Summary: <p>Opiate Commission Preliminary Report<br> Dr. Dawn-Elise Snipes<br> Executive Director: AllCEUs Counseling Education<br> https://www.whitehouse.gov/sites/whitehouse.gov/files/ondcp/commission-interim-report.pdf</p> <p><a href="https://www.allceus.com/member/cart/index/product/id/765/c/">Training on basic addiction counselor competencies</a> or <a href="https://allceus.com/certification">Addiction Counselor Certification Training</a></p> <p>Intro<br> ~ In 2015, 27 million people reported current use of illegal drugs or abuse of prescription drugs.<br> ~ Only 10 percent of the nearly 21 million citizens with a substance use disorder (SUD) receive any type of specialty treatment<br> ~ With approximately 142 Americans dying every day, America is enduring a death toll equal to September 11th every three weeks.<br> Recommendations<br> ~ Rapidly increase treatment capacity. Grant waiver approvals for all 50 states to quickly eliminate barriers to treatment resulting from the federal Institutes for Mental Diseases exclusion within the Medicaid program.<br> ~ This exclusion prohibits federal Medicaid funds from reimbursing services provided in an inpatient facility treating “mental diseases” (including SUDs) that have more than 16 beds.<br> ~ Right now, states entirely responsible for Medicaid-eligible patients in inpatient treatment facilities, including patients undergoing withdrawal management in addiction treatment facilities rather than hospitals.<br> ~ This will immediately open treatment to thousands of Americans in existing facilities in all 50 states…Or will it?<br> ~ Require extensive provider enrollment procedures<br> ~ Requires extensive staff training<br> ~ Requires extensive modifications to the HER and P&P</p> <p>Training—Wish List (Basic Medicaid Training Requirements can be found here: <a href="https://www.allceus.com/member/cart/index/product/id/765/c/">https://www.allceus.com/member/cart/index/product/id/765/c/</a> )<br> ~ Require all persons from technicians to clinicians and managers to receive specialty training in Addiction Counseling<br> ~ In FL a bachelors level practitioner with specialized training in treatment of behavioral health disorders, human growth and development, evaluations, assessments, treatment planning, basic counseling and behavior management interventions, case management, clinical record documentation, psychopharmacology, abuse regulations, and recipient rights<br> ~ Biopsychosocial evaluations<br> ~ Group therapy services<br> ~ Certified recovery peer specialist • Certified recovery support specialist • Certified behavioral health technicians can also provide<br> ~ Group counseling in Day Treatment Programs<br> ~ Community support and Rehabilitative services<br> ~ Clubhouse services<br> ~ Therapeutic behavioral on-site support services with persons under 21<br> Prescriber Education<br> ~ Fewer than 20% of the over one million prescribers licensed to prescribe controlled substances to patients have training on<br> ~ How to prescribe opioids safely.<br> ~ How to screen for addiction<br> ~ What to do if a patient has become dependent on substances or presents with an SUD<br> ~ Mandate prescriber education initiatives with the assistance of medical and dental schools<br> ~ Require all Drug Enforcement Administration (DEA) registrants to take a course in proper treatment of pain.<br> ~ Work with partners to ensure additional training opportunities, including continuing education courses for professionals.<br> ~ Promote expanded implementation of the CDC Guideline for Prescribing Opioids for Chronic Pain<br> ~ 4 of 5 new heroin users begin with nonmedical use of prescription opioids<br> ~ Not necessarily their own….<br> Medication Assisted Treatment<br> ~ MAT has proven to reduce overdose deaths, retain persons in treatment, decrease use of heroin, reduce relapse, and prevent spread of infectious disease.<br> ~ Only 10 p</p>
