Public Safety Response to Intoxication and Agitation: Clinical and Justice Perspectives
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Public Safety Response to Intoxication and Agitation: Clinical and Justice Perspectives
Recorded: Thursday, April 22, 2021 - Saturday, April 24, 2021
This 1.5-hour on-demand session from ASAM Virtual 2021 addresses how racial minorities and populations with substance misuse and psychiatric illness are disproportionately at risk of being restrained and approached by law enforcement as and how first responders frequently encounter patients with acute agitation related to substance intoxication and psychiatric illness.
First responders frequently encounter patients with acute agitation related to substance intoxication and psychiatric illness. Pharmacologic or physical restraints are utilized to prevent injury to the patient, bystanders, or providers which often involves law enforcement. Currently, no guidelines exist regarding management of agitation in the pre-hospital setting. This activity examines how racial minorities and populations with substance misuse and psychiatric illness are disproportionately at risk of being restrained and approached by law enforcement. We will review pre-hospital sedation with a racial justice perspective, using ketamine as a prototype. It will include a listening session led by a survivor of police brutality and a panel that will discuss how structural racism impacts the care of agitated patients in the pre-hospital setting.
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, Practice-Based Improvement, Systems Based Practice.
Upon completion, learners will be able to:
- Describe the role of medications used in the pre-hospital setting to manage patients who are profoundly agitated, and how their use applies to patients at risk for substance misuse
- Identify challenges associated with finding safe and effective evidence based interventions for the treatment of profoundly agitated patients in the pre-hospital setting
- describe ‘structural competency’ and apply this concept to clinical practice
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Registration Deadline: 04/30/2024
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Ruchi M. Fitzgerald
Ruchi M. Fitzgerald, MD, FAAFP is a family physician and an addiction medicine physician. She is the Service Chief of Inpatient Addiction Medicine at PCC Community Wellness, a federally qualified health center system that serves the West Side of Chicago. Dr. Fitzgerald is an Assistant Professor in the Departments of Family Medicine and Psychiatry and Behavioral Sciences at Rush University, as well as the Associate Program Director of the Rush Addiction Medicine Fellowship. She completed the addiction medicine fellowship at Rush University in 2020. She is a graduate of the University of Michigan Medical School and completed her family medicine residency in 2012 with the Montana Family Medicine Residency. Dr. Fitzgerald developed an interest in provision of care for underserved populations and those affected by substance use disorders during her residency. Her love for teaching medical students and family practice residents developed in Montana while she was a community faculty physician with the Montana Family Medicine Residency Program. Dr. Fitzgerald also has extensive experience in telemedicine. During her fellowship, Dr. Fitzgerald worked with the addiction medicine faculty to create RISE-MD (Rush Integrative Substance Use Disorder Education for Medical Doctors), an educational initiative in Rush Medical College that focuses on eliminating stigma while promoting evidence-based treatment of substance use disorders in the next generation of physicians. She has worked with the American Society of Addiction Medicine and the Illinois Society of Addiction Medicine on key advocacy and policy initiatives related to substance use disorders. Dr. Fitzgerald is also an active member of the Federation of State Physician Health Programs and is an advocate for physician health and wellness.
No relevant financial disclosures
Nicholas Chien, MD was born in Kuala Lumpur, Malaysia. His family moved to Vancouver, British Columbia when he was 1-year-old and he lived there until he moved to the United States for college. He attended the University of California, Berkeley and graduated with degrees in nutritional sciences and integrative biology. After graduating college, he moved to San Francisco and worked as a clinical researcher for Genentech. He also spent a year working as a medical biller in a private cardiology clinic in Los Angeles. He attended the University of Kentucky College of Medicine and completed a residency in emergency medicine at Rush University Medical Center. He currently works part-time as an emergency medicine physician while completing a fellowship in addiction medicine at Rush University Medical Center.
MD, MS, FACEP
Ethan Cowan is a Clinical Associate Professor in the Departments of Emergency Medicine. For the last 15 years he has used his formal training in clinical research methods to coordinate and conduct randomized controlled trials and cohort studies in the Emergency Department (ED) setting. In the area of public health, Dr. Cowan has developed programs for HIV, HCV, STI and SUD screening in the Emergency Department. Currently, he is a Sub-Co-Investigator on the NIDA CTN-0069 “Project ED Health” and Co-I on NIDA CTN 0099 "ED INNOVATION".
LaTanya S. Jenifor-Sublett
La Tanya Jenifor-Sublett, BA, MHP Case Manager for Heartland Alliance Health, Director of Peer Reentry Program Services for Chicago Torture Justice Center. Social Justice Advocate, Community Organizer. Survivor of Chicago Police Torture and Abuse. Pesonally focusing on eliminating the disparities and collateral consequences faced by those who have been incarcerated.
Elise Wessol is an addiction medicine physician practicing at Carle Addiction Recovery Center in Champaign, Illinois. She is board certified in family medicine and completed a family medicine residency at Carle Foundation Hospital in Champaign. She is fellowship trained in addiction medicine and graduated from the University of Wisconsin-Madison addiction medicine fellowship program. She now works in outpatient and inpatient settings providing treatment for people with substance use disorders. She serves as a clinical assistant professor of medicine at the Carle Illinois College of Medicine and provides education for clinicians, residents, and medical students in an effort to banish stigma, inform policy, and promote evidence-based treatment for people who suffer from the disease of addiction.
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 1.5 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 1.5 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 1.5 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 1.5 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 1.5 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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