Effective Approaches to Addressing Patients with Substance Use Disorders in the Emergency Department: A Knowledge Exchange
Revised November 2015
2013 Meeting Overview:
The Effective Approaches to Addressing Patients with Substance Use Disorders in the Emergency Department: A Knowledge Exchange meeting, was held on October 13, 2013, as a preconference full day workshop. The Blending Meeting provided physicians, clinicians, healthcare providers, researchers, policy makers, and others with the opportunity to learn from the top experts who play roles in designing science-based treatment programs, and from the practitioners who implement those programs across the county.
The morning half of the day consisted of three talks and panel discussions of successful models of clinical management of prescription opioid use disorders. The afternoon included three talks on screening and brief interventions, followed by a panel discussion on successful models of implementing screening and brief interventions. There was also a luncheon roundtable discussion where attendees brainstormed on questions addressing critical issues in prescribing opioids in emergency departments.
Goals and Objectives:
The goals of the meeting were to:
- Review important and timely topics in the treatment of Substance Use Disorders.
- Provide a forum to discuss emerging research findings and their implications in clinical practice.
- Provide updates and practical applications for selected areas of substance abuse treatment.
At the end of the day, attendees were able to:
- Recognize recent innovations in substance abuse treatment and their integration in medical settings.
- Use evidence-based approaches to recognize solutions for implementation challenges in practice.
There were approximately 115 people in attendance for this workshop.
|7:00 a.m.||Registration and Check-in|
|8:00 a.m.||8:15 a.m.||Opening Ceremonies and Welcoming Remarks||Megan L. Ranney,
Andrew J. Saxon
|8:15 a.m.||10:00 a.m.||Clinical Management of Prescription Opioid Use Disorders (3 Presentations)|
|8:30 a.m.||9:00 a.m.||1. ACEPT Clinical Policy: Review and Implementation of the Clinical Guidelines||Knox H. Todd, M.D., M.P.H., FACEP|
|8:15 a.m.||10:00 a.m.||2. Hard Conversations: Addressing Patients With Chronic Pain||Kavita M. Babu, M.D., FACEP, FACMT|
|8:15 a.m.||10:00 a.m.||3. Facilitation Through Technology–Prescription Drug Monitoring Programs||Edward W. Boyer, M.D., Ph.D.|
|10:00 a.m.||10:30 a.m.||Break|
|10:30 a.m.||12:00 p.m.||Panel Discussion of Working and Successful Models:|
|North Carolina Emergency Department Care Coordination Trial||Chris L. Ringwalt, Dr.P.H.|
|A Randomized Controlled Trial of Citywide Emergency Department Care Coordination||Darin E. Neven, M.D., M.S.|
|Rural Strategy to Reduce Drug Diversion||John J. Graykoski, MPAS, PA-C|
|Guidance for Opioid Prescribing: Lessons Learned From the NYC Experience||Lewis S. Nelson, M.D., FACEP|
|12:00 p.m.||1:30 p.m.||Luncheon Roundtable Discussion:
Implementation and Application of ACEP Clinical Policy Critical Issues in the Prescribing of Opioids for
Adult Patients in the Emergency Department
Lewis S. Nelson, M.D., FACEP
& Knox H. Todd, M.D., M.P.H., FACEP
|1:30 p.m.||1:45 p.m.||Stretch Break|
|1:45 p.m.||3:30 p.m.||Screening and Brief Intervention for Substance Use Disorders (3 presentations)|
|2:00 p.m.||2:30 p.m.||1. Overview of Screening and Brief Intervention in the Emergency Department||Gail D’Onofrio, M.D., M.S., FACEP|
|2:30 p.m.||3:00 p.m.||2. Addressing Patients With Comorbid Conditions||Douglas F. Zatzick, M.D.|
|3:00 p.m.||3:30 p.m.||3. Using Technology to Facilitate SBIRT: Web and Computer-Based Screening and Brief Intervention||Rebecca M. Cunningham, M.D.|
|3:30 p.m.||4:00 p.m.||Break|
|4:00 p.m.||5:30 p.m.||Panel Discussion of Working and Successful Models|
|Training Trauma Center Clinicians to Perform Screening and Brief Intervention: Results From a National Training Effort||Christopher W. Dunn, Ph.D.|
|Statewide Dissemination of Emergency Room Screening and Brief Intervention: Lessons Learned Blending Research and Practice||Edward Bernstein, M.D., FACEP|
|Implementation of a Screening and Brief Intervention Program in a Large Safety-Net Trauma Center||Kerryann B. Broderick, M.D., B.S.N., FACEP|
|Screening and Brief Intervention Strategies for Emergency Nurses||Patricia K. Howard, Ph.D.,
RN, CEN, CPEN, NE-BC, FAEN