Rainelle Medical Center (RMC) has a full-time position open for a Licensed Independent Clinical Social Worker (LICSW), Licensed Certified Social Worker (LCSW), Licensed Graduate Social Worker (LGSW), Licensed Clinical Psychologist or Licensed Professional Counselor (LPC) to work in our Behavioral Health program. Certification in Addictions preferred. Excellent benefits package and student loan repayment available. RMC is a federally qualified health center (FQHC). Please forward your resume to Laura Eagle at email@example.com or fax to 304.438.4037. EOE
We are asking physicians, physician assistants, nurse practitioners AND OTHER SUD HEALTH TEAM MEMBERS to complete an online survey, Ability to Treat Opioid Use Disorder in West Virginia, designed to assess providers’ availability and willingness to prescribe medication-assisted treatment (MAT) to patients with Opioid Use Disorder (OUD). The resulting data will be used to help improve public policy to better address the opioid epidemic in West Virginia. This research project is a joint effort of the WV Department of Health and Human Resources (WVDHHR), Marshall Health, WV School of Osteopathic Medicine, and West Virginia University (WVU) under the direction of Garrett Moran, PhD, at WVU and Lyn O’Connell, PhD, at Marshall Health.
This survey link will be e-mailed directly from the WV DHHR to WV Medicare and Medicaid service providers. The survey may be accessed directly through the following link: https://bit.ly/2VokOBZ
Additionally, the survey is also available on the WV Rural Health Association’s blog page at https://bit.ly/2LJEwIZ. Voluntarily completing this survey should take no more than 7 to 10 minutes of your time and requires no examination of records. Your answers will remain completely confidential. Before completing the survey, or at any time, you may ask questions of the individuals administering it by contacting Brianna Sheppard, PhD, at 304-293-1444 or firstname.lastname@example.org. WVU IRB acknowledgment of this protocol is on file.
As you may know, State Bill 273, the Opioid Reduction Act, was signed into law and will take effect on June 7, 2018, and may have an impact on your daily practice.
It is important to note that current legislation allows for the following exemptions to the new prescribing regulations:
- Patient undergoing active cancer treatment
- Patients under hospice care
- Patients residing in long-term care facilities
- Patients undergoing active addiction treatment
- Patients receiving chronic opioids prior to January 1, 2018. (Chronic is defined as longer than three continuous months)
Areas of potential impact include:
- Emergency Department and Urgent Care practitioners are limited to writing a 4 day supply of opioids
- Pediatricians, Dentists, and Optometrists are limited to writing a 3 day supply of opioids
- All other practitioners, including surgeons post-operatively, are limited to writing a 7 day supply of the lowest effective dose of opioids. Documentation for these prescriptions must include:
- A thorough history of non-opioid medication, non-pharmacologic treatment, and substance abuse history
- Physical exam pertinent to the problem requiring the prescription
- Treatment plan
- Documentation of a review of the Controlled Substance Monitoring Program (CSMP)
- These prescriptions can be refilled in 6 days. For the first refill:
- Must document discussion of risk of opioid addiction with the patient
- Must document the risk of use of sedatives and alcohol
- For the second refill:
- Referral to a pain specialist and/or alternative treatments must always be considered. Patient acceptance or refusal of such must be documented prior to refill.
- Must assess the patient’s addiction/dependence
- For practitioners who choose to continue prescribing chronic opioids:
- Must assess medication therapy at least every 90 days
- Must attempt to decrease dosage, stop medication, or use other modalities every 90 days
- Practitioners are required to enter into a narcotics contract with the patient whenever a Schedule II opioid is prescribed
TBI symptoms often present similarly to Substance Abuse Disorders; People who have TBIs are more likely to turn to substances (alcohol or drugs) to cope with their injury. It can be difficult to decipher whether the symptoms (aggression, confusion, etc) are from TBI or substance use.
2. When working with patients- “Don’t open and unload someone’s ‘baggage’ unless you have the time and energy to help them pack it back up. Let them show pieces of their baggage on their own terms”
3. Crisis Call Center (775-784-8090) 24-hour crisis line providing a safe, non-judgmental source of support for individuals in any type of crisis; National Suicide Prevention Lifeline (1-800-273-8255) 24-hour, toll-free suicide prevention service available to anyone in suicidal crisis
4. When working with veterans- The VA only tests for TBI in post-9/11 veterans. Anyone before 9/11 has not been tested (Korean, Vietnam, etc.) unless they’ve sought out services; The VA has adapted a “polytrauma/TBI System of Care” which is an integrated network of specialized rehabilitation programs for veterans. This allows them to access most services needed under one roof. https://www.polytrauma.va.gov/system-of-care/index.asp https://www.polytrauma.va.gov/ConcussionCoach.asp
5. Medicaid 1115 Waiver expands treatment options for people with Substance Abuse Disorder. What DHHR’s website doesn’t mention is that it can be used to help patient’s seek alternative treatments such as cannabis/CBD oils https://dhhr.wv.gov/News/2017/Pages/DHHR%E2%80%99s-Medicaid-Program-to-Expand-Substance-Use-Treatment-and-Services.aspx.
6. WVU CED programs and services are expansive. Their website provides good insight on what they offer- http://www.cedwvu.org/ http://tbi.cedwvu.org
Strengthening Training for Addiction Recovery Project
The West Virginia University School of Social Work seeks applications for the position of Project Coordinator for the Strengthening Training for Addiction Recovery (STAR) grant. This position is grant-funded through September 30, 2019 and we anticipate a strong likelihood of funding renewal. The STAR project is part of WVU’s role in West Virginia’s Statewide Opioid Response. The Coordinator position will focus on administrative coordination of the STAR project, academic support to social work students participating in the STAR program, engagement with community-based providers, and interface with STAR project leaders. Apply online here.
May 15-17, 2019
Certified Tobacco Treatment Training Program (CTTTP)
WVU Health Sciences Center in Morgantown, West Virginia
This flier outlines a three-day certification program, as well as, a one-day option that will highlight pharmacological interventions for tobacco cessation and discussions regarding the electronic cigarette (i.e., continuing education hours but not certification).
Please contact Susan Morgan at (304-293-1154).
Each September, SAMHSA sponsors National Recovery Month to increase awareness and understanding of mental and substance use disorders, and to celebrate individuals living in recovery. The Toolkit and PSAs can be used to organize events, issue proclamations, and increase public awareness. Learn more about Recovery Month 2018 and how you can get involved.