Helping Patients and Families Understand Opioid Use Disorder as a Chronic Disease
Jasmin Charles, Clinical Director of the Substance Use and Pregnancy Recovery Addiction Dependence (SUPeRAD) clinic, covers Opioid Use Disorder (OUD) as a chronic medical condition. She also discusses words to use when discussing addiction, ways to reduce discrimination and stigma, pregnancy as an opportunity to educate your patient and their family and engage them in shared decision-making.
Janet Fisher, Nurse Educator for the Labor and Delivery Unit at the University of Utah, facilitates a panel of clinicians–Maggie Cooper, Amanda Gregory, Annie Hatch and Jael Waldvogel, talking about implementing the Obstetric Care for Women with Opioid Use Disorder Safety Bundle. Discussion includes various topics such as Nursing/clinician engagement, the panel’s experience working with patients with Opioid Use Disorder, lessons learned and patient/family education resources.
Division of Child and Family Services (DCFS) Reporting and Decision Making – Utah
Kyla Clark, Strengthening Families Program Administrator at the Utah Division of Child and Family Services (DCFS) talks about DCFS decision points. Topics include when to report, how to report, what to report, what happens after a report is made and ongoing DCFS Services.
Division of Family Services – Wyoming
Social Services Program Supervisor, Laura Dobler, discusses key information about the Wyoming Department of Family Services. Topics covered are how the department is organized, social services and child protection, mandatory reporting, track assignment, methamphetamine and case management.
Implicit Bias and Reducing Stigma
Sharon Moffat, consultant with March of Dimes and Jennifer Sedlmeyer-Johansen, Director of Professional Education at March of Dimes, provide an overview to the March of Dimes, the organization’s focus on diversity, inclusion and health equity. They discuss the Beyond Labels Stigma Reduction Resource, including how stigma impacts the health care of women with substance use disorders and actions healthcare providers can take to reduce stigma with their organization and the community.
Marcela Smid, MD and Medical Director of SUPeRAD, covers inpatient clinical pathways. Topics include diagnostic criteria for OUD, screening, maternal benefits of OUD treatment, Medication Assisted Treatment, Maternal Urine Testing, Intrapartum and Postpartum Management.
Medications and Treatment Response
Addiction Psychiatry Fellow, Seth Migdalski, MD, talks about Medications and Treatments for OUD. The session objectives include understanding how to diagnose an OUD, reviewing the difference between opioid dependence and opioid use disorder, available formulations of buprenorphine, matching patients to stage of change and clinical tools for change along with resources.
Neonatal Opioid Withdrawal Syndrome
Bhanu Muniyappa, MD and Assistant Professor of Pediatrics at University of Utah Health, discusses Neonatal abstinence syndrome (NAS) along with Neonatal Opioid Withdrawal Syndrome (NOWS). She defines NAS/NOWS, talks about identification and counseling for patients at risk, reviews non-pharmacological interventions for treatment and provides and overview of the management of NOWS.
Pain Control Protocols
Mark Rollins, MD, PhD and director of Obstetric Anesthesia at University of Utah Health, covers Post-Cesarean Pain Management. This includes the evidence behind the methods for decreasing Post-Cesarean Delivery pain, components and the impact of a multi-modal protocol and how to manage for patients with Opioid Use Disorder.
Polysubstance Use: Meth and Marijuana
Marcela Smid, MD and Medical Director of SUPeRAD, covers inpatient methamphetamine during pregnancy and Torri Metz, MD and Associate Professor of Maternal-Fetal Medicine covers marijuana use during pregnancy. Topics they discuss include prevalence of polysubstance use, how to counsel women on the risks of use during pregnancy and lactation based on current evidence along with resources for counseling women on substance use during pregnancy and breastfeeding.
Rural Healthcare Access and Resources
Danielle Howa Pendergrass, DNP and director of the Eastern Utah Women’s Health Clinic, discusses rural resources for Opioid Use Disorder. She talks about how they developed the Substance Use in Pregnancy Recovery Addiction for Carbon and Emery Counties, community outreach interventions, reducing stigma and resource sharing.
Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Melissa Cheng, MD, medical director for the University of Utah Occupational Medicine Clinic, presents on Screen, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use Disorder. She reviews the concepts of SBIRT, when to use and how to incorporate the evidence-based principles of SBIRT info clinical practices.
Screening Tools to Assess Pregnant Women for SUDs
Mishka Terplan, MD, Associate Medical Director at Friends Research Institute, covers validated screening tools to identify drug and alcohol use. He covers the recommendation of universal assessment during pregnancy, screening instruments, barriers to screening, limits of urine drug testing, and safeguarding against discrimination and stigmatization.
Stress Management Techniques for Clinicians
Amy Locke, MD and co-Director of the Resiliency Center at University of Utah Health, talks about managing stress and the principles of resilience for healthcare workers. She discusses key pandemic needs, burnout and professional wellbeing, resilience strategies, core components of relationships and connection and a culture of wellness.
Substance Use Education for Hospital Staff
Debbie Scovill, LCSW, talks about Substance Use Disorder Education for Hospital Staff. She covers addiction as a chronic medical disease, screening, referral to treatment and Medication Assisted Treatment.
Trauma Informed Care
Misty McIntyre Goodsell, LCSW, discusses Trauma Responsive Care. This includes defining trauma, the relationship between trauma and adverse health outcomes, including SUD, assessment tools and tools to be trauma-responsive when providing care.
Reyna Barragan, LCSW and Stacy Wilkins, MSN, share their insights on interactions with SUD patients. This includes meeting the patient where they are, the process, what to expect, antepartum and postpartum, medications, rooming-in, language, how to build a relationship with patients who are struggling with opioid dependence, recognizing needs and focusing on the patient’s goals.
Family Planning and Opioid Use Disorder
Jennifer Kaiser, MD and Danielle Howa Pendergrass DNP, APRN, WHNP – BC, cover Family Planning and Opioid Use Disorder—meeting patients where they are. They cover Family Planning best practices, such as scheduling tips, method eligibility, and counseling. Checking your bias is another topic—talking about fears, worries and hopes that patients bring to their reproductive health visit. Interactive clinical vignettes are provided for discussion along with supporting patients with what they need.
Opioid Overdose Action and Response and Utah Support Advocates for Recovery Awareness
Lauren Radcliffe, MPH, Overdose Prevention Coordinator at the Utah Department of Health, presented on recognizing the risk factors for an opioid overdose. She also covered how to identify and respond to an opioid overdose and how to administer Naloxone. Kayla Jensen, Peer Support Specialist and Karissa MacDonald, Peer Recovery Coach at USARA, shared their lived experience as moms in long-term recovery. They talked about USARA recovery support services, Addiction Recovery Coaching in Healthcare and Emergency Settings (ARCHES), Community Reinforcement and Family Training (CRAFT), along with the language of recovery and putting a face and voice on recovery.
Division of Child and Family Services – Always Improving
Trisha Reynolds, LCSW, Prevention Services Administrator for the Utah Division of Child and Family Services (DCFS), covers various aspects of DCFS. These include reporting—when, how and where; what happens after you report, legislative updates and prevention. The centralized intake center that operates 24/7 can be reached at 1-855-323-3237 and now offers online reporting for professionals.
Katherine Bark and Candice Frude, MSN, RN cover how Home Visiting programs work in Utah and Wyoming. They discuss evidence-based models, program eligibility, visit schedules, topics covered, how to refer, marketing, program locations and contacts. Home Visiting outcomes from the families and children served show the importance of connecting families with needed resources and referrals to help them parent effectively.
Intimate Partner Violence and Resources
Audrey Jiricko, M.D. discusses Intimate Partner Violence (IPV), how to screen patients, the statistics, health consequences and costs of IPV. She also covers positive messaging, what is reportable and the power and control wheel. Various resources are provided for promoting healthy relationships and connecting patients in unhealthy ones to useful resources, such as the Utah Domestic Violence Coalition Hotline at 1-800-897-5465, UVDC.org.
Cord Study Update
Cord Prevalence Anonymous Substance Use (C-PAST) Study
Marcela Smid, M.D. covers prenatal substance use prevalence estimates. She discusses past Utah studies attempting to estimate prenatal substance use prevalence. Marcela talks about the results of the C-PAST study, including prevalence by region, substance type, comparing to historical results, study strengths, limitations and conclusions.
Fentanyl in Utah
Steve Barnes, MPH and Sydney Bowen, MPH share data on Fentanyl, a synthetic opioid approved for treating severe pain. Deaths involving Fentanyl continue to rise with an increase in the availability of counterfeit pills that contain Fentanyl. Fentanyl test strips are a harm reduction intervention, along with increasing the availability of Naloxone.
Tobacco Cessation Resources
Sandra Schulthies, MS, talks about resources available through the Utah Tobacco Quit Line which supports people wanting to quit all forms of tobacco. Information is presented on special cessation services for pregnant women including calls with a coach and text messaging support along with how clinicians can connect patients to the Utah Tobacco Quit Line www.waytoquit.org.
Caring for Ourselves and Others at a Time of Uncertainty
Anne Pendo, MD, FACP, covers how to thrive in a crisis environment to find meaningfulness and satisfaction at work. She shares resources including the circles of control, compassionate connections through caring and learning, and the going home checklist. Acknowledging emotions, appreciating others, and knowing how to access resources can help to support you and your team.
MotherToBaby Utah: Effects of Substance Use During Pregnancy and Breastfeeding
Alfred R. Romeo, RN, PhD, provides an overview of MothertoBaby Utah. MotherToBaby provides evidence-based information on the safety of medications and other exposures during pregnancy and while breastfeeding. Their resources include Fact Sheets on drugs and substance use such as alcohol, fentanyl, marijuana, methamphetamine, and Opioids, along with depression and anxiety medications.