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The latest in substance use disorders and pain management education for healthcare providers

February 2024

Dear Anna,


In the United States, drug overdoses and poisonings have surged to become the third-leading cause of pediatric deaths. In Maryland, the number of overdose deaths among individuals under age 25 increased from 121 deaths in the 12-month period ending in September 2022 to 130 deaths in the 12-month period ending in September 2023. Recommendations for preventing youth overdoses highlighted by Tanz et al. (2023) include education on fentanyl in the illicit drug supply, widespread naloxone access, and expanding efforts to enhance youth resilience and connectedness, aiming to curb harms associated with substance use.


Adverse childhood experiences (ACEs) are a significant risk factor for drug use. Individuals with severe ACE scores (>4) are 7 to 10 times more likely to report drug addiction. While substance use that impacts a child's sense of safety, stability, and bonding can be categorized as an ACE, parental substance use does not equate to child abuse or neglect. February 11 to 17 is a time dedicated to raising awareness about children affected by household substance use. It serves as a crucial opportunity for healthcare providers to access resources to support children and families affected by household addiction, and offer ways to mitigate ACEs, address upstream factors, and foster healing.


In the face of this crisis, healthcare providers can play a pivotal role by reaching out to MACS for guidance on youth substance issues. MACS offers support with screening, resources, referrals, clinical consultation, and more. Explore this newsletter and the tools available on the MACS website for additional resources for youth and parental substance use.


The MACS Team

EDUCATION

Upcoming Opportunities

image of woman in pain sitting and pressing her hands to her temples

MACS Webinar

Taking the Sting out of Pain Management: Strategies for Assessment and Treatment


Friday, February 9 | 12:00 - 1:00 pm


Presented by MACS Pain Management Consultant, Sarah Merritt, MD.

Register

Maryland Academy of Family Physicians

2024 Annual Meeting and Winter Refresher


Friday, February 23 - Sunday, February 25


Stop by the MACS table to say hello and learn more about our services!

Register

MACS for MOMs Virtual Training

PCSS Half & Half Buprenorphine Training


Thursday, March 21 | 12:00 - 4:30 pm


Presented by MACS for MOMs Consultant, Katrina Mark, MD, FACOG


Completion of this training fulfils the 8-hour training requirement for DEA registration or renewal as mandated by the MATE Act.

Register

ASAM/AAAP Management of Stimulant Use Disorder Webinar Series

Stimulant Use Prevention and Harm Reduction


Wednesday, February 7 | 11:00 am - 12:00 pm

Register

Grayken Center for Addiction Training & TA

The Nurse Care Manager Model of Office-Based Addiction Treatment


Thursday, February 8 | 12:00 pm - 4:00 pm

Register

University of Washington

Youth Substance Use Prevention Education + Harm Reduction


Tuesday, February 13 | 6:00 pm - 7:00 pm

Register
state of Maryland cut out in white over purple gradient with waves and text "community overdose action town hall series" and "hosted by the OOCC"

Maryland's Office of Overdose Response

Community Overdose Action Town Hall Series


Visit the website to view the upcoming dates

Details

MACS ECHO Clinics

Join our learning communities for continuous case-based discussions and didactic presentations linking expert specialist teams with healthcare providers and their practices. MACS ECHO Clinics count toward the required 8-hours of SUD training for DEA license renewal or registration.

OTP ECHO

Pre-exposure Prophylaxis (PrEP) for HIV in OTPs



Wednesday, February 7

12:30 pm -1:30 pm

Register

Maternal Health ECHO

Xylazine and Pregnancy


Tuesday, February 13

8:00 am - 9:00 am

Register
blue stethoscope with heart icon

SUD ECHO

The MaHRTI Mission: A Harm Reduction Approach


Wednesday, February 21

12:30 pm - 1:30 pm

Register

Watch at your convenience

MACS & BHIPP Webinar

Trends in Adolescent Substance Use: Identification, Screening, and Treatment Planning 

Watch

AIR CARES Webinar Series

Social Determinants of Addiction

Watch

NEWS

Recruiting and Retaining a Diverse and Skilled Addiction Treatment Workforce


"In this Commentary, the authors discuss reasons for workforce shortages across roles, and offer recommendations for 8 areas of investment to grow and sustain a substance use and addiction care workforce prepared to address the overdose crisis in a racially equitable manner."


Read more...

Effect of Risk Mitigation Guidance opioid and stimulant dispensations on mortality and acute care visits during dual public health emergencies: retrospective cohort study


A cohort study in British Columbia assessed the impact of Risk Mitigation Guidance (RMG) dispensations for opioid and stimulant use disorders. RMG opioid dispensation was linked to significantly lower all-cause mortality (HR=0.09) and overdose-related mortality (HR=0.11), while RMG stimulant dispensation correlated with reduced odds of acute care visits.


Read more...

The misguided reason why providers aren’t prescribing more buprenorphine for opioid use disorder


Some providers cite diversion as a reason for not prescribing lifesaving buprenorphine, but a recent study highlighted in this article suggests non-prescribed buprenorphine could be protective.


Read more...

Benzodiazepine Discontinuation and Mortality Among Patients Receiving Long-Term Benzodiazepine Therapy


In this study comparing the effectiveness of different treatments for 353,576 patients on stable, long-term benzodiazepine therapy, discontinuation was linked to slight overall increases in mortality. Potential adverse outcomes such as nonfatal overdose, suicide attempt, suicidal ideation, and emergency department visits were also observed.


Read more...

Opioid Prescribing Patterns After Imposition of Setting-Specific Limits on Prescription Duration


"The findings of this cross-sectional study suggest that policies tailored to specific clinical settings may be associated with reduced lengths of opioid prescriptions."



Read more...

Recreational and Medical Cannabis Legalization and Opioid Prescriptions and Mortality


In this cohort study, no observable correlation was identified between cannabis regulations and opioid prescriptions or fatal opioid overdoses. However, the findings suggest a potential decrease in synthetic opioid fatalities linked to the implementation of recreational cannabis laws.


Read more...

Holidays

MACS Phone Line Will Be Closed

February 19 - Presidents' Day

Maryland Department of Health announces nearly $278,500 in grants to expand Centering Pregnancy sites


New funding recognizes Maternal Health Awareness Day, expands group-based prenatal care and support. MACS for MOMs is mentioned.


Read more...

February Observances

Children Impacted by Parental Addiction Awareness Week

Febraury 11 - 17

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RESOURCES

First responder vehicles on road with flashing lights at night

Steps to decrease the impact of parental or household substance use 

Sesame Street Parental Addiction Resources for Providers

Call 1-855-337-MACS to request a copy of the Parental Addiction book for your office

Investments Supporting Partnerships In Recovery Ecosystems (INSPIRE)

Initiative to address SUD across Appalachia

Opportunities for Primary Care and Medicaid to Help Prevent Child Welfare System Involvement

Treating Opioid Use Disorder in General Practice — Diagnosis, Harm Reduction, and Medications

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