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ATFORUM.COM
PATIENT ADVOCACY AND SELF-HELP GROUPS Patient Advocacy and Self-Help Groups. A New PATH works to reduce the stigma associated with addictive illness through education and to advocate for therapeutic rather than punitive drug policies. A community of persons in recovery, family members, friends, and allies, CCAR is organized to put a positive face and voice on recovery from STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Study Report: Pharmacy-Based Methadone Distribution. April 2, 2020 by Barbara Goodheart, ELS. Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of KNOW YOUR RIGHTS: RIGHTS FOR INDIVIDUALS ON MEDICATION This publication was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by the Legal Action Center (LAC) for the Partners for Recovery Initiative under Abt Associates, Inc., under contract number 270-03-9000, with SAMHSA, U.S. Departmentof Health
YOU THE DANGERS OF METHADONE SUBSTANCE Conversely, if alcohol is abused on a regular, chronic basis, besides having its own harmful effects on the body, this can increase methadone metabolism and reduce the amount of methadone UNDERSTANDING METHADONE MMT CLINIC makes all the rules? Rules and regulations governing MMT clinics come from federal, state, and local authorities. Clinics must follow these to stay licensed to practice medicine, to ADMINISTRATIVE WITHDRAWAL: DISCHARGING OTP PATIENTS FOR But now everyone has increased access to health insurance. “Thankfully, financial withdrawals are becoming rare due to Medicaid expansion,” said Mr. Rizzi of administrative withdrawals for financial reasons. For those paying out-of-pocket, treatment in a Rhode Island OTP can cost $85 to $95 a week. For patients whoself-pay, this is a
HOME - ADDICTION TREATMENT FORUMNEWSLETTERADDICTION RESOURCESRX METHADONE & SAFETYPATIENT BROCHURESEVENTS April 22, 2021. Community Medical Services (CMS), which opened two new opioid treatment programs (OTPs) in Wisconsin and Arizona recently, is the first program in the country to open “Opioid Treatment on Demand” centers 24 hours a day, 7 days a week. Reaching out to harm reduction agencies is a key focus of CMS’ work, making sure clients. PATIENT EDUCATION BROCHURES Addiction Treatment Forum has produced a series of more than 20 educational brochures available in both English and Spanish for opioid-dependent patients in medication-assisted treatment (MAT) for opioid addiction. The brochures are available as a series of PDF files for you to download and print out at your convenience. The brochures can be duplicated for handouts to patients JOURNALS & NEWSLETTERS International Journal of Mental Health and Addiction. This quarterly journal offers a forum for up-to-date information and developments in mental health and addiction-related research, policy, literature, and treatment. Journal of Addiction Medicine. The official journal of the American Society of Addiction Medicine (JAM), is a new peer EXTENDED METHADONE TAKE-HOMES DURING COVID: NOTHING BUTSEE MORE ONATFORUM.COM
PATIENT ADVOCACY AND SELF-HELP GROUPS Patient Advocacy and Self-Help Groups. A New PATH works to reduce the stigma associated with addictive illness through education and to advocate for therapeutic rather than punitive drug policies. A community of persons in recovery, family members, friends, and allies, CCAR is organized to put a positive face and voice on recovery from STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Study Report: Pharmacy-Based Methadone Distribution. April 2, 2020 by Barbara Goodheart, ELS. Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of KNOW YOUR RIGHTS: RIGHTS FOR INDIVIDUALS ON MEDICATION This publication was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by the Legal Action Center (LAC) for the Partners for Recovery Initiative under Abt Associates, Inc., under contract number 270-03-9000, with SAMHSA, U.S. Departmentof Health
YOU THE DANGERS OF METHADONE SUBSTANCE Conversely, if alcohol is abused on a regular, chronic basis, besides having its own harmful effects on the body, this can increase methadone metabolism and reduce the amount of methadone UNDERSTANDING METHADONE MMT CLINIC makes all the rules? Rules and regulations governing MMT clinics come from federal, state, and local authorities. Clinics must follow these to stay licensed to practice medicine, to ADMINISTRATIVE WITHDRAWAL: DISCHARGING OTP PATIENTS FOR But now everyone has increased access to health insurance. “Thankfully, financial withdrawals are becoming rare due to Medicaid expansion,” said Mr. Rizzi of administrative withdrawals for financial reasons. For those paying out-of-pocket, treatment in a Rhode Island OTP can cost $85 to $95 a week. For patients whoself-pay, this is a
TWO STUDIES DESCRIBE DIFFERENCES IN OTP RESPONSES TO COVID In these pages of Addiction Treatment Forum we feature two studies describing experiences at opioid treatment programs (OTPs) during COVID-19. The first study, from Bronx/Montefiore OTPs, reports favorable outcomes and more-flexible patient care, compared to pre-COVID. The second study, from RAND Drug Policy Research Center, is based on telephone surveys of PATIENT EDUCATION BROCHURES Addiction Treatment Forum has produced a series of more than 20 educational brochures available in both English and Spanish for opioid-dependent patients in medication-assisted treatment (MAT) for opioid addiction. The brochures are available as a series of PDF files for you to download and print out at your convenience. The brochures can be duplicated for handouts to patients REIMAGINING PATIENT CARE: BRONX OTPS SHARE LESSONS LEARNED When COVID-19 forced Bronx opioid treatment programs (OTPs) to change the way they operated, the OTPs made dramatic changes and saw better outcomes in just ten weeks. In an article published in March in the Journal of Substance Abuse Treatment, the authors summarize their experiences and share what they learned. Background The Bronx has been INTRODUCING STEVE WOOLWORTH, NEW EVERGREEN CEO Introducing Steve Woolworth, New Evergreen CEO. February 25, 2020 by Alison Knopf. Steve Woolworth, PhD, the new CEO of Evergreen Treatment Services, has big shoes to fill. Molly Carney, the longtime CEO, is retiring, and Dr. Woolworth—at the helm of the Seattle, Washington-based opioid treatment program (OTP) for only six weekswhen we
NEW METHADONE SAFETY GUIDELINES PUBLISHED FOR OPIOID In recent years the safety of methadone has been questioned by data indicating a large rise in the number of methadone-associated overdose deaths occurring at the same time as a marked increase in methadone use to treat chronic pain. Between 2008 and 2011, several medical groups issued methadone safety guidelines to address the increasedmortality.
THE “THREE-DAY RULE” NEEDS TO BE EXTENDED TO ALLOW LONGER In 2017, Gail Groves Scott, MPH, manager of the Substance Use Disorders Institute at the University of the Sciences in Philadelphia, wrote a passionate piece in the Philadelphia Inquirer about the importance of expanding existing Drug Enforcement Administration (DEA) rules to expand and relax hospital regulations. Ms. Scott sought to remove the “three-day rule,” which UNDERSTANDING METHADONE MMT CLINIC makes all the rules? Rules and regulations governing MMT clinics come from federal, state, and local authorities. Clinics must follow these to stay licensed to practice medicine, to ASAM GUIDELINE SHOWS WHAT IT TAKES TO TREAT OPIOID USE In May, the American Society of Addiction Medicine (ASAM) issued a practice guideline on medications for treating opioid use disorders. Meant to guide clinicians in prescribing pharmacotherapies—methadone, buprenorphine, naltrexone, and extended release naltrexone—the 170-page guideline is an important contribution to the field. Along with the Treatment ResearchInstitute,
THE M.A.R.S. PEERS MODEL AT WORK IN MEDICATION-ASSISTED The M.A.R.S. Project is the only federally funded program that provides peer recovery support to patients in medication-assisted treatment (MAT) for opioid addiction. Funded by the Substance Abuse and Mental Health Services Administration, M.A.R.S. is conducted in collaboration with the substance abuse division of the Albert Einstein College of Medicine in New York City, Yeshiva SAMHSA PANEL: NO MANDATORY ECG TESTING FOR OTP PATIENTS A panel convened by the Substance Abuse and Mental Health Services Administration (SAMHSA) has stopped short of recommending mandatory electrocardiograms (ECGs) on patients treated with methadone in opioid treatment programs (OTPs). In “QT Interval Screening in Methadone Maintenance Treatment: Report of a SAMHSA Expert Panel,” published November 3 in the Journal of HOME - ADDICTION TREATMENT FORUMNEWSLETTERADDICTION RESOURCESRX METHADONE & SAFETYPATIENT BROCHURESEVENTS April 22, 2021. Community Medical Services (CMS), which opened two new opioid treatment programs (OTPs) in Wisconsin and Arizona recently, is the first program in the country to open “Opioid Treatment on Demand” centers 24 hours a day, 7 days a week. Reaching out to harm reduction agencies is a key focus of CMS’ work, making sure clients. PATIENT EDUCATION BROCHURES Addiction Treatment Forum has produced a series of more than 20 educational brochures available in both English and Spanish for opioid-dependent patients in medication-assisted treatment (MAT) for opioid addiction. The brochures are available as a series of PDF files for you to download and print out at your convenience. The brochures can be duplicated for handouts to patients PATIENT ADVOCACY AND SELF-HELP GROUPS Patient Advocacy and Self-Help Groups. A New PATH works to reduce the stigma associated with addictive illness through education and to advocate for therapeutic rather than punitive drug policies. A community of persons in recovery, family members, friends, and allies, CCAR is organized to put a positive face and voice on recovery from EXTENDED METHADONE TAKE-HOMES DURING COVID: NOTHING BUTSEE MORE ONATFORUM.COM
REIMAGINING PATIENT CARE: BRONX OTPS SHARE LESSONS LEARNEDSEE MORE ONATFORUM.COM
STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Study Report: Pharmacy-Based Methadone Distribution. April 2, 2020 by Barbara Goodheart, ELS. Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of YOU THE DANGERS OF METHADONE SUBSTANCE Conversely, if alcohol is abused on a regular, chronic basis, besides having its own harmful effects on the body, this can increase methadone metabolism and reduce the amount of methadone KNOW YOUR RIGHTS: RIGHTS FOR INDIVIDUALS ON MEDICATION This publication was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by the Legal Action Center (LAC) for the Partners for Recovery Initiative under Abt Associates, Inc., under contract number 270-03-9000, with SAMHSA, U.S. Departmentof Health
UNDERSTANDING METHADONE MMT CLINIC makes all the rules? Rules and regulations governing MMT clinics come from federal, state, and local authorities. Clinics must follow these to stay licensed to practice medicine, to SCOPES OF PRACTICE & CAREER LADDER FOR SUBSTANCE COUNSELING Scopes of Practice & Career Ladder for Substance Use Disorder Counseling. This document reports on a meeting, Expert Panel on Scopes of Practice In the Field of Substance HOME - ADDICTION TREATMENT FORUMNEWSLETTERADDICTION RESOURCESRX METHADONE & SAFETYPATIENT BROCHURESEVENTS April 22, 2021. Community Medical Services (CMS), which opened two new opioid treatment programs (OTPs) in Wisconsin and Arizona recently, is the first program in the country to open “Opioid Treatment on Demand” centers 24 hours a day, 7 days a week. Reaching out to harm reduction agencies is a key focus of CMS’ work, making sure clients. PATIENT EDUCATION BROCHURES Addiction Treatment Forum has produced a series of more than 20 educational brochures available in both English and Spanish for opioid-dependent patients in medication-assisted treatment (MAT) for opioid addiction. The brochures are available as a series of PDF files for you to download and print out at your convenience. The brochures can be duplicated for handouts to patients PATIENT ADVOCACY AND SELF-HELP GROUPS Patient Advocacy and Self-Help Groups. A New PATH works to reduce the stigma associated with addictive illness through education and to advocate for therapeutic rather than punitive drug policies. A community of persons in recovery, family members, friends, and allies, CCAR is organized to put a positive face and voice on recovery from EXTENDED METHADONE TAKE-HOMES DURING COVID: NOTHING BUTSEE MORE ONATFORUM.COM
REIMAGINING PATIENT CARE: BRONX OTPS SHARE LESSONS LEARNEDSEE MORE ONATFORUM.COM
STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Study Report: Pharmacy-Based Methadone Distribution. April 2, 2020 by Barbara Goodheart, ELS. Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of YOU THE DANGERS OF METHADONE SUBSTANCE Conversely, if alcohol is abused on a regular, chronic basis, besides having its own harmful effects on the body, this can increase methadone metabolism and reduce the amount of methadone KNOW YOUR RIGHTS: RIGHTS FOR INDIVIDUALS ON MEDICATION This publication was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by the Legal Action Center (LAC) for the Partners for Recovery Initiative under Abt Associates, Inc., under contract number 270-03-9000, with SAMHSA, U.S. Departmentof Health
UNDERSTANDING METHADONE MMT CLINIC makes all the rules? Rules and regulations governing MMT clinics come from federal, state, and local authorities. Clinics must follow these to stay licensed to practice medicine, to SCOPES OF PRACTICE & CAREER LADDER FOR SUBSTANCE COUNSELING Scopes of Practice & Career Ladder for Substance Use Disorder Counseling. This document reports on a meeting, Expert Panel on Scopes of Practice In the Field of Substance TWO STUDIES DESCRIBE DIFFERENCES IN OTP RESPONSES TO COVID In these pages of Addiction Treatment Forum we feature two studies describing experiences at opioid treatment programs (OTPs) during COVID-19. The first study, from Bronx/Montefiore OTPs, reports favorable outcomes and more-flexible patient care, compared to pre-COVID. The second study, from RAND Drug Policy Research Center, is based on telephone surveys of EXTENDED METHADONE TAKE-HOMES DURING COVID: NOTHING BUT In a state with a population of around a little over a million, 160,000 take-homes are a lot. “The number of take-homes increased by about 50%. About 30% of CODAC patients got 28 days. CODAC has 2,700 patients divided between eight sites, about half of the people with opioid use disorders in the state utilizing methadone in theirtreatment.
STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Study Report: Pharmacy-Based Methadone Distribution. April 2, 2020 by Barbara Goodheart, ELS. Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of methadone treatment for opioid use disorder (OUD). REIMAGINING PATIENT CARE: BRONX OTPS SHARE LESSONS LEARNED When COVID-19 forced Bronx opioid treatment programs (OTPs) to change the way they operated, the OTPs made dramatic changes and saw better outcomes in just ten weeks. In an article published in March in the Journal of Substance Abuse Treatment, the authors summarize their experiences and share what they learned. Background The Bronx has been INTRODUCING STEVE WOOLWORTH, NEW EVERGREEN CEO Introducing Steve Woolworth, New Evergreen CEO. February 25, 2020 by Alison Knopf. Steve Woolworth, PhD, the new CEO of Evergreen Treatment Services, has big shoes to fill. Molly Carney, the longtime CEO, is retiring, and Dr. Woolworth—at the helm of the Seattle, Washington-based opioid treatment program (OTP) for only six weekswhen we
THE “THREE-DAY RULE” NEEDS TO BE EXTENDED TO ALLOW LONGER In 2017, Gail Groves Scott, MPH, manager of the Substance Use Disorders Institute at the University of the Sciences in Philadelphia, wrote a passionate piece in the Philadelphia Inquirer about the importance of expanding existing Drug Enforcement Administration (DEA) rules to expand and relax hospital regulations. Ms. Scott sought to remove the “three-day rule,” which HISTORY OF BUPRENORPHINE Buprenorphine has been in active use for 10 years as a treatment medication for opioid addiction. As explained by Nicholas Reuter, MPH, senior public health analyst with SAMHSA’s Center for Substance Abuse Treatment (CSAT), the development of buprenorphine was preceded by the development and approval by the Food and Drug Administration (FDA) of levo-alpha-acetyl-methadol (LAAM). ADMINISTRATIVE WITHDRAWAL: DISCHARGING OTP PATIENTS FOR But now everyone has increased access to health insurance. “Thankfully, financial withdrawals are becoming rare due to Medicaid expansion,” said Mr. Rizzi of administrative withdrawals for financial reasons. For those paying out-of-pocket, treatment in a Rhode Island OTP can cost $85 to $95 a week. For patients whoself-pay, this is a
THE NEUROBIOLOGY OF OPIOID DEPENDENCE: IMPLICATIONS FOR N RESEARCH REVIEWS—THE NEUROBIOLOGY OF OPIOID DEPENDENCE • 13 The Neurobiology of Opioid Dependence: Implications for Treatment Opioid tolerance, dependence, and addiction are all manifestations of brainchanges result-
ZAC TALBOTT
Zachary C. Talbott (“Zac”), aged 35, a native of Tennessee, is administrator and program director of Counseling Solutions Treatment Centers, based in Georgia. When he was at the University of Tennessee Knoxville College of Social Work, pursuing his Master of Social Work (MSW) degree, his addiction to prescription opioids and heroin spunout of control,
HOME - ADDICTION TREATMENT FORUMNEWSLETTERADDICTION RESOURCESRX METHADONE & SAFETYPATIENT BROCHURESEVENTS The U.S. Food and Drug Administration has approved a higher dose naloxone hydrochloride nasal spray product to treat opioid overdose. The newly approved product delivers 8 milligrams (mg) of naloxone intothe nasal cavity.
PATIENT EDUCATION BROCHURES Addiction Treatment Forum has produced a series of more than 20 educational brochures available in both English and Spanish for opioid-dependent patients in medication-assisted treatment (MAT) for opioid addiction. The brochures are available as a series of PDF files for you to download and print out at your convenience. The brochures can be duplicated for handouts to patients PATIENT ADVOCACY AND SELF-HELP GROUPS A New PATH (Parents for Addiction Treatment and Healing) A New PATH works to reduce the stigma associated with addictive illness through education and to advocate for therapeutic rather than punitive drug policies. Alcoholics Anonymous® AA is a fellowship of people who share their life experiences with others to help solve their common problems to recover from Connecticut EXTENDED METHADONE TAKE-HOMES DURING COVID: NOTHING BUTSEE MORE ONATFORUM.COM
X-WAIVER CHANGES PROGRESSING THROUGH CONGRESS AMID SOME Three bills going through Congress would change the way buprenorphine treatment is delivered, mainly eliminating the x-waiver, the training required for the special Drug Enforcement Administration (DEA) license allowing the dispensing of the medication for opioid use disorders (OUDs). TREATS Act The Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act, STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of methadone treatment for opioid use disorder (OUD). The current situation within the U.S. wasn’t encouraging: In 2017, drug overdose deaths in the U.S.—most of them related to opioids—totaled 70,237. Yet there KNOW YOUR RIGHTS: RIGHTS FOR INDIVIDUALS ON MEDICATION This publication was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by the Legal Action Center (LAC) for the Partners for Recovery Initiative under Abt Associates, Inc., under contract number 270-03-9000, with SAMHSA, U.S. Departmentof Health
UNDERSTANDING METHADONE MMT CLINIC makes all the rules? Rules and regulations governing MMT clinics come from federal, state, and local authorities. Clinics must follow these to stay licensed to practice medicine, to YOU THE DANGERS OF METHADONE SUBSTANCE Conversely, if alcohol is abused on a regular, chronic basis, besides having its own harmful effects on the body, this can increase methadone metabolism and reduce the amount of methadone ADMINISTRATIVE WITHDRAWAL: DISCHARGING OTP PATIENTS FOR Opioid treatment programs (OTPs), like other health care providers, are not required to provide patient care without charge. If a patient can’t pay, and has no insurance and no Medicaid coverage, the OTP can—humanely—withdraw the patient from methadone. Key parts of this story are Medicaid expansion and Medicaid payment for OTP services—both are state-by-state policies. HOME - ADDICTION TREATMENT FORUMNEWSLETTERADDICTION RESOURCESRX METHADONE & SAFETYPATIENT BROCHURESEVENTS The U.S. Food and Drug Administration has approved a higher dose naloxone hydrochloride nasal spray product to treat opioid overdose. The newly approved product delivers 8 milligrams (mg) of naloxone intothe nasal cavity.
PATIENT EDUCATION BROCHURES Addiction Treatment Forum has produced a series of more than 20 educational brochures available in both English and Spanish for opioid-dependent patients in medication-assisted treatment (MAT) for opioid addiction. The brochures are available as a series of PDF files for you to download and print out at your convenience. The brochures can be duplicated for handouts to patients PATIENT ADVOCACY AND SELF-HELP GROUPS A New PATH (Parents for Addiction Treatment and Healing) A New PATH works to reduce the stigma associated with addictive illness through education and to advocate for therapeutic rather than punitive drug policies. Alcoholics Anonymous® AA is a fellowship of people who share their life experiences with others to help solve their common problems to recover from Connecticut EXTENDED METHADONE TAKE-HOMES DURING COVID: NOTHING BUTSEE MORE ONATFORUM.COM
X-WAIVER CHANGES PROGRESSING THROUGH CONGRESS AMID SOME Three bills going through Congress would change the way buprenorphine treatment is delivered, mainly eliminating the x-waiver, the training required for the special Drug Enforcement Administration (DEA) license allowing the dispensing of the medication for opioid use disorders (OUDs). TREATS Act The Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act, STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of methadone treatment for opioid use disorder (OUD). The current situation within the U.S. wasn’t encouraging: In 2017, drug overdose deaths in the U.S.—most of them related to opioids—totaled 70,237. Yet there KNOW YOUR RIGHTS: RIGHTS FOR INDIVIDUALS ON MEDICATION This publication was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by the Legal Action Center (LAC) for the Partners for Recovery Initiative under Abt Associates, Inc., under contract number 270-03-9000, with SAMHSA, U.S. Departmentof Health
UNDERSTANDING METHADONE MMT CLINIC makes all the rules? Rules and regulations governing MMT clinics come from federal, state, and local authorities. Clinics must follow these to stay licensed to practice medicine, to YOU THE DANGERS OF METHADONE SUBSTANCE Conversely, if alcohol is abused on a regular, chronic basis, besides having its own harmful effects on the body, this can increase methadone metabolism and reduce the amount of methadone ADMINISTRATIVE WITHDRAWAL: DISCHARGING OTP PATIENTS FOR Opioid treatment programs (OTPs), like other health care providers, are not required to provide patient care without charge. If a patient can’t pay, and has no insurance and no Medicaid coverage, the OTP can—humanely—withdraw the patient from methadone. Key parts of this story are Medicaid expansion and Medicaid payment for OTP services—both are state-by-state policies. STUDY REPORT: PHARMACY-BASED METHADONE DISTRIBUTION Eight investigators from medical centers in the U.S. and Canada recently looked into methadone access in the U.S., and evaluated the current availability of methadone treatment for opioid use disorder (OUD). The current situation within the U.S. wasn’t encouraging: In 2017, drug overdose deaths in the U.S.—most of them related to opioids—totaled 70,237. Yet there REIMAGINING PATIENT CARE: BRONX OTPS SHARE LESSONS LEARNED When COVID-19 forced Bronx opioid treatment programs (OTPs) to change the way they operated, the OTPs made dramatic changes and saw better outcomes in just ten weeks. In an article published in March in the Journal of Substance Abuse Treatment, the authors summarize their experiences and share what they learned. Background The Bronx has been NEW METHADONE SAFETY GUIDELINES PUBLISHED FOR OPIOID In recent years the safety of methadone has been questioned by data indicating a large rise in the number of methadone-associated overdose deaths occurring at the same time as a marked increase in methadone use to treat chronic pain. Between 2008 and 2011, several medical groups issued methadone safety guidelines to address the increasedmortality.
THE “THREE-DAY RULE” NEEDS TO BE EXTENDED TO ALLOW LONGER In 2017, Gail Groves Scott, MPH, manager of the Substance Use Disorders Institute at the University of the Sciences in Philadelphia, wrote a passionate piece in the Philadelphia Inquirer about the importance of expanding existing Drug Enforcement Administration (DEA) rules to expand and relax hospital regulations. Ms. Scott sought to remove the “three-day rule,” which THE NEUROBIOLOGY OF OPIOID DEPENDENCE: IMPLICATIONS FOR N RESEARCH REVIEWS—THE NEUROBIOLOGY OF OPIOID DEPENDENCE • 13 The Neurobiology of Opioid Dependence: Implications for Treatment Opioid tolerance, dependence, and addiction are all manifestations of brainchanges result-
THE M.A.R.S. PEERS MODEL AT WORK IN MEDICATION-ASSISTED The M.A.R.S. Project is the only federally funded program that provides peer recovery support to patients in medication-assisted treatment (MAT) for opioid addiction. Funded by the Substance Abuse and Mental Health Services Administration, M.A.R.S. is conducted in collaboration with the substance abuse division of the Albert Einstein College of Medicine in New York City, Yeshiva LIVER DISEASE IN MMT: TREATMENT & TRANSPLANT Liver Disease in MM T: Treatment & Transplant 2 On the basis of recommended guidelines of con sensus conferences held in the United States, Can ada, and Europe, most specialists refuse toZAC TALBOTT
Zachary C. Talbott (“Zac”), aged 35, a native of Tennessee, is administrator and program director of Counseling Solutions Treatment Centers, based in Georgia. When he was at the University of Tennessee Knoxville College of Social Work, pursuing his Master of Social Work (MSW) degree, his addiction to prescription opioids and heroin spunout of control,
SCOPES OF PRACTICE & CAREER LADDER FOR SUBSTANCE COUNSELING Scopes of Practice & Career Ladder for Substance Use Disorder Counseling. This document reports on a meeting, Expert Panel on Scopes of Practice In the Field of Substance SAMHSA PANEL: NO MANDATORY ECG TESTING FOR OTP PATIENTS A panel convened by the Substance Abuse and Mental Health Services Administration (SAMHSA) has stopped short of recommending mandatory electrocardiograms (ECGs) on patients treated with methadone in opioid treatment programs (OTPs). In “QT Interval Screening in Methadone Maintenance Treatment: Report of a SAMHSA Expert Panel,” published November 3 in the Journal of * Skip to main content * Skip to secondary menu* Skip to footer
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_ADDICTION TREATMENT FORUM_ REPORTS ON SUBSTANCE USE NEWS OF INTEREST TO OPIOID TREATMENT PROGRAMS AND PATIENTS IN MEDICATION-ASSISTEDTREATMENT.
November 24, 2020
PROPOSED BILLS WOULD INFUSE OPIOID USE DISORDER TREATMENT WITH NEWFUNDS
Alison Knopf
Two bills passed by Congress and heading to the Senate would be very helpful to opioid treatment programs (OTPs) and other treatment providers, and their patients. SOR reauthorization The State Opioid Response (SOR) grant program, administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), is up for continuation thanks to a bill passed… Continue Reading Proposed bills would infuse opioid use disorder treatment with new fundsOctober 20, 2020
TO MALLINCKRODT: THANK YOU FROM AT FORUMATForum
We all want to thank Mallinckrodt for almost 30 years of support. This wonderful company provided support from the beginning of the newsletter, which first came out in 1992 during the dark days for methadone and opioid treatment programs. At the time, the late Stewart B. Leavitt, Ph.D., with funding what was then called Mallinckrodt… Continue Reading To Mallinckrodt: Thank you from AT ForumCOVID-19 RESOURCES
ATForum
https://www.samhsa.gov/sites/default/files/programs_campaigns/medication_assisted/telemedicine-dea-guidance.pdf https://www.samhsa.gov/medication-assisted-treatment/statutes-regulations-guidelines/covid-19-guidance-otp https://www.samhsa.gov/sites/default/files/otp-guidance-20200316.pdf https://www.samhsa.gov/sites/default/files/sample-otp-covid-19-faqs.pdf https://www.drugabuse.gov/about-nida/noras-blog/2020/03/covid-19-potential-implications-individuals-substance-use-disorders https://www.samhsa.gov/sites/default/files/tips-social-distancing-quarantine-isolation-031620.pdf https://www.appropriations.senate.gov/imo/media/doc/032520%20Title-By-Title%20Summary%20FINAL.pdf Continue Reading COVID-19 Resources AT FORUM NEWSLETTER – SEPTEMBER 2020September 29, 2020
STUDY: COVID-19 THREATENS THE INCARCERATED WITH LOSS OF LIFE-SAVINGOAT TREATMENT
Barbara Goodheart, ELS For people with opioid use disorder (OUD), getting into or staying in an opioid agonist treatment (OAT) program while in jail or prison has never been easy. But incarcerated populations now face a new challenge: the COVID-19 pandemic threatens access to treatment programs and their life-saving medications. Sachini Bandara, PhD, and her colleagues at Johns… Continue Reading Study: COVID-19 Threatens the Incarcerated With Loss of Life-Saving OAT TreatmentSeptember 28, 2020
WHY OTPS NEED TO STAY IN THE MIX: THE SHATTERPROOF YELP-LIKE PILOTAlison Knopf
When Shatterproof launched its new ATLAS (Addiction Treatment Locator, Assessment, and Standards Platform) project, funded largely by insurance companies, as a pilot in six states, opioid treatment programs (OTPs) of New York State said yes, they want to participate. The reason is not because OTPs are interested in having disgruntled patients post complaints in a… Continue Reading Why OTPs Need To Stay In The Mix: The ShatterproofYelp-like Pilot
September 3, 2020
NEW OTPS IN TENNESSEE, WHERE MEDICAID NOW COVERS METHADONE/OTPAlison Knopf
This summer, the Tennessee Health Services and Development Agency (HSDA) granted a Certificate of Need (CON) for the establishment of a new opioid treatment program (OTP) in Maryville, Blount County, Tennessee. Owned by The Patricia Hall Talbott Legacy Centers, LLC, a company named after the founder’s mother, and doing business as TLC Maryville, the Maryville… Continue Reading New OTPs In Tennessee, Where Medicaid Now CoversMethadone/OTP
NEWS & UPDATES – OCTOBER 2020 ‘I AM ALONE’: OPIOID RELAPSES ON THE RISE AS COVID-19 INTERRUPTS DRUG ADDICTION RECOVERY IN DALLAS ATForum October 7, 2020 North Texas addiction treatment centers are working hard to keep facilities open during the COVID-19 pandemic. The goal: to give some of the highest-risk patients access to medications that treat opioid addiction. The opioid epidemic hasn’t been supplanted by the… Continue Reading ‘I am Alone’: Opioid Relapses on the Rise as COVID-19 Interrupts Drug Addiction Recovery in Dallas FEDERAL FUNDS TO FIGHT OPIOID CRISIS DON’T MEET DEMAND ATForum October 7, 2020 Current federal funding levels to combat the opioid crisis do not meet the alarming demand brought on by the COVID-19 pandemic, according to a new report. The Bipartisan Policy Center on Wednesday released a report that found federal opioid funding grew only… Continue Reading Federal Funds to Fight Opioid Crisis Don’t MeetDemand
METHADONE PATIENTS’ DATA POISED TO BE ENTERED INTO PDMPS ATForum October 7, 2020 Starting August 14, methadone patients face the very real possibility that their long-protected privacy will be gone. The Substance Abuse and Mental Health Service Administration (SAMHSA) final rule on the regulation 42 CFR Part 2 allows opioid treatment programs (OTPs,… Continue Reading Methadone Patients’ Data Poised to Be Entered IntoPDMPs
“THE DRUG BECAME HIS FRIEND”: PANDEMIC DRIVES HIKE IN OPIOIDDEATHS
ATForum October 7, 2020 On the first Friday in June, Jefrey Cameron, 29, left his home around midnight to buy heroin. He had been struggling with addiction for seven years but had seemingly turned a corner, holding down a job thathe loved at…
Continue Reading “The Drug Became His Friend”: Pandemic Drives Hike in Opioid Deaths ADDICTION TO OPIOIDS AND TOBACCO INCREASES RISK FOR COVID-19, STUDYFINDS
ATForum October 7, 2020 People with substance use disorder — especially involving opioids or tobacco — are at a significantly higher risk for contracting COVID-19. What’s more, they also are more likely to develop a serious case of the virus and die, a new… Continue Reading Addiction to Opioids and Tobacco Increases Risk for COVID-19, Study Finds STATEWIDE OPIOID SCREENING DAY TO HELP PEOPLE ASSESS THEIR RISK ANDFIND TREATMENT
ATForum October 7, 2020 Hospitals and clinics around Massachusetts are gearing up to help people access treatment for opioid use disorder, as part of a statewide event aimed at increasing awareness of the disease. The Sept. 22 event, called Massachusetts Opioid Screening andAwareness Day,…
Continue Reading Statewide Opioid Screening Day To Help People Assess Their Risk And Find Treatment SIGNS AMERICA’S PRESCRIPTION OPIOID EPIDEMIC MIGHT FINALLY BE WANING ATForum October 7, 2020 Here’s some heartening news on the opioid painkillers front: Abuse of the prescription medicines in the United States fell by more than one-quarter between 2007 and 2018. “Prior research has shown slight reductions in abuse rates, but our analysis shows… Continue Reading Signs America’s Prescription Opioid Epidemic MightFinally Be Waning
HOW A CONTROVERSIAL NORTH PHOENIX METHADONE CLINIC MADE PEACE WITH THENEIGHBORS
ATForum October 7, 2020 A once-controversial 24/7 north Phoenix methadone clinic that treats people with opioid use disorder has reached a détente with its neighbors. Key to the truce is the lease of a large new clinic at a new location and a big change in… Continue Reading How a Controversial North Phoenix Methadone Clinic Made Peace With the NeighborsFOOTER
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