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In this course, you will :
- This course has one goal in mind: to help you provide better care to your patients who have substance use disorders.
- Seven Yale instructors from various fields provide techniques to screen your patients for substance use disorder risk, diagnose patients to gauge the severity of their use, directly manage treatment plans, refer out to treatment services, and navigate the various conditions that may limit your patient's access to treatment by delving into a model case performed by actors.
- You will eventually be able to provide compassionate and evidence-based care to a large population of patients suffering from addiction—a chronic, often relapsing-remitting, but treatable disease.
Syllabus :
1. “How can I show compassion toward patients with substance use disorders?”
- How do you define addiction?
- How do you talk about addiction?
- How do you have patient-centered conversations?
- How does implicit bias impact addiction treatment?
- Get to know your patient (& practice MI)
- Conduct pain assessment (& practice MI)
- Meet the instructor team
- Review the many health disciplines involved in addiction treatment
- Weigh the pros & cons of using the word "addiction"
- Dispel myths and misconceptions
2. “How do I know if my patient has a substance use disorder?”
- How do you screen to determine risk?
- What is a standard drink?
- How do you conduct a brief intervention?
- How do you diagnose a substance use disorder?
- Screen
- Diagnose
- Implement universal screening
- Focus on prevention
- Compare the dangers of different substances
3. "How do I recommend treatment options?”
- How do you evaluate using the RIPTEAR framework?
- How do you clarify treatment goals?
- What is the stepped care model?
- What treatment settings are available?
- How do you refer to treatment?
- How do you leverage the interprofessional team?
- Evaluate using RIPTEAR
- Clarify patient goals
- Leverage the interprofessional team
- Collaborate with other providers
- Keep track of treatment settings
- Defend harm reduction
4. “What medications help patients manage their substance use disorders?”
- What is the neurobiology of addiction?
- How do you talk about medications for Opioid Use Disorder?
- What medications are available for Opioid Use Disorder?
- What medications are available for adolescents with Opioid Use Disorder?
- What medications are available for Alcohol Use Disorder?
- What medications are available for Nicotine Use Disorder?
- How do you monitor treatment?
- Treat with medications
- BONUS: Initiate buprenorphine
- Monitor treatment part 1, review urine test
- Monitor treatment part 2, relapse prevention
- Use appropriate caution with long-term opioids
- Review non-medication options
- Decide if cannabis use can lead to disordered use
5. “What psychosocial or behavioral therapies are available for patients with substance use disorders?”
- What is the basic neurobiology of recovery?
- What are common self-help and mutual-support approaches?
- Which psychotherapies are available?
- What is the role of family in addiction treatment?
- How common is psychiatric comorbidity?
- Recommend self-help and available therapies
- Explain the chronic nature of addiction
- Handle patient objections to behavioral therapies
6. "What societal factors impact successful recovery?”
- How does systemic racism impact addiction treatment?
- What can we learn from the past?
- Which policies and programs improve addiction treatment?
- How do you find quality treatment in a broken system?
- What happens when providers get sick?
- How do other countries approach addiction treatment?
- How is COVID-19 impacting addiction treatment?
- Review positive developments in addiction field
- Prioritize investments in addiction
- Examine the delivery of care
