The following videos were developed with funding from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Introduction to the Medication-First Model for Opioid Use Disorder Treatment with Buprenorphine

Presenters: Mark Duncan, MD and Caleb Banta-Green, PhD, MPH, MSW

During the presentation Mark Duncan, MD and Caleb Banta-Green, PhD, MPH, MSW discussed the Medication-First Model. This model aims to address the underlying issues around why less than a quarter of people with OUD are on medications. Many programs are designed to serve the clients most “motivated” to reduce/stop their illicit opioid use. But these criteria have the perverse effect of excluding large proportions of people who DO want to reduce/stop use, but cannot initiate or sustain care in traditional appointment based health care settings.

Medications for Opioid Use Disorder in Washington State Jails

Part 1: Opioid Use Disorder & Medications for Opioid Use Disorder

Presenter:  Mandy Owens, PhD, UW Alcohol & Drug Abuse Institute

This is the first module of a three-part training series on Medications for Opioid Use Disorder in Washington State Jails. It provides a brief introduction to opioid use disorder and medications for opioid use disorder. This module is intended for a jail staff audience, including corrections officers. It discusses: the important distinction between opioid dependence and opioid use disorder; the three FDA-approved medications, methadone, buprenorphine, and naltrexone; and common concerns related to medications for opioid use disorder.

Three learning objectives:

  1. Understand the distinction between opioid dependence and opioid use disorder,
  2. Gain a general understanding about the three FDA-approved medications for the treatment of opioid use disorder, and
  3. Recognize some common concerns related to medications for opioid use disorder.

Note: Parts 2 and 3 of this 3-part series are COMING SOON!

Addressing Treatment Lapses

Presenter: Addy Adwell

This module discusses treatment lapses in a hopeful, patient-centered approach. While the target audience is care managers, it would be helpful for everyone. This module addresses: that opioid use disorder is a chronic and treatable disease; genetic, environmental, and physical parts of opioid use disorder risk/protection; emphasizes that return to use (relapse) is a normal and expected event and provides a learning opportunity; warning signs of potential return to use; strategies for addressing return to use; reducing shame and stigma; and identifying when and how to adjust treatment. (15 slides).

Three learning objectives (from the presentation):

  1. Understand opioid use disorder as a chronic disease,
  2. Identify risk factors for recurrence of use,
  3. Identify why and how to discuss recurrence of use with patients.
Supporting Transitions Between Treatment Settings

Presenter: Addy Adwell

This module focuses on if/when to transition patients to higher or lower levels of care. It includes: why a treatment transition decision is a clinical judgement best done by a team (and the patient); patterns of behavior that might indicate a need for a higher or lower level of care; descriptions of treatment transition options such as medically supervised withdrawal, inpatient treatment, Opioid Treatment Programs; how to work with the patient to plan for treatment transition, including harm reduction strategies; a list of tasks and the importance of clarifying who is responsible for each of them; and transition options for stable patients.

Three learning objectives (from the presentation):

  1. Identify when to consider a treatment transition,
  2. Understand available treatment options,
  3. Identify risks and benefits of transitioning treatment,
  4. Discuss how to use team to support patient during treatment transition.
Medications and Shared Decision Making

Presenter: Paul Barry

This module addresses the importance of shared treatment decision making by clients and providers for the treatment of opioid use disorder. The module includes: why it’s important that clients are informed and involved in their treatment decisions; three guiding principles for shared decision making; issues clients might face in making treatment decisions including stigma; OUD versus opioid dependence; benefits of medications for OUD; descriptions of medications for treating OUD and the potential treatment locations; how to support a client in decision making and forming a treatment plan; the importance of addressing client treatment planning quickly; and resources for providers and clients.

Three learning objectives (from the presentation):

  1. Understand that clients deserve a choice in deciding on treatment,
  2. Remember how to help clients in making this decision,
  3. Recognize some common issues in discussing each medication for OUD.
Skills for Community Engagement

Presenter: Paul Barry

This module focuses on building and maintaining referral networks to better serve clients. The module includes: viewing referral networks as collaborative, reciprocal relationships in the community; strategies for building a referral network; the importance of preparing and coaching clients for referring to other agencies for care including barriers and successes; when a higher or different kind of care might be needed; challenges and barriers in bridging care and strategies for addressing them; types of referrals a client might need; the importance of client self-management; and resources. (23 slides).

Three learning objectives (from the presentation):

  1. Understand how to develop and maintain a successful system of resource referrals,
  2. Recognize when intensification of services is warranted,
  3. Describe how to bridge care successfully.
Trauma-Informed Care

Presenter: Paul Barry

This module focuses on the impact of trauma on people seeking treatment for SUD/OUD. The module includes: a brief introduction to ACEs (adverse childhood experiences) and how that impacts physical and emotional health; trauma history and co-occurring mental health and substance use disorders; how trauma impacts the brain and how that can impact behavior (fight/flight/freeze, trust); the role of the provider in working with clients with a trauma history; things to avoid when working with people with a trauma history; how to create a safe clinical environment; tips for engaging with clients with a trauma history and the importance of a strengths-based assessment; and tips for calming a client. (25 slides).

Three learning objectives (from the presentation):

  1. Recognize how trauma changes physical and emotional development,
  2. Explain how trauma impacts people’s behavior,
  3. Describe some ways to help people feel safe.