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
On March 12, U.S. News and World Report released the latest ranking of top 100 graduate programs in the nation. WVU was ranked 48th in primary care medicine.
There are over 450 graduate programs in Family Medicine, and more than 1000 in primary care.
Presented by the WV Bureau of Senior Services, in partnership with CAMC*
Building Dementia-Capable Communities
Tuesday, March 26, 2019
8:30 – 4:30
Charleston Coliseum and Convention Center
Social Work – 6 CEUs
Nursing – 6 contact hours
Follow this link for the agenda, continuing education info and registration form:
There’s still time to register. Registration deadline is Thursday, March 21.
In a video message to NAMI members, CEO Mary Giliberti discusses the many successes over the past year, including the increase in NAMI brand awareness, significant legislative wins, new support programs and services, and research.
Giliberti attributes the increase in brand awareness to the growing number of celebrity ambassadors who have supported the cause and several high-profile partnerships including companies like Lord & Taylor, Boeing, Michelin, Showtime and IHeart Radio.
Giliberti also outlines the work NAMI has done to advocate for better mental health coverage through Medicaid, her involvement with the Interdepartmental Serious Mental Illness Coordinating Committee, and increased calls for more research in collaboration with universities, pharmaceutical companies and government agencies that guide these efforts.
“Our message on research is this — if we can have a moon shot to cure cancer, then why not a Mars Shot to find new answers for mental illness!” said Giliberti. “We won’t stop until this vision becomes a reality,”
Watch Video and Find Out More
Open positions within a Behavioral Health Agency providing Title XIX IDD Waiver services:
A Full-time Behavior Support Professional is needed for our Elkins office . A Bachelor’s Degree in a Human Service Field is required and one or more years of experience with I/DD Wavier. Duties include offering quality based services to adults and children with disabilities. We offer a benefit package that includes paid mileage, health/life/long-term disability insurance, a liberal Paid Time Off benefit and opportunity to earn performance bonuses. Interested parties please mail your resume to: CCIL, Attn. Joe Pingley, 501 Wilson Lane, Suite3 Elkins, WV 26241
A Full-time Service Coordinator/Case Manager is needed for our Elkins office. Experience in I/DD Waiver preferred. A Bachelor’s degree in the Human Service Field is required. Duties include assessment, service planning, linkage, referral, advocacy, crisis response planning, service plan evaluation and documentation. We offer a benefit package that includes paid mileage, health/life/long-term disability insurance and a liberal Paid Time Off benefit plus the opportunity to earn a monthly performance bonus. Interested parties please mail your resume to: CCIL Attn: Rebecca Haynes, 501 Wilson Lane, Suite 3, Elkins, WV 26241
A Full-time Service Coordinator/Case Manager is needed for our Beckley office. Experience in I/DD Waiver preferred. A Bachelor’s degree in the Human Service Field is required. Duties include assessment, service planning, linkage, referral, advocacy, crisis response planning, service plan evaluation and documentation. We offer a benefit package that includes paid mileage, health/life/long-term disability insurance and a liberal Paid Time Off benefit plus the opportunity to earn a monthly performance bonus. Interested parties please mail your resume to: CCIL Attn: Rebecca Haynes, 501 Wilson Lane, Suite 3, Elkins, WV 26241
This webinar will highlight ways to engage LGBTQ individuals in your work during the upcoming Pride season.
Webinar Presenters include:
- Dr Scout, Deputy Director National LGBT Cancer Network will talk about how different tobacco and cancer programs have engaged in Prides.
- Adrian Shanker, Founder & Executive Director, Bradbury-Sullivan LGBT Community Center, Pennsylvania will discuss policy change and promoting cancer awareness at Pride events.
- Alanna Biblow, Center for Tobacco Prevention and Control, Maryland Department of Health will talk about their experience using a snapchat frame to promote tobacco control at Pride.
- Joyce Swetlick, Director of Tobacco Cessation, North Carolina Department of Health, will discuss their organization’s long-term engagement with North Carolina Pride.
|Join our network
Becoming a member is easy and free.
Reply to this email and let us know you’d like to join – we’ll add you to our Network.
· Early access to customizable images to use in print and on social media.
· Access to technical assistance from the National LGBT Cancer Network.