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

Access to Substance Use Disorder (SUD) Treatment

Date: 06/13/18

Addressing Stigma

View the Informational Flyer
No video available

Adverse Childhood Experiences (ACEs) and Addiction

Chiropractic Pain Management Interventions

Effective Team‐Based Care for OUD (with focus on Nurse‐led model) + Care Coordination and Addressing Social Determinants of Health

Healthy Steps to Freedom: Gender Specific Response to Women and Addiction

Introduction to Motivational Interviewing

Introduction to Opioid Use Disorder (OUD)

Forms of MAT: Where do buprenorphine, methadone and naltrexone fit in?

Medication Treatment for OUD

Motivational Interviewing: Agenda Setting Skills

Music Therapy and Substance Use Disorder

Neonatal Abstinence Syndrome

North Dakota ONE Rx Program

Occupational Therapy's Role in Psychosocial Pain Management Interventions

Opioid Withdrawal Management in the Ambulatory Setting

Opioids and Benzodiazepines: Risks and Management Setting

Opioids and Psychotropic Medication Management Setting

Pharmacology of Opioids: What Practitioners Need to Know

Physical Therapy's Role in Pain Management Interventions

Pregnant and Lactating Patients

Risk Reduction: Overdose Prevention and Management of Prescribed Opioids

Screening, Brief Intervention, and Referral to Treatment (SBIRT)

Standards of Care

Substance Use Disorder Assessment and Interview Skills for Primary Care

Suicide Risk Assessment in the Ambulatory Setting

Trauma-informed Care and the Role of ACES in predisposing to Substance Use Disorder

View the Informational Flyer
No video available

Urine Drug Testing: when, what tests, working with insurers

What is the Practice of a Buprenorphine Provider Like?

Withdrawal Management Using Non-Pharmacological Interventions

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 North Dakota Health and 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 North Dakota Health and Human Services.