Maine SUD Learning Community Newsletter |
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Gust Stephen Stringos, DO, FAAFP, FASAM
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Interview with Gust Stephen Stringos, DO, FAAFP, FASAM, Medical Director Redington Fairview General Hospital (RFGH) and Medical Director RFGH Bridge Clinic for Opioid Use Disorder.
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ME SUD Learning Community, the Maine Office of Behavioral Health, and many providers and programs across Maine are collaborating to respond to the disruption in care in Maine. Thank you all for your willingness to help our citizens during this time of need. Contact ME SUD Learning Community through the Coaching and Technical Assistance request form on the website for assistance or support for your practices.
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Resources for Prescribers Responding to Disruptions in Care in Maine:
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FREQUENTLY ASKED QUESTIONS |
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What kind of help is available to assist a health system in improving and expanding its existing medication for opioid use disorder (MOUD) service lines?
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An example of consultation activities one of our ME SUD Learning Community faculty delivered in
Western Massachusetts is below. This type of technical assistance can be adapted to the needs of a
system or a program.
The project consultant supported the Hospital’s initiative to optimize and expand it's existing
SUD/MOUD integrated service lines across its primary care practices, ED, and specialty SUD programs. Coaching and consultation were offered to key stakeholders in their hospital departments and primary care practices to develop a project charter, data metrics, and change teams. Change team leaders were supported in deploying rapid cycle improvement projects that used data (volume, wait times, show rates, continuation, revenue cycle) to create workflows, optimize outcomes across their systems, and expand and sustain the improvements.
The project included 5-8 hours of consultation per month for six months. Monthly hour coaching
sessions with the team leaders (along with as-needed additional consultation time) with document
review, policy development, and training supported the work.
The project created the integrated and expanded service lines for MOUD they desired. It demonstrates the effectiveness of coaching.
For questions like this or requests for training or assistance, please visit the MESUD Learning Community website to submit a request.
Resources:
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Amy Alexander
Having left her foster family at age 14, Amy went through more than 8 rehabs while dealing with addiction and substance abuse. She shares her struggle through addiction, rehabilitation, losing her son and her life and finally achieving full recovery with methadone treatment.
“I was adopted from Little Wanderers Orphanage in Belfast. I was under a year old when my mother and father adopted me. I always felt I didn’t fit, and it wasn’t lack of love. I never felt like I fit anywhere.
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Tuesdays beginning November 29, 2022, from 12:00 – 1:00 PM
This 7-week, case-based curriculum aims to train clinicians in primary care pain management strategies, including non-opioid and non-pharmacologic treatment options, substance use screening, risk reduction counseling, and tapering strategies for opioids and benzodiazepines.
This program is led by University of New Mexico faculty and consultants specializing in pain and addiction medicine.
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Offered by the University of New Mexico Project ECHO
in partnership with the Maine SUD Learning Community
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The third Wednesday of the month, 12pm to 1pm, 11/16/22 through 4/19/23 |
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Audience: Prescribers and their team members from practices located in Maine who seek support to develop, implement, improve, and sustain OUD/SUD treatment for adolescents and young adults in Maine.
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The fourth Wednesday of the month, 12pm to 1pm, 8/24/22 through 2/22/23 |
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Audience: Prescribing Clinicians (physicians, nurse practitioners, and physician assistants) with and without their Medical Practice Teams within primary care or specialty care settings in Maine who are interested in initiating, expanding, and sustaining MAT and addressing the complexities that accompany OUDs in adults.
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Speaker: Stephanie Nichols
Registration is FREE for Maine Clinicians
CME Credits Offered: 1.5
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This session will review the initiation of buprenorphine for OUD using the microdosing and macrodosing approaches. We will review why these emerging approaches are preferable to traditional approaches, the supporting evidence, and the practical pearls for implementation.
Objectives:
- Describe microdosing (low dose) and macrodosing approaches to buprenorphine initiation
- Recall the evidence supporting each of these approaches
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Speakers: Elisabeth Fowlie Mock, MD,MPH, FAAFP, Noah Nesin, MD
What are the best actions to take when patients with chronic pain in a community suddenly lose their provider? Patients on high dose opioids often have difficulty finding new providers. What resources are available to support prescribers in such a transition?
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Speakers: Ben Townsend, Elisabeth Fowlie Mock, MD,MPH, FAAFP
This program will review current legal requirements for Maine opioid prescribers and the possible effects of current law enforcement activity.
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Please visit the ME SUD Learning Community website for upcoming Events and Resources. |
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