Library Guides: Tulane University Project ECHO (Extension For Community Healthcare Outcomes): ECHO: Presentations of Session Topics

COVID19 and OUD

ASAM (American Society of Addition Medicine). COVID-19 Guidance & Resource UPDATE
Updated.Resource areas
Coronavirus (COVID-19) - SAMHSA resources & information
Louisiana Department of Health - Please review documents about COVID-19
COVID-19 & Chronic Pain Management ( VERSION 2020.04.22)
New Opioid Pain Management Guide Recommends Telehealth Patient Care from AHRQ.

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Due to the COVID-19 pandemic, primary care physicians should provide opioid therapy for their patients through telehealth visits using two-way video such as Skype or FaceTime, or by telephone, according to a new guide issued by the AHRQ-funded Six Building Blocks program.
A tale of two epidemics: When COVID-19 and opioid addiction collide
Harvard Health Blog ( Harvard Health Publishing)

Sessions are in order of date of presentation, most recent to oldest session

PDF versions of the PowerPoint presentations follow. References and related resources may also be available here.

Upcoming Meeting: Cocaine, Meth & Stimulant Summit -November 20-22, 2020

Cocaine, Meth & Stimulant Summit - A Virtual Experience - November 20-22, 2020
REGISTER FOR THE CONFERENCE

Introduction to Medication-Assisted Treatment (MAT) - New Series - 10-8-2020

Introduction to Medication-Assisted Treatment (MAT) -- (Update 10-8-2020) - NEW SERIES begins
General Overview continuted - Methadone & Naltrexone (Update 10-8-2020) Faculty/Presenter: George Singletary MD MPH
Introduction to Medication-Assisted Treatment (MAT) -Powerpoint Presentation 9-19-2019 - Project ECHO at Tulane University -- PDF version of the session from 9-19-2019
PDF version of the session from 9-19-2019

Recommended information: MEDICATION-ASSISTED TREATMENT (MAT)

Literature update/discussion - (Sept.23-24, 2020) / Faculty/Presenter: George Singletary MD MPH

Recent Journal Articles & ASAM Update (Sept. 23, 2020)
Faculty/Presenter: George Singletary MD MPH (Sesson #54)

Goldman-Mellor S, Olfson M, Lidon-Moyano C, Schoenbaum M. Mortality Following Nonfatal Opioid and Sedative/Hypnotic Drug Overdose. Am J Prev Med. 2020 Jul;59(1):59-67. doi: 10.1016/j.amepre.2020.02.012. Epub 2020 May 7.
Password Required until July 2021 - PMID: 32389530; PMCID: PMC7311279.

Stimulants: Sessions (Sept. 2020) / Faculty/Presenter: George Singletary MD MPH

Overview of Stimulants (Sept.2 & 3, 2020) (PDF of session slides)
Stimulants: Ilicits / Faculty/Presenter: George Singletary MD MPH
Stimulants: Literature Review (Sept. 9 & 10, 2020)
Faculty/Presenter: George Singletary MD MPH
Stimulants: Epidemiology and Contingency Management (Sept.16 and 17, 2020)
Faculty/Presenter: George Singletary MD MPH (9-16 and 9/17)
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References:

The Process of Recovery From Addiction (August 26 & 27, 2020) - - Dr. Ken Roy (Part 4)

The Process of Recovery From Addiction / Ken Roy, MD, FASAM - Tulane Department of Psychiatry, Division of Addiction Medicin
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Selected resources:

Treatment of Addiction (August 19 & 20, 2020) - Dr. Ken Roy (Part 3)

Treatment of Addiction / Ken Roy, MD, FASAM - Tulane Department of Psychiatry, Division of Addiction Medicine
Session for 8/19/2020 & 8/20/2020
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Selected resources:
Addiction a Brain Dz - Part I.
Password required - Wakefield, J. C. (2017). Addiction and the concept of disorder, Part 1: Why addiction is a medical disorder. Neuroethics, 10(1), 39–53
Addiction a Brain Dz II
Password required - Wakefield, J. C. (2017). Addiction and the concept of disorder, Part 2: Is every mental disorder a brain disorder? Neuroethics, 10(1), 55–67.

FACING ADDICTION IN AMERICA-Surgeon General’s Report on Alcohol, Drugs, and Health (2016)
HHS Publication No. (SMA) 16-4991 - Full report online

THE NEUROBIOLOGY OF SUBSTANCE USE, MISUSE, AND ADDICTION Chapter 2
PDF available

Some Opioid Agonists You May Not Know, But Your Patients Might. (July 29 & 30, 2020)

Some Opioid Agonists You May Not Know, But Your Patients Might./ George Singletary, MD MPH
Mitragynine (Kratom) -- Tianeptine -- Isotonitazene -- Brorphine

FDA and Kratom
The U.S. Food and Drug Administration is warning consumers not to use Mitragyna speciosa, commonly known as kratom ... [09/11/2019]
PubMed Search
(((Mitragynine OR Kratom) OR (Tianeptine)) OR (Isotonitazene)) OR (Brorphine)

Urine Drug Testing in Addiction Medicine (August 5 and 6 | Aug 12 and 13) / Dr. Ken Roy (Parts 1-2)

Urine Drug Testing in Addiction Medicine
Presenter: Ken Roy, MD, DLFAPA, DFASAM Division of Addiction Medicine

Barthwell - PDF- password required

Buprenorphine Micro Induction (July 22 and 23, 2020)

Buprenorphine Micro Induction / George Singletary MD MPH

An Update on Home induction (July 15 & 16, 2020) / George Singletary

Buprenorphine Home Induction / Faculty/Presenter: George Singletary MD MPH

ASAM.org (Patient Information) IT MATTERs - a patient's guide to starting Buprerenorphine at home.
ASAM.org

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Adapted from NYU School of Medicine Division of General Internal Medicine and PCSS-MAT. Created in partnership with the High
Plains Research Network Community Advisory Council for IT MATTTRs. For permission to use outside of IT MATTTRs, please contact
ITMATTTRsColorado@ucdenver.edu.
Buprenorphine - Beginning Treatment
NYU School of Medicine Division of General Internal Medicine / J. Lee
Recommended references: BUPRENORPHINE INDUCTION
PubMed Search - Buprenorphine Home Induction
Search: ("Buprenorphine/administration and dosage"[MeSH]) AND ((home induction) OR (( "Addiction Medicine/methods"[Mesh] OR "Addiction Medicine/standards"[Mesh] OR "Addiction Medicine/trends"[Mesh] )))

Withdrawal Symptom Management (July 7 & 8, 2020) / George Singletary

Withdrawal Symptom Management (July 7 & 8, 2020) / George Singletary

Scales / Resources
COWS - SOWS - OWS - SOWSGossop

An Update on Fentanyl (July 1 & 2, 2020) / George Singletary

An Update on Fentanyl (July 1 & 2, 2020)
Presenter: George Singletary MD MPH

High Intensity Drug Trafficking Areas (HIDTA)
DEA.Data work group with law enforcement focus
Louisiana Opioid Data and Surveillance System (LODSS)
Department of Health Data set combining coroner records, death certificates, hospital admission and ER records
LaRue L, Twillman RK, Dawson E, Whitley P, Frasco MA, Huskey A, Guevara MG. Rate of Fentanyl Positivity Among Urine Drug Test Results Positive for Cocaine or Methamphetamine. JAMA Netw Open. 2019 Apr 5;2(4):e192851.
PMID: 31026029; PMCID: PMC6487565.
PubMed Search - Fentanyl (epidemiology) + OUD
("United States/epidemiology"[MeSH]) AND (("Fentanyl"[MAJR]) AND (Opioid use disorder))

Substance Use Disorders in Pregnancy (Series of Sessions, June 2020) / Julianna Finelli, MD

Perinatal substance use - (6/3/2020 or 6/4/2020)
Julianna Finelli, MD, Assistant Professor of Psychiatry, Tulane University School of MedicineLead Psychiatrist, Louisiana Mental Health Perinatal Partnership (LAMHPP)
Substance Use Disorders in Pregnancy (June 9 & 10, 2020)
Julianna Finelli, MD
Early Identification of Perinatal Mental Health Problems / Julianna Finelli, MD
Screening
Treating Perinatal Mental Health Problems / Julianna Finelli, MD
Breastfeeding and Parenting Considerations / Julianna Finelli, MD

Louisiana Mental Health Perinatal Partnership (LAMHPP)
Program Brochure Available , www.lamhpp.org

TANF Residential Programs (PDF)
Accepting new patients (with COVID-19 precautions in place)- 6/4/2020

SAMHSA. Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants. HHS Publication No. (SMA) 18-5054. Substance Abuse and Mental Health Services Administration, 2018.
PDF publication
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Nicotine / Pregnancy
ACOG Clinical. Opioid Use and Opioid Use Disorder in Pregnancy - Committee Opinion - CO-Number 711(August 2017)
711 (Replaces Committee Opinion Number 524, May 2012) - Committee on Obstetric Practice & American Society of Addiction Medicine

Claire R, et.al. Pharmacological interventions for promoting smoking cessation during pregnancy. Cochrane Database Syst Rev. 2020 Mar 4;3(3):CD010078.
PMID: 32129504; PMCID: PMC7059898.

Hickson C, et.al. Comparison of nicotine exposure during pregnancy when smoking and abstinent with nicotine replacement therapy: systematic review and meta-analysis. Addiction. 2019 Mar;114(3):406-424.
PMID: 30315598; PMCID: PMC6590470.

Managing Pain in Patients with OUD (Series of sessions) / Rachel Barenie, PharmD, JD, MPH

Part 1. Non-pharmacologic options (May 6 & 7, 2020)
Presenter: Rachel Barenie, PharmD, JD, MPH
Part 2: Non-opioid pharmacologic options (May 13 & 14, 2020)
Managing Pain in Patients with OUD Part 2 / Presenter: Rachel Barenie, PharmD, JD, MPH
Part 3: Opioid pharmacologic options (May 20 and 21, 2020)
Part 4: Considerations for surgery (May 27 & 28, 2020)
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Selected resources:

Managing chronic non-cancer pain: Evidence-based strategies to reduce opioid use / Principal Consultants: Brian Bateman M.D., M.Sc. and Katsiaryna Bykov, PharmD, Sc.D. (provided by Alosa Health)
Link to online document (PDF)
OPIOIDS IN ACUTE PAIN / Alosa Health Acute Pain Module
OPIOIDS IN CHRONIC PAIN - Alosa Health Chronic Pain Module
ASAM Guidelines 2020
2020 National Practice Guideline - Access the full the ASAM National Practice Guideline for the Treatment of Opioid Use Disorder - 2020 Focused Update.
Webster et al. Understanding Buprenorphine for Use in Chronic Pain: Expert Opinion. Pain Medicine. 2020;0(0):1-10.
PubMed Central (free access)
Perioperative Buprenorphine Continuous Maintenance and Administration Simultaneous With Full Opioid Agonist: Patient Priority at the Interface Between Medical Disciplines. J Clin Psychiatry. 2020 Jan 7;81(1):19
PMID: 31917908. (Free PDF)
Kornfeld H, Manfredi L. Effectiveness of full agonist opioids in patients stabilized on buprenorphine undergoing major surgery: a case series. Am J Ther. 2010;17(5):523‐528.
PMID: 31917908.. (Free PDF)

Rudolf G. Buprenorphine in the Treatment of Chronic Pain. Psy Med Rehabil Clin N Am. 2020;May;31(2):195-204.
PMID: 32279723 (Password required for PDF)
"Pain and Addiction”, (chapter 9) p.123-35.
"Pain and Addiction”, (chapter 9) by Ilene Robeck and Stephen A. Mudra. In Pangarkar, Sanjong. Pain Care Essentials and Innovations (2021) , Chapter 9, p. 123-135 (requires password)

HCV - Hepatitis C Virus (April 2020) / Dr.Dr. Brandon Mizroch

HCV Basics for Project ECHO
Brandon Mizroch MD/MBBS, Provider Network Supervisor, Louisiana Department of Health. Office of Public Health, STD/HIV/Hepatitis Program
HCV Streamlined Test and Treat Algorithm / Brandon Mizroch, MD/MBBS, Louisiana Department of Health
April 15 & 16, 2020
[Generic Epclusa (sofosbuvir/velpatasvir) Direct Acting Antiviral (DAA)]
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HCV handouts / information
ALGORITHMS: SCREENING FOR ADULT PATIENTS* Therapy for HCV
Reference Card (PDF)
Hepatitis Vaccinations
HCV ICD10 codes
Interpretation of Hepatitis Screening Test Results / Louisiana Department of Health
Six Interpretations of Hepatitis Screenings

Taking control of Hep C./ Hep C Free LA
Louisiana Department of Health - HepC Statistics
Provider Packet for Hep C Prevention Project
Medical facility or provider in Louisiana that treats Hepatitis C.
Hepatitic C Online
Clinical Calculators
Monitoring of Liver Function Tests in Patients Receiving Naltrexone or Extended-Release Naltrexone / PCSS Guidance
PDF document

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ref provided by Barenie, Rachel E.

Legal Series (March 2020) / Presenter: Daniel C. McClughen, JD, Counsel to Center for U.S. Policy; Associate Attorney, DCBA Law & Policy LLP

Prescribersafety.org
"Understand and adhere to the laws and regulations governing the prescribing of controlled medications, including office-based opioid treatment."

ETHICAL AND LEGAL ISSUES (cited materials)

Naloxone for Patients with Opioid Use Disorder (Feb.26, 2020)

Naloxone for Patients with Opioid Use Disorder / Presenter: Rachel Barenie PharmD JD MPH (Feb.26, 2020)
PDF of presentation - (no.25, Feb. 26, 2020)

See literature reviewing supporting evidence for Naloxone use and availability.
Links provided to PubMed or PubMed Central - Plus links to guidelines and training videos from presentation.

Selecting a medication to manage Opioid Use Disorder (Feb. 19 & 20, 2020)

Selecting a medication to manage Opioid Use Disorder / Presenter: Rachel Barenie PharmD JD MPH - (no.24, Feb. 19 & 20, 2020)
PDF of presentation - (no.24, Feb. 19 & 20, 2020)

Evidence supporting medication use to manage Opioid Use Disorder (Feb.12&13, 2020)

Evidence supporting medication use to manage Opioid Use Disorder / Presenter: Rachel Barenie PharmD JD MP
PDF of presentation - (no.23, Feb.12&13, 2020)

See literature reviewing supporting evidence. Links provided to PubMed or PubMed Central:
Reference links from presentation

Medications for Opioid Use Disorder (February 5 and 6, 2020)

Medications for Opioid Use Disorder / Presenter: Rachel Barenie PharmD JD MPH
PDF of Session presentation (no.22- Feb. 5 & 6, 2020)

Buprenorphine Induction (January 29 & 30, 2020)

Buprenorphine Induction /Faculty/Presenter: George Singletary, MD MPH
PDF version of slides (no.21,Jan. 2020) - references link to PubMed Central or article as available.

Recommended references: BUPRENORPHINE INDUCTION

Sensible Tapering (Jan 22 & 23, 2020)

Sensible Tapering: Reasoning and Methods (1-22 & 23 -2020) / Faculty/Presenter: George Singletary MD MPH
PDF version of session (no.20, Jan. 2020) slides.

Recommended references: TAPERING AND DISCONTINUATION

Infectious Diseases & OUD (Jan 15 &16, 2020)

Infectious Disease and PWID / Faculty/Presenter: George Singletary MD (Jan 15 &16, 2020)
PDF version of session presentation (no.19)
HCV Champions Project - ECHO Flyer
Project ECHO presents: Louisiana HCV Elimination Program
HCV Provider Training / Gia L. Tyson, MD, MPH & Frederic McCall MD/MBBS, MPH&TM(c)

Supplemental information: INFECTIOUS DISEASES -

Anatomy and Neurochemistry of Addiction (Jan. 8 & 9, 2020)

Anatomy and Neurochemistry of Addiction / Faculty/Presenter: George Singletary MD MPH
PDF version of session presentation no. 18 (1-8/9-2020)

Suggested references: NEUROCHEMISTRY / BRAIN ANATOMY

Criminal Justice and OUD (01-02-2020)

Criminal Justice and OUD / Faculty/Presenter: George Singletary MD MPH
PDF version of session, no.17, (Jan. 2, 2020)

Recommended References: CRIMINAL JUSTICE:

Urine Drug Testing (12/26/2019)

Lab Testing in the Assessment of Substance Use Disorders (12-26-2019) #16
Faculty/Presenter: Dr. George Singletary, MD, MPHTulane

PubMed Search - ("Substance-Related Disorders/urine"[MAJR]) AND "Drug Monitoring/methods"[MAJR]
PubMed

PDF - Clin J Pain. 2002 Jul-Aug;18(4 Suppl):S76-82.
Password Required

Co-Occurring Disorders and Mortality (12-12-2019)

Co-Occurring Disorders and Mortality (12-12-2019) #14
Faculty/Presenter: Dr. George Singletary, MD, MPH

See suggested resources:

Ethical and Legal Issues in Substance Abuse Treatment (12-19-2019)

Ethical and Legal Issues in Substance Use Treatment (12-19-2019) #15
Faculty/Presenter: Dr. George Singletary, MD, MPH

Bioethics, Public Health and the Social Sciences for the Medical Professions by Amy E. Caruso Brown (Editor); Travis R. Hobart (Editor); Cynthia B. Morrow (Editor)
ISBN: 9783030035433
Publication Date: 2019-08-17
SpringerLink (Medicine 2019)

“I’m in Pain!” / Theresa Baxter
Chapter PDF, password required.

PubMed Search
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(("Opioid-Related Disorders"[Majr]) AND ("Legislation as Topic"[Mesh] OR "Legislation" [Publication Type] OR "legislation and jurisprudence" [Subheading] OR "Legal Case" [Publication Type])) AND ("Ethics"[Mesh] OR "ethics" [Subheading] OR "Ethics, Research"[Mesh] OR "Ethics Committees, Clinical"[Mesh] OR "Principle-Based Ethics"[Mesh] OR "Ethics, Clinical"[Mesh] OR "Bioethics"[Mesh])

Risk Reduction and Safe Use of Opioids (Dec.5, 2019)

Risk Management and Best Practice for Safe Opioid Prescribing (PDF) / Presenter: George Singletary MD MPH (12-5-2019)
PDF version (12-5-2019)

PubMed Search on topic:
(("Analgesics, Opioid/adverse effects"[MAJR]) AND "Opioid-Related Disorders/therapy"[MAJR]) AND ("Pain, Postoperative/prevention and control"[MeSH Terms])

Management Opioid Withdrawal and Preventing Overdose ( Part 2)- (11-21-2019)

Preventing Opioid Overdose with Education and Naloxone Rescue Kits (11-21-2019) - Part 2
Management Opioid Withdrawal and Preventing Overdose / Faculty/Presenter: Dr. George Singletary, MD, MPH

Adolescent Substance Use (11-14-2019)

Adolescent Substance Use / Presenter: Dr. George Singletary, MD, MPH Tulane School of Medicine, Psychiatry Chair: Dr. John Thompson, MD Program Facilitator: Claudia Achoja, MSN, FNP-C Program Administrator: Kevin Massey, MS
PDF of Session from 11-14-19

Supplemental information: ADOLESECENT SUBSTANCE USE

Pregnancy and OUD (11-7-1219)

Opioid Use Disorder Pregnancy / Presenter: George Singletary MD MPH
PDF version of powerpoint slides.

Trauma-Informed Care & OUD (10-31-2019)

Trauma-Informed Care & OUD
PDF version (Session #8 (10-31-2019): Presenter: Claudia Achoja, MSN, FNP-C

Adverse childhood experiences (ACEs) and Opioid Addiction (10/24/2019))

ACEs and Addiction: How Adverse Childhood Experiences Can Help us Understand People with Substance Use Disorders
PDF verson: #7. Session from 10/24/2019

Recommended References: ADVERSE CHILDHOOD EXPERIENCES (ACEs)

STIGMA AND OPIOID USE DISORDER (10-10-2019)

Stigma and Opioid Use Disorder (10-10-2019) / Dr. George Singletary, MD, MPH
PDF Version

MOTIVATIONAL INTERVIEWING (10-3-2019)

Motivational Interviewing for Primary Care Physicians (PDF) / Presenter: George Singletary MD MPH (10-3-2019)
PDF version (10-3-2019)

Suggested Resources: MOTIVATIONAL INTERVIEWING

Operating a MAT Clinic: The nuts & bolts ( 9/26/2019) - MAT Clinic Process and Workflow

MAT Clinic Process and Workflow 9-26-2019.pdf
PDF Version: Operating a MAT (medication-assisted treatment) Clinic: The nuts & bolts / Presenter/Faculty: Dr. George Singletary, MD, MPH 9/26/2019