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Final Conference Program - aatod

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This workshop will preview and discuss the upcoming Methadone<br />

Safety Videos produced by the Substance Abuse and Mental Health<br />

Services Administration. There are two short videos—one for clinicians<br />

and one for patients. The workshop panel will lead a discussion<br />

on engaging patients and clinicians with the videos. The panel will<br />

also discuss how to promote and educate clinicians and patients on<br />

best practices for Opioid Treatment <strong>Program</strong>s. The workshop also<br />

provides information on how to engage patients in the recovery<br />

process and how to educate patients on methadone safety.<br />

Sponsored by the Substance Abuse and Mental<br />

Health Services Administration, Center for<br />

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

B4 Risk Reduction for Illicit Benzodiazepine<br />

Abuse within an OTP Population<br />

Continental B<br />

Dan Johnson, PhD, The Acadia Hospital, Bangor, ME<br />

This presentation will address benzodiazepine abuse within opioid<br />

replacement treatment from both a risk management and recoveryoriented<br />

perspective. Risk reduction and therapeutic engagement<br />

strategies, and medical interventions to reduce concomitant benzodiazepine<br />

use among patients will be discussed. From July through<br />

December 2009, benzodiazepine abuse at Acadia Hospital’s replacement<br />

therapy programs was reduced by slightly over 30 percent.<br />

Data from this effort related to patient replacement therapy dose,<br />

toxicology results, psychiatric treatment needs, overall stability,<br />

treatment drop rates and perceptions of care will be reviewed at six<br />

and nine-month intervals.<br />

AMA PRA Category 1 Credit approved.<br />

B5 Spirituality and Recovery: Exploring the Value<br />

of the Spiritual Alliance in Recovery<br />

Continental C<br />

Alan Lee Nolan, LCSW, Connecticut Counseling Centers, Inc,<br />

Danbury, CT<br />

With research highlighting the “therapeutic alliance” as a vital treatment<br />

component positively impacting a patient’s motivation for<br />

change, a patient’s relationship, or “recovery alliance” with a “higher<br />

power” commands clinical attention. Examining evidence regarding<br />

the potential value of spiritual dimensions of recovery, this workshop<br />

explores cultivating a person-centered OTP through the utility of<br />

integrating a patient’s spiritual orientation. The workshop proposes<br />

a spiritually sensitive recovery archetype, and its effectual assimilation<br />

with dominant secular treatment models. Partnerships with<br />

community-based spiritual resources, along with ongoing staff<br />

competency, quality improvement measures and the use of existing<br />

data collection processes will be discussed.<br />

6:00 p.m.–8:00 p.m.<br />

Digital Access to Medication (D-ATM) Town Hall:<br />

Using Technology in Opioid Treatment to Prepare<br />

for Disasters and Promote Continuity of Care<br />

Continental A<br />

Arlene Stanton, PhD, SAMHSA/CSAT, Rockville, MD<br />

Daksha Arora, PhD, Westat, Rockville, MD<br />

SAMHSA’s D-ATM project (“Digital Access to Medication”) was<br />

conceived as a technological approach to help ensure OTPs can<br />

effectively and safely provide medication to patients who have been<br />

displaced from opioid treatment programs (OTPs) where they are<br />

normally enrolled. The need for D-ATM was highlighted during the<br />

attacks of 9-11, but over time, D-ATM has evolved as a valuable tool<br />

to support continuity of treatment even in the event of more routine<br />

service discontinuities. Stakeholder input has been critical from Day<br />

1 and a Steering Committee continues to provide valued input. At<br />

this point, the system itself has been developed, ‘lessons learned’<br />

from a limited pilot have been examined, processes have been<br />

streamlined and attention has turned to expanding the system into<br />

OTPs in targeted areas around the country. (More background can<br />

be found at http://datm.samhsa.gov/.)<br />

This Town Hall will begin with a brief overview and status report on<br />

D-ATM. Representatives from “D-ATM OTPs” will describe their<br />

experiences in implementing the system, including doing so in a<br />

corporate environment. The Town Hall will also provide the opportunity<br />

for open discussion of the kinds of disaster preparedness issues<br />

that OTPs and their patients have encountered in real-life situations,<br />

whether widespread disasters or more routine service disruptions.<br />

For instance, how have programs dealt with reimbursement issues or<br />

differences in dosing practices, when faced with unfamiliar patients<br />

from other programs What planning is in place for physically<br />

disabled patients, whether or not D-ATM is in place<br />

It is hoped this Town Hall will provide one means to continue a<br />

dialogue among members of the treatment community toward identifying<br />

which issues still need attention and who can best address<br />

them. Representatives of CSAT and other Federal and State agencies,<br />

members of the D-ATM Steering Committee, and program<br />

directors, patients and staff who have had experience in working<br />

with D-ATM or in dealing with disaster first-hand, are especially<br />

encouraged to attend.<br />

Sponsored by the Substance Abuse and Mental<br />

Health Services Administration, Center for<br />

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

Policy Makers Luncheon<br />

Monday, October 25, 2010<br />

Supported through a grant from Bendiner &<br />

Schlesinger Inc.<br />

October 23–27, 2010 | Hilton Chicago, Chicago, Illinois 15

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