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Template:SBIRT Progress Reports

2009-11-20T20:56:20Z

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	<div style="background-color:#F9F9F9; border:1px solid #AAAAAA; margin:10px auto; padding:5px; text-align:center;">		<div style="background-color:#F9F9F9; border:1px solid #AAAAAA; margin:10px auto; padding:5px; text-align:center;">
	<div style="background-color:#DCDCDC; font-weight:bold; padding:2px; text-align:center;">SBIRT Progress Reports</div>		<div style="background-color:#DCDCDC; font-weight:bold; padding:2px; text-align:center;">SBIRT Progress Reports</div>
-	[[SBIRT Progress 2008-10\|October 2008]] • [[SBIRT Progress 2008-11\|November 2008]] • [[SBIRT Progress 2008-12\|December 2008]] • [[SBIRT Progress 2008-1\|January 2009]] • [[SBIRT Progress 2008-2\|February 2009]] • [[SBIRT Progress 2008-3\|March 2009]]	+	[[SBIRT Progress 2008-10\|October 2008]] • [[SBIRT Progress 2008-11\|November 2008]] • [[SBIRT Progress 2008-12\|December 2008]] • [[SBIRT Progress 2008-1\|January 2009]] • [[SBIRT Progress 2008-2\|February 2009]] • [[SBIRT Progress 2008-3\|March 2009]] • [[SBIRT progress 2009-10\|October 2009 (Ph II)]]
	</div>		</div>

SBIRT progress 2009-10

2009-11-20T20:53:17Z

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	== Other Progress Reports ==		== Other Progress Reports ==
	{{SBIRT Progress Reports}}		{{SBIRT Progress Reports}}
-
-	~~[[Category:PCP SBIRT Curriculum]]~~
-	~~[[Category:Projects]]~~
-	~~[[Category:Reports]]~~
-

	[[Category:PCP SBIRT Curriculum]]		[[Category:PCP SBIRT Curriculum]]

SBIRT Standardized Patient Information and Background

2009-11-20T19:23:33Z

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		+
		+	PLEASE REFER TO http://www.medstudentlearning.com/cynthiaSpoutline which supercedes this page 11-20-2009 MPM
		+
	[[Image:Cynthias.jpg\|frame\|left\|]]		[[Image:Cynthias.jpg\|frame\|left\|]]
	== Patient Introduction: Cynthia Stewart, 40 year old white female ==		== Patient Introduction: Cynthia Stewart, 40 year old white female ==

SBIRT: Screening

2009-11-20T19:21:45Z

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-	=='''RLSP''' SBIRT: '''[[Screening]]''' for Substance Abuse==	+	=='''RLSP''' SBIRT: '''Screening''' for Substance Abuse==

SBIRT: Advanced SBIRT Cases

2009-11-20T19:21:23Z

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-	== ~~Standardized Patient Interviews~~: [[Advanced ~~Screening-Brief Intervention-Referral~~ Cases]] ==	+	== RLSP SBIRT: Advanced SBIRT Cases ==
	=== Goal ===		=== Goal ===
	:The physician/learner will apply the SBIRT approach to substance abuse problems at an advanced level by individualizing screening, brief interventions, and referral for different patients including teens, pregnant women, and the elderly with cultural and socioeconomic variation.		:The physician/learner will apply the SBIRT approach to substance abuse problems at an advanced level by individualizing screening, brief interventions, and referral for different patients including teens, pregnant women, and the elderly with cultural and socioeconomic variation.

SBIRT: Brief Intervention

2009-11-20T19:20:34Z

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-	== RLSP: [[Brief Intervention]] for Substance Abuse==	+	== RLSP: Brief Intervention for Substance Abuse==
	=== Goal ===		=== Goal ===
	:The physician/learner will improve the brief intervention skills of counseling and patient education with a patient who has a substance use problem.		:The physician/learner will improve the brief intervention skills of counseling and patient education with a patient who has a substance use problem.

SBIRT: Referral

2009-11-20T19:20:15Z

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-	== ~~Standardized Patient Interviews~~: [[Referral]] for Substance Abuse==	+	== RLSP: Referral for Substance Abuse==
	=== Goal ===		=== Goal ===
	:The physician/learner will improve referral skills for brief treatment or severe problem/addiction treatment as determined by the severity or nature of the problem.		:The physician/learner will improve referral skills for brief treatment or severe problem/addiction treatment as determined by the severity or nature of the problem.

SBIRT: Brief Intervention

2009-11-20T19:18:58Z

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-	== ~~Standardized Patient Interviews~~: [[Brief Intervention]] for Substance Abuse==	+	== RLSP: [[Brief Intervention]] for Substance Abuse==
	=== Goal ===		=== Goal ===
	:The physician/learner will improve the brief intervention skills of counseling and patient education with a patient who has a substance use problem.		:The physician/learner will improve the brief intervention skills of counseling and patient education with a patient who has a substance use problem.

Template:PCP SBIRT Courses

2009-11-20T19:18:28Z

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	''' [[PCP SBIRT Training Components]] (Curriculum):''' Training in Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use Problems		''' [[PCP SBIRT Training Components]] (Curriculum):''' Training in Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use Problems
-	*'''~~Standardized Patient~~ Courses:''' [[Screening]] • [[Brief Intervention]]• [[Referral]] • [[Advanced ~~Screening-Brief Intervention-Referral~~ Cases]]	+	*'''RLSP Courses:''' [[SBIRT: Screening]] • [[SBIRT: Brief Intervention]]• [[SBIRT: Referral]] • [[SBIRT: Advanced SBIRT Cases]]
	*'''Introductory Video:''' [[SBIRT In Practice]]		*'''Introductory Video:''' [[SBIRT In Practice]]
	<!-- *'''Optional Didactic Review of Basic SBIRT for Substance Abuse:''' [[Review of SBIRT for Primary Care]] -->		<!-- *'''Optional Didactic Review of Basic SBIRT for Substance Abuse:''' [[Review of SBIRT for Primary Care]] -->

SBIRT: Screening

2009-11-20T19:17:05Z

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-	==~~Standardized Patient Interviews~~: '''[[Screening]]''' for Substance Abuse==	+	=='''RLSP''' SBIRT: '''[[Screening]]''' for Substance Abuse==

PCP SBIRT Training Components

2009-11-20T19:14:37Z

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	([[SBIRT SP Case Variables\|SP Matrix]] of planned cases)		([[SBIRT SP Case Variables\|SP Matrix]] of planned cases)

-	== Course 1: ~~Standardized Patient Interviews~~: '''Screening''' for Substance Abuse==	+	== Course 1: RLSP: SBIRT: '''Screening''' for Substance Abuse==
	[[SBIRT: Screening]] Course Details		[[SBIRT: Screening]] Course Details

-	==Course 2: ~~Standardized Patient Interviews~~: '''Brief Intervention''' for Substance Abuse ==	+	==Course 2: RLSP: SBIRT: '''Brief Intervention''' for Substance Abuse ==
	[[SBIRT: Brief Intervention]] Course Details		[[SBIRT: Brief Intervention]] Course Details

-	== Course 3: ~~Standardized Patient Interviews~~: '''Referral''' for Substance Abuse ==	+	== Course 3: RLSP: SBIRT: '''Referral''' for Substance Abuse ==
	[[SBIRT: Referral]] Course Details		[[SBIRT: Referral]] Course Details

-	==Course 4: ~~Standardized Patient Interviews~~: Advanced ~~Screening-Brief Intervention-Referral~~ Cases ==	+	==Course 4: RLSP: SBIRT: Advanced SBIRT Cases ==
	[[SBIRT: Advanced SBIRT Cases]] Course Details		[[SBIRT: Advanced SBIRT Cases]] Course Details
	==SBIRT In Practice!==		==SBIRT In Practice!==
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	== Supplemental Resources ==		== Supplemental Resources ==
	(links to other CME/CE courses, but not unique to this project)		(links to other CME/CE courses, but not unique to this project)
		+	===Tobacco Cases===
		+	====Tobacco 1====
		+	====Tobacco 2====
		+	====Tobacco 3====
		+	====Tobacco 4====
	===Basics of addiction as a disease===		===Basics of addiction as a disease===
	===Diagnoses of addictions in primary care===		===Diagnoses of addictions in primary care===

MS Pain Curriculum

2009-11-20T18:41:41Z

Course 5: Risk Reduction When Prescribing Opioids for Pain:

Brief Intervention

2009-11-20T17:19:18Z

deleted "[[Brief Intervention]]" content was: '#REDIRECT SBIRT: Brief Intervention' (and the only contributor was 'Tanner')

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Advanced Screening-Brief Intervention-Referral Cases

2009-11-20T17:17:40Z

moved [[Advanced Screening-Brief Intervention-Referral Cases]] to [[SBIRT: Advanced SBIRT Cases]]

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Referral

2009-11-20T17:16:34Z

moved [[Referral]] to [[SBIRT: Referral]]

New page

Brief Intervention

2009-11-20T17:16:07Z

moved [[Brief Intervention]] to [[SBIRT: Brief Intervention]]

New page

PCP SBIRT Training Components

2009-11-20T17:15:38Z

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	== Course 1: Standardized Patient Interviews: '''Screening''' for Substance Abuse==		== Course 1: Standardized Patient Interviews: '''Screening''' for Substance Abuse==
-	[[Screening]] Course Details	+	[[SBIRT: Screening]] Course Details

	==Course 2: Standardized Patient Interviews: '''Brief Intervention''' for Substance Abuse ==		==Course 2: Standardized Patient Interviews: '''Brief Intervention''' for Substance Abuse ==
-	[[Brief Intervention]] Course Details	+	[[SBIRT: Brief Intervention]] Course Details

	== Course 3: Standardized Patient Interviews: '''Referral''' for Substance Abuse ==		== Course 3: Standardized Patient Interviews: '''Referral''' for Substance Abuse ==
-	[[Referral]] Course Details	+	[[SBIRT: Referral]] Course Details

	==Course 4: Standardized Patient Interviews: Advanced Screening-Brief Intervention-Referral Cases ==		==Course 4: Standardized Patient Interviews: Advanced Screening-Brief Intervention-Referral Cases ==
-	[[Advanced ~~Screening-Brief Intervention-Referral~~ Cases]] Course Details	+	[[SBIRT: Advanced SBIRT Cases]] Course Details
	==SBIRT In Practice!==		==SBIRT In Practice!==
	[[SBIRT In Practice]] (An optional course using video, graphics and didactic instruction)		[[SBIRT In Practice]] (An optional course using video, graphics and didactic instruction)

Screening

2009-11-20T17:12:34Z

deleted "[[Screening]]" content was: '#REDIRECT SBIRT: Screening' (and the only contributor was 'Tanner')

New page

Screening

2009-11-20T17:11:15Z

moved [[Screening]] to [[SBIRT: Screening]]

New page

MS Pain Curriculum

2009-11-20T16:50:39Z

Course 7: Pharmacological Pain Treatment in the Context of Addiction:

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	==Course Details==		==Course Details==
-	===Course 1: Overview of Prescription Drug Use and Misuse ~~(1st or 2nd year course)~~===	+	===1st or 2nd year course:===
-	*~~Basic~~ concepts and terminology for addiction ~~medicine~~ and ~~pain management~~	+
		+	===Course 1: Overview of Prescription Drug Use and Misuse===
		+
		+	*Addiction medicine and pain management basic concepts and terminology
		+	**APA criteria for addiction and substance abuse diagnoses
	*Prevalence of prescription drug misuse among pain patients and frequency of diversion		*Prevalence of prescription drug misuse among pain patients and frequency of diversion
-	*Common ~~misperceptions~~ about pain and addiction	+	*Common misconceptions about pain and addiction
-	*~~Basic neurobiology~~ of addiction and how opioids work	+	*Neurobiology of addiction and how opioids work
-	*~~Introduction to biopsychosocial~~ model of pain and addiction	+	*Biopsychosocial model of pain and addiction
		+	===3rd or 4th year courses:===

	===Course 2: Introduction to Pain Assessment===		===Course 2: Introduction to Pain Assessment===
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	*Recognize the overlap between pain and addiction		*Recognize the overlap between pain and addiction
	*Apply principles for use of opioids in acute pain		*Apply principles for use of opioids in acute pain
-	*Understand evidence for opioid effectiveness in chronic pain	+	*Follow clinical guidelines for prescribing opioids
-	*Follow indications for chronic opioid therapy	+	**Understand evidence for opioid effectiveness in chronic pain
		+	**Follow indications for chronic opioid therapy
	*Include a plan for multimodal pain therapy		*Include a plan for multimodal pain therapy
	*Recognize and address opioid side effects and opioid safety		*Recognize and address opioid side effects and opioid safety
-	*Follow U.S. Controlled Substances Schedule for commonly used scheduled pain medications	+	*Follow U.S. Controlled Substances Schedule for commonly used scheduled pain medications
-	*Follow clinical guidelines for prescribing opioids	+

-	===Course 5: Risk ~~Mitigation~~ When Prescribing Opioids for Pain===	+	===Course 5: Risk Reduction When Prescribing Opioids for Pain===
	*Use first line pharmacologic and non-pharmacologic pain treatments for common chronic pain conditions		*Use first line pharmacologic and non-pharmacologic pain treatments for common chronic pain conditions
	*Use multi-dimensional/multidisciplinary approach to pain management		*Use multi-dimensional/multidisciplinary approach to pain management
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	*Recognize need for and elements of a treatment exit strategy and tapering of opioids		*Recognize need for and elements of a treatment exit strategy and tapering of opioids
	*Use of trial prescription/initial test dose and re-evaluate		*Use of trial prescription/initial test dose and re-evaluate
-	*Recognize risk that sedative hypnotics (benzodiazepines) may pose a risk factor for relapse	+	*Avoid risky drug interactions
-	*Avoid ~~opioid agonist/antagonist or full antagonist medications~~	+

	===Course 6: Ongoing Monitoring of Pain Patients for Prescription Drug Misuse===		===Course 6: Ongoing Monitoring of Pain Patients for Prescription Drug Misuse===
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	*Follow exit strategies to end treatment when there is no apparent benefit or too great a risk		*Follow exit strategies to end treatment when there is no apparent benefit or too great a risk

-	===Course 7: Pharmacological Pain Treatment in the Context of ~~Substance Abuse/Misuse/~~Addiction ~~or Recovery~~ (Knowledge/Case-based course)~~===~~	+	===Course 7: Pharmacological Pain Treatment in the Context of Addiction===
-	*~~Signs~~ of addiction and ~~diagnoses (~~American Psychiatric Association vs ASAM criteria)	+	'''(Knowledge/Case-based course)'''
-	*Recognize symptoms of intoxication, overdose, and withdrawal from opioids	+	*Definitions of addiction and substance abuse: American Psychiatric Association vs ASAM criteria
-	*How to recognize behaviors that may represent relapse, abuse, or diversion	+
	*Stages of addiction		*Stages of addiction
		+	*Behaviors that may represent relapse, abuse, or diversion
		+	*Recognize symptoms of intoxication, overdose, and withdrawal from opioids
		+	*Brief interventions
	*What happens in addiction treatment programs		*What happens in addiction treatment programs
	*How pain is managed in patients with untreated addiction, in recovery, and in addiction treatment		*How pain is managed in patients with untreated addiction, in recovery, and in addiction treatment
-	**~~What medications are~~ used in addiction treatment ~~and how they might interact~~ with pain medications	+	**Medications used in addiction treatment interactions with pain medications
	**Complexities of treating pain in the context of addiction		**Complexities of treating pain in the context of addiction
-	**Barriers ~~(provider, patient, and system-level)~~ to the treatment of patients with pain and addiction	+	**Barriers to the treatment of patients with pain and addiction
	**Consequences of undertreatment of patients with pain and addiction		**Consequences of undertreatment of patients with pain and addiction
	**Unique issues for pain management related to methadone		**Unique issues for pain management related to methadone
-	*How to refer a patient ~~who has~~ addiction ~~issues~~	+	*How to refer a patient for addiction treatment
-	*Importance of counseling and other resources ~~for patients with addiction to continue participation in addiction treatment program~~	+	*Importance of patient participation in counseling and other psychosocial resources

	*Frequency of and risks for relapse		*Frequency of and risks for relapse

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	*Develop SMART (Specific, Measurable, Action-Oriented, Realistic, Time-sensitive) pain treatment goals		*Develop SMART (Specific, Measurable, Action-Oriented, Realistic, Time-sensitive) pain treatment goals

-	===Course 3: Assessment for ~~Risk of~~ Prescription Drug Misuse===	+	===Course 3: Assessment for Prescription Drug Misuse and Risk===
	*Recoognize aberrant medication taking behaviors		*Recoognize aberrant medication taking behaviors
	*Use medical history and family history to predict/detect prescription drug misuse		*Use medical history and family history to predict/detect prescription drug misuse
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	===Course 5: Risk Reduction When Prescribing Opioids for Pain===		===Course 5: Risk Reduction When Prescribing Opioids for Pain===
-	*Use first line ~~pharmacologic and non-pharmacologic pain~~ treatments for common chronic pain conditions	+	*Use first line treatments for common chronic pain conditions
	*Use multi-dimensional/multidisciplinary approach to pain management		*Use multi-dimensional/multidisciplinary approach to pain management
	*Obtain appropriate consultation related to opioid prescribing		*Obtain appropriate consultation related to opioid prescribing
	*Attempt to reduce risk through drug selection and dosing		*Attempt to reduce risk through drug selection and dosing
-	*~~Recognize the elements of~~ a treatment agreement and informed consent relevant to pain management with opioids	+	*Develop a treatment agreement and informed consent relevant to pain management with opioids
	*Follow state and federal regulations in prescribing controlled substances		*Follow state and federal regulations in prescribing controlled substances
-	*~~Recognize need~~ for ~~and elements of a~~ treatment ~~exit strategy~~ and ~~tapering of opioids~~	+	*Develop an “exit” strategy for ending opioid treatment safely and humanely
-	*Use of trial prescription/initial test dose and re-evaluate	+	*Use trial prescription/initial test dose and re-evaluate
	*Avoid risky drug interactions		*Avoid risky drug interactions