Ensuring access to MAT for People Experiencing Homelessness
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Ensuring access to MAT for People Experiencing Homelessness
Recorded: Thursday, April 22, 2021 - Saturday, April 24, 2021
On-Demand Session
Overview
This 1-hour on-demand session from ASAM Virtual 2021 addresses Boston Health Care's for the Homeless Program, which provides medication for OUD (MOUD), evidence-based behavioral health options, group and peer support, case management, and other services, for hundreds of homeless patients.
Boston Health Care for the Homeless Program provides medication for OUD (MOUD), evidence-based behavioral health options, group and peer support, case management, and other services, for hundreds of its patients. Care takes place in a standard primary care clinic, shelter-based clinics, respite care, a mobile van, a jail, and via telemedicine; with both oral and injectable forms of buprenorphine and naltrexone. This program is large and robust, but also illuminates gaps in care and access. In this interactive workshop, the medical director and operations manager of BHCHP’s addiction treatment program will review the theory and practice of low-barrier, harm-reduction-oriented care for this population, help participants consider programs and program policies to help people experiencing homelessness, and discuss where larger changes in policy are needed.
The target audience for this intermediate level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, students, and counselors.
This session addresses the following ACGME Competencies: Patient Care, Interpersonal Skills, Systems Based Practice
Learning Objectives
Upon completion, learners will be able to:
- Recognize how societal contributors to homelessness, and individual trajectories of opioid use disorder, interact to multiply risk of adverse events including death
- Identify at least five strategies to overcome structural barriers to care, for people experiencing homelessness
- Use a systematic approach to identifying transitions of care and gaps in care that require special support for people experiencing homelessness
Fees
| Rate Description | Rate |
| ASAM Member | $29 |
| Non-Member | $39 |
| Associate Member | $19 |
| Resident Member* | $19 |
| Student Member* | $19 |
*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.
Membership Question? Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.
Refunds & Cancellations
All ASAM e-Learning Center refund requests must be made in writing to education@asam.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.
Registration Deadline: 04/30/2024
Course Instructions
- Click the "Contents" tab and select "View On-Demand Recording". After viewing the entire video, return to the Contents tab.
- Click "Complete Post Test" to answer quiz questions. You will have 10 attempts and must get at least 2 out of 3 questions correct. After completing the quiz, return to the Contents tab.
- Click "Complete Evaluation" to answer evaluation questions. Scroll down on all questions, there are answers that expand past the size of the window.
- Click the button “Claim Credits” in the box titled “Claim Credits & Certificate." Choose the type of credit and click submit. Click the button “View/Print Certificate” to save or print your certificate. If you ever lose your certificate, you can come back to the ASAM e-Learning Center and view it on your transcript (found in the Dashboard).
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Samantha Ciarocco
LICSW
Samantha Ciarocco, MSW, LICSW, LADC started working at Boston Health Care for the Homeless in August, 2019 as the Clinical Operations Manager for the OBAT program. She is a 2014 graduate of Simmons College School of Social Work were her clinical focus was on the treatment of trauma and substance use disorders. Prior to working at BHCHP, she was a clinical social worker in the Emergency Department and on the inpatient addiction consult team at Massachusetts General Hospital. In addition to providing therapeutic interventions to patients with substance use disorders she also manages grants pertaining to increasing access to buprenorphine and telehealth, has assisted in implementing extended-release buprenorphine treatment, is part of the quality and improvement team, and developed the mental health and substance use disorder protocols for Boston Hope, a COVID-19 field hospital. She has been an instructor for multi-disciplinary education events for MGH, MGH Institute of Health Professionals, Boston Medical Center, and Harvard Medical School. She has strong interest in providing low-barrier, high-quality treatment of substance use disorders for vulnerable populations including racial and ethnic minorities, those with histories of incarceration, and unstably housed communities as well as reducing the stigma around medication and mental health treatment within these populations.
Joe Wright
MD
Joe Wright, MD, is the director of addiction treatment at Boston Health Care for the Homeless Program (BHCHP), where he supervises an OBAT program that includes clinic and shelter-based sites, and a jail re-entry program for people with opioid use disorder. He also serves as a clinician for a mobile van, providing street-based buprenorphine prescribing and harm reduction services in the Roxbury neighborhood of Boston. After graduating from the University of California, Santa Cruz, he worked as a community organizer and educator for HIV prevention and research efforts in San Francisco in the 1990s. After post-baccalaureate classes at San Francisco State University and a year in an immunology lab at the National Institutes of Health, he attended Harvard Medical School, where he wrote an honors thesis about the history of AIDS activism; and was a frequent commentator for National Public Radio's All Things Considered. He trained in internal medicine with additional training in HIV medicine, at the Beth Israel Deaconess Medical Center in Boston, where he then served as a teaching attending and primary care physician in the faculty primary care practice from 2010-2015. He came to BHCHP in order to concentrate on the health and survival of disenfranchised people who use or used drugs. He was board-certified in addiction medicine in 2018.
CME, CE, CEU and Other Credit Types
ACCME Accreditation Statement
The American Society of Addiction Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA Credit Designation Statement
The American Society of Addiction Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Academy of Physician Assistants
This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 1 AAPA Category 1 CME credits. Approval is valid from 5/26/2021 to 5/26/2022. PAs should only claim credit commensurate with the extent of their participation. AAPA reference number: CME-202755.
NAADAC, the Association for Addiction Professionals
This activity has been approved by the American Society of Addiction Medicine, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #295, ASAM is responsible for all aspects of the programming.
California Association for Drug/Alcohol Educators (CAADE)
This educational program is approved by CAADE: #CP40 999 1222.
California Association of DUI Treatment Centers (CADTP)
This educational program is approved by CADTP: #205.
California Consortium of Addiction Programs and Professionals (CCAPP)
This educational program is approved by CCAPP: #OS-20-330-1222.
Continuing Education Credits (CEUs)
Non-physician participants will receive a certificate of attendance upon completion of the activity and an online evaluation confirming their participation. Participants should submit his/her certificate of attendance to their professional organization/institute.
Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)
American Board of Medical Specialties (ABMS)
Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, The ASAM Virtual.2021 has met the requirements as a MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards: Allergy and Immunology, Anesthesiology, Colon and Rectal Surgery, Family Medicine, Medical Genetics and Genomics, Nuclear Medicine, Physical Medicine and Rehabilitation, Plastic Surgery, Preventive Medicine, Psychiatry and Neurology, Radiology, Thoracic Surgery, Urology
American Board of Preventive Medicine (ABPM)
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 1 credit towards ABPM MOC Part II requirements.
American Board of Anesthesiology (ABA)
This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology TM (MOCA®) program, known as MOCA 2.0®.
American Board of Pediatrics (ABP)
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn a maximum of 1 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
American Board of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credits.
American Board of Surgery (ABS)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
American Board of Psychiatry and Neurology (ABPN)
Successful completion of this CME activity can be used to satisfy the American Board of Psychiatry and Neurology’s (ABPN) CME requirement for Maintenance of Certification program.
American Board of Addiction Medicine (ABAM)
Successful completion of this activity can be used to satisfy the American Board of Addiction Medicine (ABAM) Tmoc credit requirements.
Royal College of Physicians and Surgeons of Canada (RCPSC)
Royal College Fellows can use participation in Accredited Continuing Medical Education to earn Section 3 Credits.
CME Committee, Program Planning Committee, and Faculty Disclosure Information
In accordance with disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME activities. These policies include mitigating all possible relevant financial relationships with ineligible companies for the Planning Committees, CME Committee, MEC, and Faculty. All activity Planning Committee members and Faculty have disclosed relevant financial relationship information. The ASAM CME Committee has reviewed these disclosures and determined that the relationships are not inappropriate in the context of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.
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