    3. You will be required to pass all CME Quizzes with a grade of 70% or higher
    4. Upon completion of both the two online modules and four hours of live, in-person instruction, you will be able to claim CME credit through the ASAM e-Learning Center




    Learning Objectives

    Module 1

    1. Assess patients for the full spectrum of harmful opioid use including misuse and use disorders
    2. Describe the current epidemiologic trends in opioid misuse including overdose and use disorders
    3. Recall opioid use neurobiology as it applies to the development of an opioid use disorder and relapse risk
    4. Summarize the laws regulating office-based opioid treatment including the Drug Addiction Treatment Act of 2000 and the Comprehensive Addiction and Recovery Act of 2016
    5. Summarize the clinical pharmacology, efficacy and safety of methadone, buprenorphine and naltrexone in treating opioid use disorders

    Module 2

    6. Identify and assess patients who are appropriate for treatment with medications for an opioid use disorder in an office-based setting
    7. Describe procedures for setting up office systems to support medication prescribing for opioid use disorders
    8. Describe procedures for initiating, stabilizing, maintaining, monitoring and modifying treatment of patients on buprenorphine or naltrexone

    Module 3

    9. Summarize the assessment and management of patients with psychiatric and medical co-morbidities associated with opioid use disorders
    10. Describe unique issues of treating adolescents, young adults, pregnant and postpartum patients maintained on medications for opioid use disorders
    11. Summarize acute and chronic pain management strategies for patients with an opioid use disorder

    Overall

    12. Apply for a waiver to prescribe buprenorphine to patients with opioid use disorder

    CME Information and Disclosure Listing

    Date of Release: July 2015 

    Approved Through: December 2019

    The American Society of Addiction Medicine (ASAM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. ASAM has been awarded the highest level of Accreditation with Commendation by the ACCME as a provider of continuing medical education.

    The American Society of Addiction Medicine designates this enduring material for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

    The American Society of Addiction Medicine designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    This course has been designated as an approved CME Activity by the American Board of Addiction Medicine (ABAM). Physicians enrolled in the ABAM Maintenance of Certification (MOC) Program can apply a maximum of AMA PRA Category 1 Credit(s) to the CME requirement for Part II: Lifelong Learning and Self-Assessment.

    In accordance with the disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all educational activities. These policies include resolving all conflicts of interest between the CME Committee, Planning Committee and faculty, and commercial interests that might otherwise compromise the goal and educational integrity of this activity. All CME Committee, Planning Committee and faculty participating in the activity have disclosed all relevant financial relationships with commercial interests. The CME Committee has reviewed these disclosures and determined that the planning committee and faculty relationships are not inappropriate in the content of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.

    ASAM Treatment of Opioid Use Disorder Course Program Planning Committee

    Name

    Nature of Relevant Financial Relationship

    Commercial Interest

    What was received?

    For what role?

    Dan Alford, MD, MPH, DFASAM, Chair

    None

    Paula J. Lum, MD, MPH, FASAM, Vice Chair

    None

    Edwin Salsitz, MD, DFASAM, Curriculum Director

    None

    Soraya Azari, MD

    None 

    Jill Mattingly, DHSc, MMSc, PA-C

    None

    Debra Newman, PA-C, MPAS, MPH

    None

    Mary McMasters, MD, DFASAMNone

    Yngvild K. Olsen, MD, MPH, DFASAM

    None
    Shawn Ryan, MD, MBA, FASAMAdapt Pharma OrexoConsulting Fee HonorariumContent Expert Speaker
    Kristin Smith, DNP, FNP-C, AAHIVSNone
    Tricia E. Wright, MD, MS, FACOG, FASAMNone

    ASAM CME Committee

    Name

    Nature of Relevant Financial Relationship

    Commercial Interest

    What was received?

    For what role?

    Catherine Friedman, MD, FAPA, DFASAM, Chair

    None

    R. Jeffrey Goldsmith, MD, DLFAPA, DFASAMNone
    Adam J. Gordon, MD, MPH, FACP, DFASAMNone
    Zwaantje Hamming, FNP-C, CARN-APNone

    Herbert L. Malinoff, MD, FACP, DFASAM

    None

    Noel Ilogu, MD, MRCP, DFASAM

    None

    Edwin A. Salsitz, MD, DFASAM

    None

    ASAM Staff and Consultants

    Arlene C. Deverman, MA, CAE, CFRENone

    Marcia Jackson, PhD

    None
    Sandy MetcalfeNone

    ASAM Medical Education Council

    Name

    Nature of Relevant Financial Relationship

    Commercial Interest

    What was received?

    For what role?

    Peter Selby, MBBS, CCFP, FCFP, MHSc, DFASAM, Chair

    Pfizer  Johnson & Johnson Pfizer CanadaGrant funding Consulting Fees Consulting FeesPrincipal  Investigator Consulting Consulting
    Daniel P. Alford, MD, MPH, DFASAMNone
    Michael Fingerhood, MD, FACP, FASAMNone
    Catherine R. Friedman, MD, FAPA, DFASAMNone
    Adam J. Gordon, MD, MPH, FACP, DFASAMNone
    Miriam S. Komaromy, MD, FACP, DFASAMNone
    Edwin A. Salsitz, MD, DFASAMNone
    Mark P. Schwartz, MD, DFASAMNone
    Mark A. Weiner, MD, FASAMNone
    ASAM Staff and Consultants
    Penny S. Mills, MBANone
    Arlene C. Deverman, MA, CAE, CFRENone
    Marcia Jackson, PhDNone
    Dawn C. HowellNone
    Molly S. MazukNone
    Alexandra (Alli) UngerNone
    Jennifer L. ButchartNone


    1. Physicians, Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants who wish to obtain a waiver to prescribe buprenorphine in office-based treatment of opioid use disorder.
    2. Clinicians and healthcare team members working with physicians who prescribe buprenorphine in office-based treatment of opioid use disorder.

    Overview of Legislation

    Physicians

    The Drug Abuse Treatment Act of 2000 (DATA 2000) specifies training is necessary for physicians to obtain a waiver to engage in office‐based treatment of opioid use disorders using drugs approved by the FDA on Schedules III, IV, and V. This course addresses those requirements using a curriculum approved by CSAT/SAMHSA and ASAM, who is one of the national organizations named in the DATA 2000 legislation as eligible to prepare and administer these courses.

    Nurse Practitioners & Physician Assistants

    On July 22, 2016, President Obama signed the Comprehensive Addiction and Recovery Act (CARA) into law. CARA authorizes qualified NPs and PAs to become waivered to prescribe buprenorphine in office-based settings for patients with Opioid Use Disorder (OUD) for a five-year period expiring in October 2021.    

    To qualify, NPs and PAs must: 

    • Be licensed under state law to prescribe schedule III, IV, or V medications for pain  
    • Complete not less than 24 hours of appropriate education through a qualified provider
    • Through other training or experience, demonstrate the ability to treat and manage OUD  
    • If required by state law, be supervised or work in collaboration with a qualifying physician to prescribe medications for the treatment of OUD

    HHS' announcement on November 16, 2016, enables NPs and PAs to immediately begin taking the 24 hours of required training. For the full HHS announcement, click here.

    NPs and PAs can begin the training immediately by taking the 8-hour buprenorphine course ASAM currently offers or that other stakeholders offer (see below for more information). The remaining 16 hours will have to be completed with one training provider. ASAM is developing multiple 16-hour training course options and formats, including collaborations with:

    The ASAM Treatment of Opioid Use Disorder Course has been made available in part by an unrestricted educational grant from Indivior Inc.


    Edwin Salsitz

    MD, DFASAM

    Edwin A. Salsitz, MD, DFASAM has been an attending physician at Mt. Sinai Beth Israel, Division of Chemical Dependency, in New York City since 1983, and is an Associate Professor of Medicine at the Icahn School of Medicine at Mount Sinai. He is the principal investigator of the Methadone Medical Maintenance (office-based methadone maintenance) research project. Dr. Salsitz is certified by the American Board of Addiction Medicine (ABAM), as well as by the Board of Internal Medicine and Pulmonary Disease. He has published and lectures frequently on addiction medicine topics.

    Dr. Salsitz is Curriculum Director for The ASAM Treatment of Opioid Use Disorder Course, and is a mentor in the PCSS-MAT mentoring program. He has co-chaired The ASAM Review Course, The ASAM Pain & Addiction: Common Threads Course, The ASAM State of the Art Course in Addiction Medicine and is a reviewer for the Journal of Addiction Medicine. He is the chair of The CO*RE/ASAM Opioid Prescribing: Safe Practice, Changing Lives Course. Dr. Salsitz is a member of the ASAM Medical Education Council and the ASAM CME Committee, and is Chair of the New York Society of Addiction Medicine CME and Education Committees. 

    Dr. Salsitz is a member of the medical advisory panel for the New York State Office of Alcohol and Substance Abuse Services. He is the recipient of the 2014 ASAM Annual Award and the 2018 ASAM Educator of the Year Award.

    Jaye Shyken

    MD

    Dr. Shyken is a maternal-fetal medicine specialist in the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology and Women’s Health at St. Louis University School of Medicine.  Her clinical activities are primarily at St. Mary’s Hospital.

    She has a long time interest in substance abuse in pregnancy.  She founded and attained funding for the WISED Clinic (Women and Infants Safe Escape from Drugs) at St. Louis Regional Medical Center which operated from 1991 to 1996.  She has long-standing collaborative relationships chemical dependency treatment programs.   She has worked in public advocacy for this population, testifying in Jefferson City when necessary.

    In 2014, SSM launched WISH (Women and Infants Substance Help) and Dr. Shyken serves as the founding Medical director.  What started as a half-day niche clinic has grown into a full-time, fully-staffed, independent center for the prenatal care and case management of chemically dependent pregnant and post-partum women.  WISH is a multidisciplinary clinic providing coordination of chemical dependency treatment, maternal-fetal medicine subspecialty care, social services, lactation counseling, neonatology counseling, and patient education. 

    Dr. Shyken serves on several task forces related to substance use recovery for pregnant women, including serving as the clinical lead at the state level for the Illinois Perinatal Quality Collaborative, Maternal and Neonatal Opioid team and also the Missouri State Targeted Response Initiative.  In her spare time, she completed her 200 hour yoga teacher training and certification, and her 85 hour prenatal yoga teaching certification.  She frequently lectures on topics related to narcotic addiction in pregnancy and has a special interest in Yoga for 12-step recovery.

    Please ensure that your state regulations allow you to prescribe buprenorphine and other medications to treat OUD before you apply for the waiver.  Some states may have overriding state legislation that will prevent NPs and PAs from prescribing these medications even if Federal law allows it.

    Apply

    SAMHSA reviews waiver applications within 45 business days of receipt. If approved, you will receive a letter via email that confirms your waiver and includes your prescribing identification number.

    Waiver applications are forwarded to the DEA. DEA regulations require your prescribing identification number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with your regular DEA number.

    If you have not received confirmation of receipt of your application, or if it has been more than 45 business days since submitting it, contact CSAT by email: infobuprenorphine@samhsa.hhs.gov or call 866.287.2728.

    Qualify 

    To qualify for a waiver to treat patients with Opioid Use Disorder, NPs and PAs must: 

    • Be licensed under state law to prescribe schedule III, IV, or V medications for pain
    • Complete no less than 24 hours of appropriate education through a qualified provider
    • Through other training or experience, demonstrate the ability to treat and manage OUD
    • If required by state law, supervision or working in collaboration with a qualifying physician to prescribe medications for the treatment of OUD may be required.

    Apply

    SAMHSA reviews waiver applications within 45 business days of receipt. If approved, you will receive a letter via email that confirms your waiver and includes your prescribing identification number.

    Waiver applications are forwarded to the DEA. DEA regulations require your prescribing identification number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with your regular DEA number.

    If you have not received confirmation of receipt of your application, or if it has been more than 45 business days since submitting it, contact CSAT by email: infobuprenorphine@samhsa.hhs.gov or call 866.287.2728.

  • Topiramate pharmacotherapy for alcohol use disorder and other addictions: A narrative review (1 CME)

    Contains 4 Component(s), Includes Credits

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about topiramate pharmacotherapy from this journal article from The Journal of Addiction Medicine 2019.

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about topiramate pharmacotherapy from this journal article from The Journal of Addiction Medicine 2019. Albert Arias, MD, MS, Ajay Manhapra, M.D, Anirban Chakraborty, MBBS

    Learning objectives: 

    1.) Recognize the efficacy of topiramate in preventing relapse among AUD patients

    2.) Discuss the impact of topiramate in substantially reducing heavy drinking

    3.) Describe the impact of topiramate regarding cigarette smoking cessation as well as cocaine use disorders 



  • Escalating Opioid Dose Is Associated With Mortality: A Comparison of Patients With and Without Opioid Use Disorder (1 CME)

    Contains 4 Component(s), Includes Credits

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about escalating opioid dose and it's association with mortality from this journal article from The Journal of Addiction Medicine 2019.

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about escalating opioid dose and it's association with mortality from this journal article from The Journal of Addiction Medicine 2019. Yih-Ing Hser, Ph.D, Andrew J. Saxon, MD, Larissa J. Mooney, MD, Karen Miotto, MD, Yuhui Zhu, MS, Caroline K. Yoo, MPH, Di Liang, PhD, David Huang, DrPh, and Douglas S.Bell, MD, PhD

    Learning objectives: 

    1.) Identify longitudinal patterns of opioid prescribing that may be associated with mortality

    2.) Recognize differences in opioid prescribing patterns among varying demographic characteristics and health conditions

    3.) Recognize the importance of PDMPs as critical tools for decreasing the risk of overdoses


  • Feasibility and Effectiveness of Continuing Methadone Maintenance Treatment During Incarceration Compared With Forced Withdrawal (1CME)

    Contains 4 Component(s), Includes Credits

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about methadone maintenance treatment during incarceration from this journal article from The Journal of Addiction Medicine 2018.

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about methadone maintenance treatment during incarceration from this journal article from The Journal of Addiction Medicine 2018. Sherry A. McKee, PhD

    Learning objectives: 

    1. To identify the risks associated with forced withdrawal from methadone for inmates with opioid use disorder and barriers to continuing methadone maintenance treatment during incarceration in the U.S.
    2. To learn 3 or more logistical strategies for continuing methadone maintenance treatment during incarceration
    3. To recognize 3 or more benefits of continuing methadone for inmates with opioid use disorder, with regard to their behavior during incarceration and post-release


  • Buprenorphine Treatment for Adolescents and Young Adults With Opioid Use Disorders: A Narrative Review (1 CME)

    Contains 4 Component(s), Includes Credits

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about buprenorphine treatment for adolescents and young adults from this journal article from The Journal of Addiction Medicine 2018.

    Earn 1 AMA PRA Category 1 Credit(s)™ while learning more about adolescent buprenorphine overdosing from this journal article from The Journal of Addiction Medicine 2018. Jacob T. Borodovsky, BA

    Learning objectives: 

    1. Understand the limits of current scientific knowledge concerning best practices for treating adolescents and young adults with opioid use disorder.
    2. Learn clinically-relevant characteristics of adolescents and young adults with opioid use disorder.
    3. Gain insight into the evidence-based components of buprenorphine treatment programs and protocols that optimize treatment outcomes for adolescents and young adults with opioid use disorder.