Maine SUD Learning Community Newsletter
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Lisa Miller, MD, having completed her addiction medicine fellowship at Maine Medical Center, launched the Western Maine Comprehensive Addiction Program in October. She identifies her work in addiction medicine as the “best professional move I have ever made.”
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Substance Use Disorder Journal Club
Imagine yourself sitting around the table drinking morning coffee with your colleagues and talking shop. Reading this journal article review on your own is more than a smidge shy of that but you can do it in your soft pants so maybe it’s a decent trade.
Hope you enjoy,
Andrea Truncali
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FREQUENTLY ASKED QUESTIONS
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How can I best share the results of urine toxicology with my patients?
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Here are a few of the tips that Dr. Alane O’Connor shared during her most recent webinar.
Talking with patients about toxicology testing
- Substance use disorders are chronic diseases and returns to use are expected events.
- There are many reasons why a patient might not be forthcoming about returns to use.
- Patients do not always know specifically what drugs they might have been exposed to.
- Discuss results openly and honestly. Treat patients with dignity and respect. Be straightforward and non-judgmental.
- Terminology matters. Use non-stigmatizing language such as ‘‘positive’’ or ‘‘negative’’ as opposed to ‘‘clean’’ or ‘‘dirty.’’
- It is okay to say that the results and the explanation do not really align but don’t be confrontational.
- Results can be used to adjust the treatment plan but not “punish” the patient. Presence of illicit drugs correlates to risk of overdose death.
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How do I know when to check the PMP?
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Click here to see the PMP Workflow diagram.
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Becky Peasley
Becky Peasley has been a nurse in the state of Maine for 25 years, but her passion for helping others extends far beyond work. She is a board member for the Coastal Recovery Community Center and speaks in jails, at committee meetings, and at other local opportunities to educate and inspire others.
Before living in South Thomaston, Becky grew up in Tenants Harbor. Today she lives on Sennebec Lake with her family. “It’s so beautiful, I consider it a gift of my recovery to be able to build a life I don’t need a break from.”
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Let us know what webinar topics and types of educational formats you would like offered.
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Jan 12, 2023 | 4:00-4:30 PM
Speakers: Lisa Letourneau, MD, Gust Stringos, DO, FAAFP, FASAM
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Jan 26, 2023 | 12:00-1:00 PM
Speakers: Noah Nesin, MD, Eva Quinn, FNP, Ph.D.,
The presenters, who have many years of experience managing controlled substance tapers and providing guidance for that work through the Schmidt Institute, will provide an overview and concrete, case based examples of effective language and communication strategies in discussing and carrying out compassionate, patient centered tapering of controlled substances.
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Jan 31, 2023 | 12:00-1:00 PM
Speakers: Stephanie Nichols, PharmD
The use of non-prescribed gabapentin is rising. This session will review the clinical effects of gabapentin use by linking to gabapentin pharmacology and pharmacokinetic properties. The prevalence of non-prescribed gabapentin and risk factors will be described. Finally, clinical outcomes of non-prescribed gabapentin use will be reviewed.
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Feb 1, 2023 | 12:00-1:00 PM
Speakers: Eric Haram, LADC
The patient’s journey towards stable management of their chronic pain and/or OUD is a landscape of challenges and opportunities that often exceed our patient’s ability to cope. Planning and responding proactively to behaviors that may impact the safety of the person, program and staff is critical.
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Feb 16, 2023 | 1:00 PM- 2:00 PM
Continues monthly, third Thursday through June 15th.
Speakers: Randy Morrison
The monthly space for peer supporters (recovery coaches, CIPSS) in Maine will offer mutual support to explore the challenges and opportunities of working within healthcare settings and to offer training. It will build a space for peer supporters to connect with each other, create a community of support, develop skills, and identify strategies to support themselves (self-care). It is offered to those working in such settings as primary care, emergency departments, substance use treatment clinics, behavioral health clinics, etc.
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Tuesdays from 12:00 – 1:00 PM, through January 24, 2023
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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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January 10, 2023 – Safe[R] Opioid Prescribing
January 17, 2023 – Non-Opioid Pharmacotherapy for Chronic Pain
January 24, 2023 – Methadone and Buprenorphine for Chronic Pain
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Offered by the University of New Mexico Project ECHO in partnership with the Me SUD Learning Community
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To register for other ongoing ECHO training opportunities, please visit :
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X-waiver Training 8-hour Face to Face
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Please visit the ME SUD Learning Community website for upcoming Events and Resources.
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