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PCSS-MOUD Live Webinar: Systemic Solutions for Man ...
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The document is a presentation by Phillip Coffin, MD, addressing systemic solutions for managing methamphetamine use. Hosted by the Providers Clinical Support System – Medications for Opioid Use Disorders (PCSS-MOUD), an initiative funded by SAMHSA, the presentation aims to enhance knowledge and skills among healthcare professionals in treating substance use disorders, focusing specifically on opioid and methamphetamine use disorders.<br /><br />Dr. Coffin, an internal medicine, addiction medicine, and infectious diseases physician, provides evidence-based insight into methamphetamine use, including trends in morbidity and mortality, causes of death from methamphetamine toxicity, and the role of both pharmacological and behavioral interventions in managing use disorder.<br /><br />Key issues covered include the epidemiology of methamphetamine use, with 2 million reported users in 2019 in the U.S., and the medical complications associated with its use, affecting cardiovascular and neuropsychiatric health. Methamphetamine-related emergency department visits are largely due to psychiatric, cardiovascular, and trauma complaints.<br /><br />The presentation explores a four-tier approach to patient care involving assessment, diagnosis, prevention, and management strategies. Attendees are guided to utilize motivational interviewing techniques, routine screenings, and preventative strategies—such as naloxone distribution and behavior modification therapies—to reduce methamphetamine use.<br /><br />Evidence-based treatment options discussed include contingency management and medications like mirtazapine, bupropion, and naltrexone. Concluding remarks emphasize the need for a comprehensive, systematic approach to treating methamphetamine use disorder, paralleling strategies used in alcohol use disorders rather than those for opioid toxicity.<br /><br />PCSS-MOUD supports this educational endeavor by providing mentoring programs, fostering clinician networks to share and improve evidence-based practices for substance use disorder treatments across various disciplines.
Keywords
methamphetamine use
systemic solutions
PCSS-MOUD
SAMHSA
evidence-based treatment
pharmacological interventions
behavioral interventions
motivational interviewing
contingency management
substance use disorders
The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.
Funding for this initiative was made possible by cooperative agreement no. 1H79TI086770 and grant no. 1H79TI085588 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
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