2019 Medication-Assisted Treatment and Recovery Symposium Session Materials
Schedule at-a-Glance
View full session descriptions below. All times are PT.
Monday, September 16
| 7:30-8:30 a.m. | Registration and Check-In |
| 8:30-9:45 a.m. | Welcome and Medication-Assisted Treatment Lay of the Land |
| 9:45-10 a.m. | Break |
| 10-11:30 a.m. | MAT 101: Building a MAT Program |
| 10-11:30 a.m. | MAT 301: Strengthening a MAT Program |
| 11:30 a.m-12:30 p.m. | Lunch |
| 12:30-2 p.m. | Barriers to Implementation, Pt. 1 |
| 2-2:30 p.m. | Break |
| 2:30-4 p.m. | Barriers to Implementation, Pt. 2 |
Tuesday, September 17
| 7:30-8:30 a.m. | Registration and Check-In |
| 8:30-10 a.m. | Clinical Breakout: Tailored Approaches for Special Populations |
| 8:30-10 a.m. | Administrative Breakout: Using Data to Advance Program Growth |
| 10-10:15 a.m. | Break |
| 10:15-11:45 a.m. | Clinical Breakout: Trauma, Neurobiology, and Addiction |
| 10:15-11:45 a.m. | Administrative Breakout: Demonstrating ROI of SUD/OUD Funding |
| 11:45 a.m.-12:45 p.m. | Lunch |
| 12:45-2:15 p.m. | Staying Patient-Centered in MAT: Consumer Panel |
| 2:15-2:30 p.m. | Break |
| 2:30-4 p.m. | Closing Session: Beyond MAT |
Session Descriptions
Welcome & Medication-Assisted Treatment Lay of the Land
Monday, September 16: 8:30-9:45 a.m. PT
View slides from this presentation (PDF).
This opening plenary session will provide a brief overview of the opioid epidemic and give context to our work as health care providers in the current environment. We’ll talk about the human impact of the epidemic, federal and state responses, and the goals of this training event. There will be time for audience discussion.
Speakers: Bobby Watts, MPH, MS, CPH, CEO, National Health Care for the Homeless Council, Nashville, TN; Barbara DiPietro, PhD, Senior Director of Policy, National Health Care for the Homeless Council, Baltimore, MD
MAT 101: Building a MAT Program
Monday, September 16: 10-11:30 a.m. PT
View slides from this presentation (PDF).
This session will provide an overview of foundational concepts of addiction medicine including an overview of evidence-based, effective treatment models. Additionally, this presentation will highlight the practice transformation that buttresses an effective MAT model of care. Through case studies and active audience engagement, presenters will provide lessons learned in their efforts to implement MAT in their respective organizations. Emphasis will be placed on addressing addiction within a culturally sensitive context, noting stigma and biases toward addiction. Lastly, this session will highlight the importance of team-based competencies, which prioritize shared care, decision-making, and planning.
Speakers: Andrew Suchocki, MD, Medical Director, Clackamas Health Center, Oregon City, OR; Eboni Winford, PhD, Behavioral Health Consultant, Cherokee Health Systems, Knoxville, TN; Charles Watras, MSW, MAT Program Director, Sea Mar Health Center, Burlington, WA
MAT 301: Strengthening a MAT Program
Monday, September 16: 10-11:30 a.m. PT
View slides from this presentation: Central City Concern (PDF), Nasson Health Center (PDF), Evergreen Treatment Services (PDF)
This session has been planned for health center staff interested in strengthening their existing MAT and recovery program. The presenters will focus on methods to increase access and retention in MAT to advance recovery. Topics in this session include: promising and evidence-based practices in the areas of outreach, administrative support, staffing for daily dosing, workflow adjustments to address high client volume, and identifying EMR performance measures to integrate with other program outcomes.
Speakers: Lauren Land, FNP, Primary Care Nurse Practitioner, Central City Concern, Portland, OR; Gail Burgess, CNOR, Nurse Care Director, Nasson Health Center, Springvale, ME; Sean Soth, Director of Clinical Services, Evergreen Treatment Services, Seattle, WA
Barriers to Implementation, Pt. 1
Monday, September 16: 12:30-2 p.m. PT
View slides from this presentation (PDF).
This session will cover the initial challenges of implementing a Medication-Assisted Treatment Program, from a team serving a large chronic pain and SUD population. Continuing Education, mentoring, trauma-informed approaches, and team-based care have been the foundation of overcoming our initial barriers. During this session, we will cover the program design and workflow changes over the past three years that have evolved to a successful program that supports nine (currently) waivered providers and over 100 active patients, half of whom are currently homeless. Presenters will share “fast track” approaches to screening and engaging patients, monitoring, and patient tracking, peer support, outcomes, and ongoing challenges working with patients dealing with SUD and chronic medical problems.
Speakers: Jocelyn Pedrosa, MD, Chief Medical Officer, Yakima Neighborhood Health Services, Yakima, WA; Rhonda Hauff, Chief Operating Officer, Yakima Neighborhood Health Services, Yakima, WA
Barriers to Implementation, Pt. 2
Monday, September 16: 2:30-4 p.m. PT
View slides from this presentation (PDF).
This session will build on the issues covered in “Barriers to Implementation, Part 1” and focus on internal program operations, community partnerships, and policy issues. What factors determine the level of service engagement you require? How do you build champions for your program? How can we best work with area service providers and other stakeholders? How can we bridge the gap between policymakers, patients, and providers? These questions will frame an interactive conversation designed to help you strengthen your MAT program and improve patient outcomes.
Speakers: Barbara DiPietro, PhD, Senior Director of Policy, National Health Care for the Homeless Council, Baltimore, MD; Eboni Winford, PhD, Behavioral Health Consultant, Cherokee Health Systems, Knoxville, TN
Clinical Breakout: Tailored Approaches for Special Populations
Tuesday, September 17: 8:30-10 a.m. PT
View slides from this presentation (PDF).
This session will provide an overview of culturally sensitive approaches to providing care to a range of special populations. In particular, this presentation will highlight the importance of cultural humility and careful curiosity when providing care to underserved, stigmatized, and marginalized communities including LGBTQ, pregnant women, and people of color. Through didactic presentations, case studies, and active audience engagement, presenters will provide lessons learned in their efforts to ensure culturally appropriate and compassionate addiction medicine services in their respective organizations. Emphasis will be placed on acknowledging one’s own identity markers as well as one’s privileges, biases, and areas of oppression as it relates to providing care to these special populations.
Speakers: Deb Borne, MSW, MD, Medical Director of the Transitions Division, San Francisco Department of Public Health, San Francisco, CA; Eboni Winford, PhD, Behavioral Health Consultant, Cherokee Health Systems, Knoxville, TN; Amanda Antenucci, LCSW, MAC, Medical Director, Outside In, Portland, OR
Administrative Breakout: Using Data to Advance Program Growth
Tuesday, September 17: 8:30-10 a.m. PT
View slides from this presentation (PDF).
In this session, Dr. Risser will review evidence-based practices for the treatment of opioid use disorder and discuss the importance of data in understanding patient engagement and clinical gaps across a continuum of care. She will discuss an approach to utilizing MPR (Medication Possession Ratio) and subsequent analysis of population segments with opioid use disorder across a Medicaid Cohort in the Portland Metropolitan Region. Through understanding the clinical rubric for MPR developed in partnership with the local Medicaid CCO in 2018, it will be possible to understand both this model of clinical analysis and how the region is working to improve access and patient engagement in treatment for opioid use disorders.
Speakers: Amanda Risser, MD, MPH, Sr. Medical Director of Substance Use Disorder Services, Central City Concern, Portland, OR
Trauma, Neurobiology, & Addiction
Tuesday, September 17: 10:15-11:45 a.m. PT
View slides from this presentation (PDF).
The research is powerful; unresolved trauma creates a neurobiological environment primed for addiction. The more we study the relationship between trauma and addiction, the stronger the correlation between the two. For an addiction to develop, you need an addictive drug and behavior and stress (trauma being the most intense form of stress). This workshop will help those working in HCH environment understand the connection between trauma and addiction and put forth some practices to help heal trauma while helping patients address addiction.
Speakers: Matt Bennett, MBA, MA, President, Bennett Innovation Group, Denver, CO
Demonstrating ROI of SUD/OUD Funding
Tuesday, September 17: 10:15-11:45 a.m. PT
View slides from this presentation (PDF).
Inadequately managed addiction drives costs to both society and the health system. Funding SUD/OUD treatment yields a significant return on investment in all levels, from large systems to also the clinic level. Patients have reduced morbidity and mortality, other chronic diseases are better managed, and staff caring for patients are more resilient. This presentation will review sentinel research demonstrating this from health plan data. It will also include a discussion of how a community-based Medicaid managed care organization has invested in their network in multiple innovative ways.
Speakers: Patrick Luedtke, MD, Senior Public Health Officer, Lane County, Eugene, OR; Andrew Suchocki, MD, Medical Director, Clackamas Health Center, Oregon City, OR; Stacie Andoniadis, Primary Care Innovation Specialist, Care Oregon, Portland, OR
Staying Patient-Centered in MAT: Consumer Panel
Tuesday, September 17: 12:45-2:15 p.m. PT
Organizations providing recovery services focus on client self-determination, empowerment, and engagement in care. In order to fully realize these principles, we must expand these processes and engage consumers in program development, implementation, and evaluation. Individuals who receive services have a unique and important role in evaluating their effectiveness and working together to improve services, providing insights from the ground about the needs of the community. Panelists will discuss their experiences with MAT, as well as other ways that organizations can include the consumer perspective.
Speakers: Kristina Sawyckyj, NCAB Member, Seattle King County, Seattle, WA
Moderator: Karen Kern, MPA, CADC II, NCAC II, Senior Director of Substance Use Disorder Services, Central City Concern, Portland, OR
Beyond MAT
Tuesday, September 17: 2:30-4 p.m. PT
View slides from this presentation (PDF).
In the final session of the Medication-Assisted Treatment and Recovery Symposium, presenters will review strategies for supporting patients beyond medication-assisted treatment programs, including developing recovery plans focused on harm reduction and pain management techniques. In the latter portion of the presentation, attendees will also have the opportunity to review the overall objectives of the MATR Symposium as well as discuss takeaways and lessons learned from the event. Time will be available for Q&A.
Speakers: Charles Watras, MSW, MAT Program Director, Sea Mar Health Center, Burlington, WA; Sean Soth, Director of Clinical Services, Evergreen Treatment Services, Seattle, WA; Barbara DiPietro, PhD, Senior Director of Policy, National Health Care for the Homeless Council, Baltimore, MD
This program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant number U30CS09746, Technical Assistance to Community and Migrant Health Centers and Homeless, award amount $1,625,741 and 1.5% ($25,000.00) financed with nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.