PCSS Mini Grants

PCSS-O

Award Period: September 2015 – September 2016

Association for Medical Education and Research in Substance Abuse (AMERSA)
Based on the popularity and impact of prior PCSS-O mini-grants provided to the Association for Medical Education and Research in Substance Abuse and its Substance Abuse journal, AMERSA was again awarded $5,000 for an additional unique dissemination opportunity. A special supplemental section, titled “From Education to Practice: Addressing Opioid Misuse through Healthcare Provider Training” was attached to one of Substance Abuse journal’s regular quarterly issues. Supplemental sections are the most economical way to distribute journal content, and the section allowed up to approximately 110 pages of material, essentially again making Issue 1 a “double issue.”

Produced: Special Supplemental Journal Section

  • Substance Abuse journal, special supplemental section: Link to special issue coming soon.
  • Articles were solicited from scholars and organizations that describe and examine initiatives such as PCSS-O/MAT and initiatives involving naloxone rescue, public health, and community-based training. The special issue capitalized on the now finished SAMHSA medical resident SBIRT curricular projects, many of whom had good outcome data on their unique curricular innovations and were looking for a journal to publish these works.
College of Psychiatric and Neurologic Pharmacists (CPNP)
The College of Psychiatric and Neurologic Pharmacists (CPNP) was awarded $5,000 for their proposal to develop a clinical toolkit to assist Community Pharmacists in the Identification, Intervention and Referral of Pharmacy Patients with Opioid Use Disorder. The toolkit was designed to help pharmacists identify potential sources of stigma with recommendations for avoidance, and provide information on current treatment options with tools for making treatment referrals in their own communities.

Produced: A guideline of practical information to educate community pharmacists about opioid use disorder.

National Council of Behavioral Health (NCBH)
The National Council of Behavioral Health (NCBH) was awarded $5,000 for their proposal, “Chronic Pain Management and Substance Use Disorders (SUDs) – Web-based Prescriber Affinity Group.” Responding to the intricacies of addressing chronic pain among individuals with Substance Use Disorders (SUDs), NCBH developed and delivered a three-part Prescriber Affinity group, inviting primary care prescribers from integrated care settings, Federally Qualified Health Care Centers (FQHCs), community health centers, HIV care sites, and rural health centers.

Produced: A Web-based Prescriber Affinity Group (3 One-hour Webinars)

The affinity group included 3 webinars, incorporating both didactic and discussion-based learning methods. The goals of the affinity group were to:

  • Provide information about clinical tools that support the identification of high-risk patients when addressing chronic pain with opioids
  • Discuss strategies to safely and effectively prescribe pharmacologics for the treatment of chronic pain
  • Discuss evidence-based adjunct approaches to treating or managing chronic pain
  • Provide actionable tools, trainings, and other resources available to prescribers through the Providers’ Clinical Support System for Opioid Therapies (PCSS-O)

Webinar One (April 26, 2016): “Prescriber Considerations When Treating Chronic Pain”

  • Speaker: Roger Chou, MD, Professor in the Departments of Medicine, and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University (OHSU) School of Medicine
  • View Webinar and Presentation Slides ›

Webinar Two (May 26, 2016): “Clinical Tools for Chronic Pain Management among Individuals with Substance Use Disorders (SUDs)”

Webinar Three (June 21, 2016) “Adjunct Approaches to Chronic Pain Management for Individuals with SUD”

Project Lazarus
The Project Lazarus was awarded $5,000 for their proposal to develop and present a program on responsible pain management and implementation of substance use treatment and support services in primary care. This program was designed to describe the components of a successful community-based prescription opioid overdose prevention program and to enable providers to be able to identify candidates for long term opioid use. An additional objective was to help participants understand a clinically useful risk stratification protocol that takes into account current best practice guidelines and is easily integrated into standard practice workflows. The program also focused on the consideration of co-prescribing of naloxone opioid rescue medication, the use of abuse deterrent formulations and buprenorphine certification, and prescribing within practice. The Project Lazarus model and Community Toolkits provided a basis for discussion about replication in a medical practice or community setting.

Produced: Four Program Presentations for primary care providers on responsible pain management and implementation of substance use treatment and support services in primary care
Links to related materials coming soon

  • Locations: Martinsville VA, Fayettville NC, Winston-Salem, NC, Wayne County, PA

Award Period: September 2014 – September 2015

Association for Medical Education and Research in Substance Abuse (AMERSA)
Due to the success of the first PCSS-O mini-grant sponsored special issue publication, the Association for Medical Education and Research in Substance Abuse (AMERSA) was awarded $5,000 to include a special supplemental section attached to one of Substance Abuse journal’s regular quarterly issues (2016, Vol. 37, Issue 1). This allowed for Issue 1 to essentially be a “double issue.” The section was titled, “From Education to Implementation: Addressing the Opioid Misuse Epidemic” and two articles in the supplemental section were selected to be made available for free online.

Produced: Special Supplemental Journal Section

College of Psychiatric and Neurologic Pharmacists (CPNP)
The College of Psychiatric and Neurologic Pharmacists (CPNP) was awarded $5,000 for their proposal, “The Who, What, When, Where, Why and How of OEND (Overdose Education and Naloxone Distribution) for pharmacists.” With these funds the CPNP designed a training webinar to target pharmacists interested in developing OEND activities at their practice site. The webinar, “Putting Naloxone Into Action” allowed CPNP to reach a much broader pharmacist audience than a single site presentation. The panel of pharmacy experts represented a broad range of practice and collective experience with OEND.

Produced: Training Webinar on developing OEND activities in pharmacy practice sites

  • Webinar: Putting Naloxone Into Action (August 13, 2015)
  • Panel of speakers:
    • Chris Stock, PharmD, George E Wahlen VA Medical Center and University of Utah
    • Jeffrey Bratberg, PharmD, University of Rhode Island College of Pharmacy
    • Theo Pikoulas, PharmD, Behavioral Health Pharmacy Programs, Community Care of North Carolina
    • James Gasper, PharmD, California Department of Health Care Services
    • Shannon Saldaña, MS, PharmD, Intermountain Healthcare
  • Target audience – pharmacists from various settings including: community, retail, healthcare systems, Veterans Health Administration facilities, etc.
  • 57 participants completed the evaluation and 98% reported being very satisfied or satisfied with the overall quality of the training
  • View Webinar and Slides ›

Award Period: July 2013 – June 2014

American Academy of Family Physicians (AAFP)
American Academy of Family Physicians (AAFP) was awarded $5,000 to promote PCSS-O online module trainings and resources to AAFP members through the use of printed flyers, website links from the AAFP website, and other marketing venues, as well as providing a post-test for the user. The goal was to increase the use of PCSS-O online module trainings and resources in order to encourage the usage of screening tools, to improve the knowledge of adjunctive therapies for usage in various pain syndromes, and to improve the knowledge of how to treat chronic pain patients.

Produced: Promotional Materials for PCSS-O trainings and resources

Association for Medical Education and Research in Substance Abuse (AMERSA)
Association for Medical Education and Research in Substance Abuse (AMERSA) was awarded $5,000 to designate one of the Substance Abuse journal’s regular quarterly issues (2015, Vol. 36, Issue 2) as a Special Issue with the title, “Expanding Treatment for Opioid Use Disorder: The Role of Pharmacotherapies.” AMERSA disseminated the history and outcomes of the PCSS-O initiative (and other PCSS initiatives) to increase access to and quality of pharmacotherapies in the treatment of opioid use disorders.

Produced: Special Journal Issue

National Council for Behavioral Health (NCBH)
National Council for Behavioral Health (NCBH) was awarded $5,000 to develop a 60 minute PCSS-O workshop and exhibit at their annual meeting on May 5 – 7, 2014. Two PCSS-O experts presented an overview of the program and the various tools and web resources available through PCSS-O project. NCBH’s conference is the largest behavioral health conference in the nation and drew approximately 4,500 participants.

Produced: 60 Minute PCSS-O Workshop, Outreach Materials and Exhibit

  • Presenters: Dr. Steven Wyatt and Dr. Ann Schreier
  • Well attended, over 86 individuals were present. There were many good discussion questions from the audience and additional engagement by audience members after the talk.
Sickle Cell Adult Providers Network (SCAPN)
Sickle Cell Adult Providers Network (SCAPN) was awarded a mini grant to promote PCSS-O resources during their conference titled, “Safe and Sane Opioid Prescribing for Sickle Cell Patients in the Emergency Department and Hospital,” at the Children’s Hospital Research Institute Little Theater for providers in emergency and hospital settings.

Produced: Fellow’s conference presentation and Half day symposium

  • Keynote speaker: Roger Chou, MD, FACP
  • Dr. Chou presented on June 6, 2014 for the Fellow’s conference titled, “Review of Recent Pain Treatment Guidelines and How They Apply to Young Adults.” In a one and a half hour session Dr. Chou tailored his presentation to address chronic pain in the young adult. Dr. Chou’s keynote talk for the main session was a review of chronic pain treatment. The attendees were especially interested in the data about the chronic use of methadone.
  • Participants’ evaluations indicated they were 90% very satisfied and 10% satisfied with the quality of the conference.
World Psychiatric Association (WPA)
World Psychiatric Association (WPA) was awarded $5,000 to educate the global mental health community in opioid addiction treatment best practices. WPA’s aim was the global dissemination of PCSS-O training materials through the development of an internet portal associated with the World Psychiatric Association Section on Education and Pacific Rim College of Psychiatrists, an affiliate member of WPA.

Produced: Internet portal

PCSS-MAT

Award Period: August 2015 – July 2016

American Academy of Pediatrics, Utah Chapter (AAP)
Dr. Sharon Levy conducted a Pediatric Grand Rounds lecture at the Primary Children’s Hospital, titled “Grand Rounds: National Trends and Evidence-Based Pediatric Practice for Preventing Misuse and Addiction.” In addition to the funds received from the PCSS-MAT Steering Committee Mini Grant to support the presentation, this event was sponsored by the Utah Chapter of the American Academy of Pediatrics, Intermounts Primary Children’s Hospital, and the University of Utah, Department of Pediatrics. As part of the presentation, Dr. Levy offered region specific training on the Introduction to MAT for pediatricians and residents.

Produced: Presentation focusing on the role of pediatricians in treating OUD

  • Dr. Levy’s presentation was available statewide through broadcast links and web streaming. Record participation was achieved with over 70 attendees and 35 off-site participants.
  • Dr. Levy met with pediatric residents to discuss the role of pediatricians in treating opioid use disorders.
  • View Archived Recording ›
National Council for Behavioral Health (NCBH)
National Council for Behavioral Health (NCBH) was selected to receive a PCSS-MAT Year 3 Mini Grant for its proposal entitled, “Opioid Use Disorders and Mental Health – Webinar Series.” The National Council developed and delivered a three-part webinar series, focused on educating Community Behavioral Health Organizations (CBHOs) about various elements of medication assisted treatment and publicized via the National Council’s email network of more than 70,000 individuals, including staff from specialty substance use providers, community mental health centers, Federally Qualified Health Centers (FQHCs), community health centers, rural health centers, state trade associations, government offices/departments, and foundations.

Produced: 3 Part Webinar Series

Overall:

  • A combined total of 1,328 participants attended the three webinars which were also recorded and published on the National Council’s website and on the PCSS-MAT Website.
  • When respondents were asked about their level of satisfaction, 596 out of 674 reported being either satisfied or very satisfied with the webinars (88% of survey respondents).

Description of Three Webinars:

Webinar One: Coffee Break Webinar: Opioid Dependence 101 and MAT
September 30, 2015

  • Objective: Increase foundational knowledge base for staff at CBHOs on MAT approaches for opioid use disorders
  • Presenter: Joji Suzuki, MD, Director of the Division of Addiction Psychiatry, Brigham & Women’s Hospital, Assistant Professor of Psychiatry, Harvard Medical School
  • Number of attendees: 544
  • Target Audience: Clinical, direct care, and senior leadership staff from CBHOs
  • View Archived Webinar ›

Webinar Two: Medication-Assisted Treatment of Opioid Use Disorders: Why Community Behavioral Health Organizations (CBHOs) Need to Lead This Effort
October 6, 2015

  • Objective: Increase recognition among CBHO staff of MAT’s contribution to improved mental health outcomes, as well as provide an introduction to modalities and approaches to coordinate or integrate MAT and mental health care
  • Presenter: Hilary Connery, MD, PhD, Clinical Director, Division of Alcohol and Drug Abuse, McLean Hospital/Harvard Medical School
  • Number of attendees: 462
  • Target Audience: Clinical, direct care, and senior leadership staff from CBHOs
  • View Archived Webinar ›

Webinar Three: MAT Roundtable: Lessons Learned from CBHOs Implementing MAT for Opioid Dependence
November 17, 2015

  • Objective: Highlight successful and replicable models and best practices of CBHO adoption of MAT for opioid use disorders
  • Presenters: Lynn M. Fahey, PhD, CEO of Brandywine Counseling & Community Services, Inc., DE and Raymond V. Tamasi, President/CEO of Gosnold on Cape Cod, MA
  • Number of attendees: 322
  • Target Audience: Clinical, direct care, and senior leadership staff from CBHOs
  • View Archived Webinar ›

Award Period: August 2014 – July 2015

Coalition on Physician Education in Substance Use Disorders (COPE)
Coalition on Physician Education in Substance Use Disorders (COPE) was awarded a PCSS-MAT Steering Committee Mini Grant of $5,000 for their proposal entitled, “Expanding Awareness and Use of PCSS-MAT in Medical Schools.” The funds were used to expand awareness of PCSS-MAT among medical school faculty and administrators and created teaching aids that facilitated the use of PCSS-MAT resources in educating medical students about MAT.

The mini grant has helped COPE to go beyond organizing and connecting people to developing educational toolkits. They have created 5 products that they’ve provided to the faculty at medical schools to make a significant impact on the quality of education being delivered.

Produced: 5 COPE Medical Education Toolkit Booklets

The five Toolkits focus on the following topics:

1. Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use Disorders in Primary Care
Toolkit Learning Objectives – the goal of the Toolkit is to enable participants to be able to:

  • Identify appropriate screening tools to detect substance use disorders
  • Determine the severity of substance use disorders to help guide treatment
  • Understand the components of a brief intervention
  • Provide follow-up appointments and treatment referrals as needed

2. Alcohol, Drugs, and Related Health Problems in Older Adults
Toolkit Learning Objectives – the goal of the Toolkit is to enable participants to be able to:

  • Discuss the incidence and prevalence of tobacco, drug, and alcohol misuse and abuse in the older adult population, as well as the health implications of such use/misuse.
  • Identify appropriate screening strategies and tools to detect substance use disorders in older adults;
  • Select a brief intervention appropriate to older adults;
  • Describe the steps in developing a treatment plan for the older adult who requires more than brief intervention for his or her substance use disorder; and
  • Define the essential components of treatment in either primary care or specialty settings.

3. The Neonatal Opioid Withdrawal Syndrome*

4. Diagnosing and Managing SUDs in Pregnant and Postpartum Women*

5. Safe and Effective Opioid Prescribing*

*More information will be provided as these toolkits become available

National Council for Behavioral Health (NCBH)
National Council for Behavioral Health (NCBH) was awarded a PCSS-MAT Steering Committee Mini Grant of $5,000 for their proposal entitled, “Safe & Effective Use of Medication-Assisted Treatment: Tools for Providers” & “Linking MAT and Mental Health: Tools for Providers” Lunch and Learns.

These funds were used to support conference registration, direct labor and travel for a clinical expert promoting PCSS-MAT at two Lunch and Learn presentations at the NCBH annual conference April 20-22, 2015 in Florida.

Produced: Two Lunch & Learn Presentations
Presenter: Dr. Stephen Wyatt

Award Period: August 2013 – July 2014

American Association for the Treatment of Opioid Dependence (AATOD)
American Association for the Treatment of Opioid Dependence (AATOD) was awarded a PCSS-MAT Mini Grant for their proposal “Increasing the Collaboration Between Opioid Treatment Programs and DATA 2000 Practices through Patient Referral.” Funds were used to develop collaborative patient referral models so that OTPs will be working with DATA 2000 practitioners. The primary objective was to improve the relationship between OTPs and DATA 2000 practices, breaking down current barriers to provide effective medical and clinical services to patients in DATA 2000 practices. OTPs have been treating opioid addicted patients for the past 50 years and there are a number of extremely mature systems in the country, which are all under SAMSHA’s regulatory authority in addition to State Opioid Treatment Authorities. Another objective was to educate DATA 2000 practitioners with regard to the services that are available in OTPs. AATOD proposed to track the referral of patients between OTPs and DATA 2000 practices for approximately 25 OTPs.

Produced: A pilot project on the use of OTP as a resource for primary care in the treatment of OUD

  • The mini grant has enabled AATOD to create a toolkit that has been sent out to OTPs across the country that encourages them to try collaborative BUP prescribing (Co-op program). In December 2015 there were 17 OTPs participating across 7 states.
  • Mini grant has also allowed them to provide support to office staff, manage the data, and present the model in various scientific conferences.
American Society for Pain Management Nursing (ASPMN)
American Society for Pain Management Nursing (ASPMN) was awarded a PCSSMAT Mini Grant for its proposal “Safe and Effective Pharmacological Pain Management for Older Adults” to revise the pharmacology content of a geriatric pain management course. The webinar focused specifically on the following areas: appropriate medications based on efficacy and side effects for older adults with pain, strategies to provide safe multi-modal therapy in older adults with pain, and constructing pain management plans that include scheduled reassessment of treatment efficacy, tolerability and evaluation of the risks of misuse, abuse and diversion. In addition, the program utilized the materials (modules, archived webinars and other resources) available through the PCSS-MAT and PCSS-O websites. The Geriatric Master faculty appointed members to revise the slides. ASPMN used an evaluation instrument, including a 10-item posttest, administered via the Web.

Produced: Presentation of current best practice for geriatric pain management

National Council for Behavioral Health (NCBH)
National Council for Behavioral Health (NCBH) was awarded a PCSS-MAT Mini Grant for their proposal “PCSS-MAT Presentation at National Council Conference May 5-7, 2014.” Funds were used for travel, accommodations, meals, conference fees and National Council Staff time. The presentation included a 60 minute session providing an overview of the PCSS-MAT program and various tools and web resources available through PCSS-MAT.

Two experts from the PCSS-MAT Steering Committee provided an interactive webinar to an audience of prescribers and non-prescribers informing them of the PCSS-MAT program and tools and resources available.

Produced: Presentation about MAT program
Presenters: Daniel Alford, MD and Colleen Labelle, RN