A Tough Pill to Swallow: Addressing the Epidemic of Prescription Drug Abuse

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A Tough Pill to Swallow: Addressing the Epidemic of Prescription Drug Abuse 7:30 AM 4:45 PM Millennium Centre, Johnson City, TN Friday August 17, 2018 7:30 AM 7:50 AM Registration and breakfast 7:50 AM 8:00 AM Welcome and Introductions Learning Objective(s): As a result of participating in this activity, the attendee will be able to: 8:00 AM 10:00 AM Opioid Safe Prescribing and the Tennessee State Guidelines * Tim Smyth, MD Medical Director, Over Mountain Recovery; Clinician, Addiction Medicine, Cherokee Indian Hospital; Adjunct Faculty, East Tennessee State University College of Public Health Understand Tennessee and Virginia state guidelines of opioid prescribing. *Meets Tennessee and Virginia Prescribing Practices Credit Requirements 10:00 AM 10:15 AM Break

10:15 AM 12:00 PM Overview of Treatment Modalities for Opioid Use Disorder and Key Terminologies Moderator: Angie Hagaman, MA, LPCA Panel Jack Woodside, Jr., MD Jason M. Abernathy Meagan V. Fisher, MA Sam Pettyjohn, MPh Laurie Street, MBS, BSN Identify opioid related terminology and treatment options. Distinguish between best practice and minimum standards as it relates to opioid treatment programs. 12:00 PM 12:55 PM Lunch 1:00 PM 2:00 PM Breakout Session #1 Group A - Room 120 Prevention and Harm Reduction Naloxone Training Sarah T. Melton, PharmD, BCPP, BCACP Brianne Dunning, BSN, RN Explain the epidemiology of opioid overdose in Tennessee. Describe the naloxone rescue act of Tennessee and associated Good Samaritan protection. Incorporate overdose prevention education and naloxone rescue kits into medical Group B Room 130 Identifying the Problem Adverse Childhood Experiences Initiative Alice McCaffrey, BS, BA Implement screening for Adverse Childhood Experiences (ACEs). Understand the impact of Adverse Childhood Experiences (ACEs) and trauma on brain development and its implications for future health, behavior, and life potential outcomes. Group C Auditorium/137 Alternative Pain Relief Methods Music Therapy Erin Aubrey, MM, MT-BC Discuss treatment options for pain using music therapy. Pain Relief Techniques Paula Dukes Demonstrate methods to physically and emotionally release pain. Assess where pain originates.

and pharmacy practice by educating patients about overdose risk reduction and furnishing naloxone rescue kits. Breakout Session #2 2:00 PM 3:00 PM Group A - Room 120 Prevention and Harm Reduction Medication Storage and Disposal Jennifer Berven, BS, CPS II Provide guidance to patients or clients on the safe storage and disposal of medication. Group B Room 130 Identifying the Problem Identifying misuse/abuse SBIRT Sharon Davis, DNP, APRN, WHNP-BC Implement a brief intervention for substance use based on motivational interviewing techniques. Determine the severity of substance use disorders to help guide treatment. Group C Auditorium/137 Alternative Pain Relief Methods Yoga Rachel Fogg, BA, RYT Meg Blevins, RYT Judge whether a patient may be a candidate for utilizing yoga as a viable alternative to pain medication. Acupuncture Stephen Sedita, LAc Recognize patients who could benefit from acupuncture treatment. Describe an Acupuncture treatment session.

3:00 PM -3:15 PM Break 3:15 PM 4:15 PM Breakout Session #3 Group A - Room 120 Prevention and Harm Reduction Harm Reduction Panel Bill Brooks, DPh, MPh Lisa Bynum, BSN, RN Karilyn Dowling, PharmD, MPh Deidre Gudger, MBA, LBSW Describe HIV/HCV prevalence in TN and Central Appalachia. Understand syringe access in pharmacy settings. Identify and refer clients to local syringe service programs. Please note* Group B Room 130 Identifying resources Crisis Stabilization, Acute Intoxication, and Abuse/Misuse Addiction Cicely Alvis, LCSW Frontier Health Group C Auditorium/137 Alternative Pain Relief Methods Physical Therapy Treatments/Options Danny Smith, DHSc, PT Use physical therapy to treat pain. You must log in to your profile and complete the evaluation within 72 hours from completion of this activity to receive ACCME, ANCC, or ACPE credits. Detailed instructions are found at the end of the packet. https://ww2.highmarksce.com/etsu/

A Tough Pill to Swallow: Addressing the Epidemic of Prescription Drug Abuse Activity Director Target Audience Overall Conference Objectives Jennifer Berven, Director, Northeast Prevention Advisory Council, Johnson City, TN Physicians from family medicine, internal medicine, OB/GYN, pediatrics, and emergency medicine, as well as advanced practice nurses, physician assistants, pharmacists, psychologists, medical students, nursing students, and addiction prevention specialists. As a result of attending this activity, the participant will be able to: Increase knowledge surrounding updated chronic pain guidelines, community resources for treatment, standardized Neonatal Abstinence Syndrome (NAS) diagnosing, Adverse Childhood Experiences (ACEs), and proper pain clinic management. Implement new skills and strategies to create patient plans of care for pain. Disclosure Information and Potential Conflicts of Interest East Tennessee State University s Quillen College of Medicine, Office of Continuing Medical Education (OCME) holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. It is the policy of the OCME that each presenter and planning committee member of any CME activity must disclose any significant financial interest/arrangement or affiliation with corporate organizations whose products or services are being discussed in a presentation. All commercial support of an educational activity must also be disclosed to the conference attendees.

Participants with No Potential Conflicts of Interest Each of the following individuals in a position to influence the content of this activity have completed a disclosure form indicating that neither they nor members of their immediate family have a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content or supporters of this activity: Activity Director Jennifer Berven, CPS II Planning Committee Marta Gouge, BS, CHCP, Educational Planner, Office of Continuing Medical Education, East Tennessee State University Angela Hagaman, MA, LPCA, Program Director, NIDA, R24 Drug Abuse Research Grant (DIDARP), College of Public Health, East Tennessee State University, Therapist, Frontier Health Patricia Harnois- Church, MSN, MHA, RN, Nursing Instructor, BSN Traditional Program and Continuing Nurse Education Coordinator, College of Nursing, East Tennessee State University Alice McCaffrey, BA-BS, CPS I, Director, Sullivan County Anti-Drug Coalition Jilian Reece, BA, Director Carter County Drug Prevention Coalition Christy Smith, Executive Director, A.C. T. I. O. N. Coalition, Inc. Cynthia C. Thomas, DO, MPH, Assistant Health Officer, Preventive Medicine and Public Health, Northeast Tennessee Regional Health Office, Speakers/Presenters Jason Abernathy, Insight Alliance, Lifeline Peer Project Coordinator Cicely Alvis, LCSW Division Director, Frontier Health Specialty Services Erin Aubrey Batkiewicz, MT Music Therapist, JourneyPure Jennifer Berven, CPS II Director, Insight Alliance

Meg Blevins, RYT Mountain Yoga Instructor and Trainer Bill Brooks, DPh, MPh Professor, College of Public Health, East Tennessee State University Lisa Bynum, BSN, RN Executive Director, Center of Excellence, East Tennessee State University Sharon Davis, DNP, APRN, WHNP-BC Clinical Assistant professor, University of Tennessee, Knoxville, College of Nursing Paula Dukes President, The Salt Mind Experience Inc. Brianne Dunning, BSN, RN Regional Overdose Prevention Specialist, Sullivan County Anti-Drug Coalition Karilyn Dowling, PharmD, MPh Community Pharmacy Research Fellow and Clinical Instruction, Bill Gatton College of Pharmacy, East Tennessee State University Meagan V. Fisher, MA Site Director, Frontier Health Rachel Fogg, BA, RYT Veterans Outreach Coordinator, East Tennessee State University Deidre Gudger, MBA, LBSW Director of Prevention and Outreach, East Tennessee State University Alice McCaffrey, BA,BS, CPS I, Director, Sullivan County Anti-Drug Coalition Sarah T. Melton, PharmD, BCPP, BCACP Professor of Pharmacy Practice, Gatton College of Pharmacy, East Tennessee State University Samuel Pettyjohn, MPh, Doctor of Public Health Candidate, Center for Prescription Drug Abuse and Treatment, East Tennessee State University Stephen Sedita, LAc Acupuncturist, Appalachian Acupuncture

Danny Smith, DHSc, DPT President and Founder, Physical Therapy Services/ Center for Athletic Medicine Timothy S. Smyth, MD, Addiction Medicine Specialist, Catalyst Health Solutions and Pain Management Specialist, Pain Medicine Associates Laurie Street, MBA, BSN Executive Director, Overmountain Recovery Jack R. Woodside, Jr, MD, Professor Office of Academic Affairs, East Tennessee State University Quillen College of Medicine Commercial Support Disclosure Handouts It is the policy of the Office of Continuing Medical Education at Quillen College of Medicine, East Tennessee State University to disclose all commercial supporters of this educational activity from which educational grants were received. This activity has received NO commercial support via educational grants. Presentations will be posted online for viewing and download if the author has granted permission. Presentations can be found at: https://drive.google.com/open?id=12t9mean4low-umwybk_q5m5y1n2doooz Or you may go to the etsu.edu/com/cme. Presentations not provided to the OCME prior to the conference will be posted at the same web address within two weeks of the activity and can be downloaded or viewed online. Transcripts/ Certificates of CME Credit You may print your certificate or transcript online from our website at after your evaluation has been complete. Evaluations are made available during the last session of the day and must be completed within 72 hours to receive credit. https://ww2.highmarksce.com/etsu/index.cfm? Conference Planner Marta Gouge Educational Planner Office of Continuing Medical Education Quillen College of Medicine East Tennessee State University 423-439-8074 gougemm@etsu.edu

Accreditation and designation: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University and the Northeast Tennessee Prevention Advisory Council. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians. CME Credit: Quillen College of Medicine, East Tennessee State University designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. CNE Credit: Up to a total of 7.25 continuing nursing education hours have been approved for this conference with 2.50 CNE designated as pharmacology contact hours. East Tennessee State University College of Nursing is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. East Tennessee State University College of Nursing implements a $15 certificate fee per conference. This fee covers the following: cost for being a provider of nursing contact hours, supplies, and nursing coordinator's time for completing necessary paperwork for each conference. If you would like to claim nursing contact hours, please contact etsucne@etsu.edu. Tennessee Pharmacists Consortium for Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This seminar will provide up to 7.0 hours of continuing education credits to pharmacists who attend the sessions and complete the online activities (activity evaluations and post-tests) required to claim credit. UAN: 0575-0000-17-068-L04-P.

Remember to log in and claim your credit for attending! You have 72 hours from the end of the conference to complete the credit claiming process. 1. Log in to your HighMarks account at ww2.highmarksce.com/etsu. 2. Click My Credits and Locate Tough Pill to Swallow in the Pending Credits section. 3. Click Complete Evaluation this will take you through the completion of the course evaluation and post-test. 4. You are finished! The hours will show up under hours instead of pending once the process is complete.

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