Management of Opioid Use Disorder

The aim of Project ECHO® Opioid Use Disorder (OUD) is to develop a broad and flexible continuum of care delivery specifically to treat opioid use disorders.

Project ECHO is part of North Dakota's statewide effort to expand treatment of substance use disorders and stretch the limited resources as broadly and effectively as possible.

Sessions

All Project ECHO teleECHO™ sessions are recorded and available for continuing medical education (CME) credit. Follow these instructions on how to view the online recordings.

Educational Information

• Appropriate Use of Drug Testing in Clinical Addiction Medicine
  The purpose of the Appropriate Use of Drug Testing in Clinical Addiction Medicine is to provide guidance about the effective use of drug testing in the identification, diagnosis, treatment, and promotion of recovery for patients with, or at risk for, addiction.
  American Society of Addiction Medicine, 2017
• Appropriate Use of Drug Testing in Clinical Addiction Medicine
  This document focuses on when, where and how often it is appropriate to perform drug testing in the identification, treatment and recovery of patients with, or at risk for, addiction.
  Journal of Addiction Medicine, Volume 11, Number 3, May/June 2017
• Clinical Interpretation of Urine Drug Tests: What Clinicians Need to Know About Urine Drug Screens
  This report reviews technical information related to detection methods of urine drug tests that are commonly used and provide an overview of false-positive/false-negative data for commonly misused substances.
  2016 Mayo Foundation for Medical Education and Research, Mayo Clinic Proceedings. May 2017, 92(5):774-796
• What's MAT Got to Do with It? Medication-Assisted Treatment for Opioid Use Disorder in Rural America
  Provides an overview of medication-assisted treatment (MAT), an evidence-based treatment for opioid use disorder.
  The Rural Monitor, Rural Health Information Hub, March 2018
• Opioid Addiction: A Chronic Disease
  A brochure describing what drug abuse and opioids are, along with treatment and prescription drug take back program information.
  National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services, January 2018
• Opioid Use and Treatment Availability
  Fact sheet about opioid use and treatment in rural communities.
  Rural Health Research Gateway, January 2018

Provider Tools

• Opioid Risk Tool
  A brief, self-report screening tool designed for use with adult patients in primary care settings to assess risk for opioid abuse among individuals prescribed opioids for treatment of chronic pain.
  Webster, 2005
• PTSD Screener for Primary Care
  The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) is a 5-item screen that was designed for use in primary care settings.
  U.S. Department of Veterans Affairs, National Center for PTSD

Project ECHO Management of Opioid Use Disorder is a Collaboration Among

Project ECHO (Extension for Community Healthcare Outcomes) is being launched in North Dakota through a collaboration between the Center for Rural Health, Departments of Family and Community Medicine and Psychiatry and Behavioral Sciences, University of North Dakota, School of Medicine & Health Sciences, Blue Cross Blue Shield of North Dakota, and the North Dakota Department of Human Services.

Project ECHO and the Champion Prescribers are both components of North Dakota's State Targeted Response (STR) to the Opioid Crisis grant, funded by the federal Department Health and Human Services (DHHS), Substance Abuse and Mental Health Services Administration (SAMHSA), administered through the North Dakota Department of Human Services.