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Final Conference Program - aatod

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presented will include neonatal and maternal drug use treatment<br />

and delivery outcomes. The workshop will conclude with a discussion<br />

of the historical importance and far-reaching clinical practice and<br />

health-policy implications of these data.<br />

AMA PRA Category 1 Credit approved.<br />

A3 New York’s Outpatient Transformation:<br />

Integrated OTP & General Treatment<br />

Continental B<br />

Belinda Greenfield, PhD, NYS Office of Alcoholism & Substance<br />

Abuse Services (OASAS), New York, NY<br />

Ira Marion, MA, Albert Einstein College of Medicine (AECOM),<br />

Bronx, NY<br />

Deborah Egel, Esq., NYS Office of Alcoholism & Substance Abuse<br />

Services (OASAS), New York, NY<br />

New York’s “Transforming Out-Patient Services” (TOPS) intends to<br />

integrate opioid and general addiction treatment offering one<br />

continuum of outpatient care. Services under this model include<br />

pharmacological options, behavioral therapy approaches, and<br />

recovery-oriented / patient-centered care, along with other wrap<br />

around services, all within a single clinic setting. The historical<br />

underpinnings of this model and NYS' Methadone Transformation<br />

efforts will be presented along with the current regulatory, fiscal,<br />

clinical, and certification challenges, as New York prepares for<br />

Health Care Reform. TOPS as a new integrated delivery strategy,<br />

with applicability to accountable care organizations (ACOs) and<br />

medical homes will also be described together with implications for<br />

National health care reform initiatives.<br />

Sponsored by the Substance Abuse and Mental<br />

Health Services Administration, Center for<br />

Substance Abuse Treatment (SAMHSA/CSAT).<br />

A4 Low-Intensity Treatment Strategies:<br />

Maximizing Treatment Retention<br />

International South<br />

Robert P. Schwartz, MD, Friends Research Institute, Baltimore, MD<br />

Donald A. Calsyn, PhD, Alcohol and Drug Abuse Institute,<br />

University of Washington, Seattle, WA<br />

Shannon Gwin Mitchell, PhD, Friends Research Institute,<br />

Baltimore, MD<br />

Decades of research on medicated assisted opioid treatment<br />

programs (OTPs) have consistently found that patients remaining in<br />

treatment have superior outcomes in terms of substance use, arrests<br />

and incarceration, employment and physical health as compared to<br />

those who leave treatment. Patients leave treatment both voluntarily<br />

and involuntarily. In this workshop, findings from several studies will<br />

be presented that provide practical strategies that could be implemented<br />

in OTPs to reduce both voluntary and involuntary treatment<br />

terminations. Strategies include interim methadone, alternatives to<br />

administrative discharge, and strategies to improve tapering<br />

attempts by stable patients.<br />

AMA PRA Category 1 Credit approved.<br />

A5 Integrating a Peer to Peer Recovery Oriented<br />

System of Care (ROSC) into MAT<br />

Continental C<br />

Joycelyn Woods, CMA, National Alliance of Medication Assisted<br />

Recovery, New York, NY<br />

Walter Ginter, CMA, MARS Project (a NAMA Recovery project),<br />

Bronx, NY<br />

OTPs have changed from the early model that included a Peer to<br />

Peer component and an array of comprehensive services. A Recovery<br />

Oriented System of Care (ROSC) is a comprehensive array of services<br />

that are person-centered and a self-directed approach to treatment<br />

and recovery. Peer to Peer services improve patient self-esteem<br />

and work in a positive way so patients set goals and see themselves<br />

as capable. ROSCs build on personal responsibility, patient strength,<br />

and resilience of individuals, family support and communities to<br />

achieve sustained health, wellness and recovery. This workshop will<br />

provide clinics with the tools to understand and identify a ROSC and<br />

understand the significance of Peer to Peer services.<br />

1:30 p.m.–3:00 p.m.<br />

HOT TOPIC ROUNDTABLES<br />

Hot Topic Roundtables are facilitated discussions that focus on<br />

current controversial issues in an informal context. Meet with your<br />

colleagues as you learn, challenge, support and share your views<br />

with others who may have similar or different opinions, experiences<br />

or interests. Engage in one or more of these facilitated discussions.<br />

Experienced leaders in the field will be facilitating these sessions:<br />

• Methadone and the Prolonged QT Interval<br />

Continental B<br />

Facilitator: Craig Showalter, MD<br />

• US–Mexican Border Issues<br />

Continental C<br />

Facilitator: Megan Marx, MPH<br />

• Cannabis Use in MAT<br />

Lake Ontario, 8th Floor<br />

Facilitator: Bettye Harrison<br />

• Solutions to Administrative<br />

Lake Michigan, 8th Floor<br />

Discharge for Financial Reasons<br />

Facilitator: Walter Ginter, CMA<br />

• Benzodiazepines & Admission to OTPs Lake Huron, 8th Floor<br />

Facilitator: Jason Kletter, PhD<br />

• Methadone Related Drug Deaths<br />

Lake Erie, 8th Floor<br />

and Policy Implications<br />

Facilitator: Ron Jackson, MSW<br />

1:30 p.m.–3:00 p.m.<br />

WORKSHOP SESSIONS<br />

#1 Nutrition in OTP<br />

International South<br />

Karen Lazarus, MD, Beth Israel Medical Center Methadone<br />

Maintenance Treatment <strong>Program</strong>, New York, NY<br />

Many patients in opioid treatment programs are at risk for nutrition<br />

related diseases. Identifying and addressing malnutrition or nutritional<br />

risk enables us to help our patients enhance their health and<br />

October 23–27, 2010 | Hilton Chicago, Chicago, Illinois 13

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