Navigating the Options for
Non-Opioid Pain Management
in Women
MONDAY MAY 1ST, 4:30 to 8:00PM
Location
The Warren Alpert Medical School at Brown University
Auditorium 170
222 Richmond Street, Providence, RI
Free Parking available at adjacent Richmond Garage
(See security for parking voucher)
AGENDA
4:30-5:30 Resource Booths, Box Dinner, Networking, Video Viewing
5:30-5:35 Welcome
Margaret Miller, MD, Co-Chair Women’s Health Council of RI
5:35-6:00 Explaining Pain in Women: Understanding What Works and Why
Wendy Fox, PT, DPT,, Women & Infants’ Hospital
6:00-7:40 Integrating Multi-Disciplinary Pain Management Options into Your Practice
Facilitator: Patricia Wolfe, Admin. Director, Lifespan Rehabilitation Services
Panelists:
Behavioral Approaches to Pain Management
Frank Sparadeo, PhD, Neuropsychology
Integration of Behavioral Approaches to Pain Management within OUD Treatment
Laura Levine, LHMC, LCDP, Program Director CODAC Behavioral Healthcare
Physical Therapy to Manage Pain
Christy Ciesla, PT, DPT, Clinical Coordinator of Rehab Services, The Miriam Hospital
Payor Perspective
Renee B Rulin, MD, MPH, Chief Medical Officer, Rhode Island Medicaid, UnitedHealthcare Community and State
Matthew Collins, MD, MBA, VP of Clinical Integration Care Integration & Management, Blue Cross Blue Shield of Rhode Island
7:40-7:55 Q&A
Patricia Wolfe, Admin. Director, Lifespan Rehabilitation Services
7:55-8:00 Closing Remarks
Carrie Bridges Feliz, MPH, Co-Chair Women’s Health Council of RI
Learning Objectives
At the conclusion of this presentation, participants should be able to:
1. Recognize the current scope of the crisis of women abusing opioids in RI.
2. Understand and explain the science behind pain.
3. State the success of two alternative therapies for managing pain.
4. Be familiar with three local resources to assist the provider and their patients.
5. Be given an opportunity to discuss current and future insurance coverage for alternative therapies.
The Warren Alpert Medical School of Brown University
CME Accreditation
This activity has been planned and implemented in accordance with the Essential Areas of Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and Women’s Health Council of RI. The Warren Alpert Medical School is accredited by the ACCME to provide continuing medical education for physicians
Credit Designation
Physicians: The Warren Alpert Medical School of Brown University designates this live activity for a maximum of 2.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Psychologists: The Warren Alpert Medical School of Brown University has been approved by the RI Psychological Association to offer continuing education for psychologists. The Alpert Medical School, Brown University maintains responsibility for the program. This program is approved for 2.5 Category 1 CE Credits. (Credits available to RI licensed psychologists only).
Physicians Assistants/Nurse Practitioners: Participants will receive a Certificate of Attendance stating this program is designated for 2.5 AMA PRA Category 1 Credits™. This credit is accepted by the AAPA and AANP.
Licensed Medical Health Counselors: This program has been approved for 2.5 continuing education units by the RI Mental Health Counselors Association.
Rhode Island Chemical Dependency Professionals: This program has been approved through the RI Department of Behavioral Healthcare, Developmental Disabilities and Hospitals for the RI Certification Board for 2.5 continuing education credits for Rhode Island Chemical Dependency Professionals.
Nurses: This Continuing Nursing Education Activity has been applied for through the Northeast Multi-State Division, An Accredited Approver by the American Nurses Credentialing Center’s Commission on Accreditation, for 2.5 Contact Hours.
Physicians Assistants/Nurse Practitioners: Participants will receive a Certificate of Attendance stating this program is designated for 2.5 hours AMA PRA Category 1 Credits™. This credit is accepted by the AAPA and AANP.
Social Workers: This program has been approved for 2.5 Social Work continuing education credits by the National Association of Social Workers-Rhode Island Chapter in accordance with the Regulations of the RI Social Work Board of Licensure. NASW Authorization # RI-6663.
Physical Therapists: This program has been applied for through the RI Chapter of the American Physical Therapy Association for 2.5 Continued Education Hours.
The program is sponsored by
Lifespan Women’s Medicine Collaborative and
Lifespan Community Health Institute
index.php
For: Her development and implementation of the Anchor ED Program which connects overdose patients in Hospital EDs with peer to peer recovery support while they are being held for observation, a time when they are likely to be receptive to help from others who have lived the experience, and continues that care post visit to help them on a path to recovery and health.
Innovative research, education, clinical care and policy/advocacy that improves medical, behavioral and/or social health of women in Rhode Island at any point in their lifespan. Size of initiative is not relevant.
Focuses on health and/or socioeconomic disparities in community
Removes barriers to care or broadens reach of existing are centers
Has been in place for 1 year with demonstrable results
Links providers who deliver care and coordinate services or promotes the health of women
Expected transferability of process, service or program to other organizations
Ability to engage patients, clients and/or community in a meaningful way
For more than two centuries, addicted and recovering people in America have been the object of language created by others. People experiencing severe and persistent alcohol and other drug problems have inherited a language not of their own making that has been ill suited to accurately portray their experience to others or to serve as a catalyst for personal change.
Screening for alcohol and substance misuse is necessary to detect the complicated and highly risky behavior of addiction in the elderly population. The guidelines to identify, screen, assess, and treat an elderly person struggling with addiction must address the complex presentations that occur with aging. Co-morbid conditions, such as depression and anxiety, increase the vulnerability of misuse as well as misdiagnosis. Additionally, heavy drinking can worsen health conditions, such as diabetes, high blood pressure, congestive heart failure, liver problems, osteoporosis, impaired motor functioning and fall risks, and neurological/degenerative cognitive disorders. Both alcohol and substance misuse can cause significant and severe interactions with existing medication regimens that include: aspirin, acetaminophen, cold and allergy medicine, cough syrup, sleeping pills, pain medication, and anxiety or depression medicine. Unfortunately, detection of misuse does not occur at an early stage of misuse, but more often at critical and acute stages of medical interventions. Hospitalized adults over the age of 40 with a diagnosis of alcoholism have an estimated cost of $60 billion per year.
Instructions: This version of the CWS asks about symptoms experienced over the last 24 hours,
and can be administered by an interviewer OR by self report.
Addressing substance use is critical to providing quality care in integrated treatment settings. Many individuals who suffer from a substance use disorder also suffer from other chronic comorbid health conditions. Integrated treatment planning that includes substance use screening and treatment is key to providing better health outcomes in integrated care.
Some babies born to opioid using pregnant women may experience Neonatal Abstinence Syndrome (NAS). Populations of women who may give birth to infants with NAS include women who use heroin, women who use or misuse prescription opioids (e.g. prescription pain medications), or women undergoing MAT for opioid use disorders. The resources below offer additional information.
index.php
Fall 2016 Conference
Women and the
Escalating Opioid Crisis
What is happening and
what providers need to know
THURSDAY NOVEMBER 3rd, 4:30 to 8:00PM
Location
The Warren Alpert Medical School at Brown University
Auditorium 170
222 Richmond Street, Providence, RI
Free parking available at adjacent Richmond Garage (see security for parking voucher)
AGENDA
4:30-5:15 Registration / Resource Booths / Box Dinner
5:15-5:30 Welcome and Presentation of Karen Rosene Montella MD, Spark Award
Peg Miller, MD, FACP, Co-Chair, Women’s Health Council of Rhode Island,Women’s Medicine Collaborative
5:30-6:15 State of the State in the Opioid Crisis
Overview
Corinna Roy, MA, Acting Deputy Director, Rhode Island Department of Behavioral Health, Developmental Disabilities and Hospitals
Opioid Use in Pregnancy: A Crisis of Epic Proportions
Mara Coyle, MD, Women & Infants Hospital
6:15 – 7:25 Panel: Practical Realities for Providers
Panel Facilitator: Wendy Fox, PT, DPT, GCS, WCS, Women & Infants Hospital
How to Use the Prescription Drug Monitoring Program
Henrique Pedro, RPh, Lifespan Pharmacy
Pain Safe Prescribing DOH Guidelines and Tools
James McDonald, MD, MPH, Rhode Island Department of Health
Perspective from the Emergency Department
Melanie Lippmann, MD, Rhode Island Hospital Emergency Department
Perspective on Intervention, Treatment and Recovery
Lori Dorsey, MSW, Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals
7:25-7:55 Feedback, Q&A
Carrie Bridges Feliz, MPH, Co-Chair, Women’s Health Council of Rhode Island, Lifespan Community Health Institute
7:55–8:00 Closing Remarks
Nicole Alexander-Scott, MD, MPH, Director, Rhode Island Department of Health
Learning Objectives
At the conclusion of this presentation, participants should be able to:
The Warren Alpert Medical School of Brown University
CME Accreditation
This activity has been planned and implemented in accordance with the Essential Areas of Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and Women’s Health Council of RI. The Warren Alpert Medical School is accredited by the ACCME to provide continuing medical education for physicians
Credit Designation
Physicians: The Warren Alpert Medical School of Brown University designates this live activity for a maximum of 2.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Psychologists: The Warren Alpert Medical School of Brown university is approved by the RI Psychological Association to offer continuing education for psychologists. The Alpert Medical School maintains responsibility for the program. This activity is approved for 2.5 Category 1 CE Credits. Credits available to RI licensed psychologists only.
Licensed Medical Health Counselors: This program has been approved for 2.5 continuing education units by the RI Mental Health Counselors Association.
Rhode Island Chemical Dependency Professionals: This program has been approved through the RI Department of Behavioral Healthcare, Developmental Disabilities and Hospitals for the RI Certification Board for 2.5 continuing education credits for Rhode Island Chemical Dependency Professionals.
Nurses: This Continuing Nursing Education Activity has been submitted to the Northeast Multi-State Division (NE-MSD) for approval to award 2.5 contact hours. Northeast Multi-State Division (NE-MSD) is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Physicians Assistants/Nurse Practitioners: Participants will receive a Certificate of Attendance stating this program is designated for 2.5 hours AMA PRA Category 1 Credits™. This credit is accepted by the AAPA and AANP.
Social Workers: This program has been approved for 2.5 Social Work continuing education credits by the National Association of Social Workers-Rhode Island Chapter in accordance with the Regulations of the RI Social Work Board of Licensure.
Physical Therapists: This program has been approved for 2.5 Continuing Education Hours by the Rhode Island American Physical Therapy Association.
The program is sponsored by
Lifespan Women’s Medicine Collaborative and
Lifespan Community Health Institute