Caring for Complex Patients in Resource-Limited Rural Communities

Course Description

The Greater Southern California Node (GSCN) of the National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN), in partnership with the Pacific Southwest Addiction Technology Transfer Center (PSATTC), presents a 4-part training series addressing the implementation and sustainability of medications for opioid use disorders (MOUD) in rural settings. The series is hosted by Larissa Mooney, M.D., who is a Professor of Clinical Psychiatry and the Director of the Addiction Psychiatry Division in the Department of Psychiatry and Biomedical Sciences at UCLA. She is also a Principal Investigator for the GSCN of the NIDA CTN.

This on-demand course is the third session in a 4-part series that addresses the strengths and challenges to providing MOUD in rural communities. One aspect of successfully implementing a clinic MOUD program is identifying how to best care for complex patients. Presenters shared case examples of delivering care to a range of clinically challenging patients within resource-limited rural communities. Presenters also discussed treatment and/or referral in the context of pregnancy, health and mental health comorbidities, infectious diseases (e.g., HIV, Hepatitis C), and polysubstance use. Presenters also discussed burn-out and self-care when caring for complex patients.

Please note, individuals can earn free CMEs and CEs for their attendance and sessions do not build on one another; individuals are free to select which topics are most relevant to them.

Launch Date: April 28, 2023

At the conclusion of the on-demand course, participants will be able to:

1. Recognize two (2) clinical challenges in providing MOUD care in resource-limited rural settings.
2. Explain two (2) considerations in caring for patients in rural communities who continue to use opioids, use multiple substances, or experience co-occurring mental health symptoms, pregnancy, or infectious diseases (HIV or other STIs).
3. Recognize provider burn-out and two (2) self-care skills.

Instructions for Continuing Education Credits

How to receive a CE/CME certificate:

For Continuing Medical Education (CME) for physicians, physician assistants, nurses, and nurse practitioners only, you will receive a link to complete the course evaluation for CME after watching the video for this course, and you will receive your CE certificate via email within six to eight weeks.

If you have any UCLA ISAP CME-related questions, please contact Gloria Miele at gmiele@mednet.ucla.edu.

CME Statements:

Please view the linked CME Learner Handout for more information about how to obtain CME credit.

The training course meets the qualifications for the provision of one (1) continuing medical education credit/contact hour (CME/CEH).

UCLA Integrated Substance Abuse Programs (ISAP) is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.

UCLA Integrated Substance Abuse Programs (ISAP) designates this learning course for a maximum of one (1) AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements as long as the course is certified for AMA PRA Category 1 Credits^TM (rn.ca.gov). Nurses will receive a Certificate of Participation following this activity that may be used for license renewal.

Continuing medical education will be awarded within 6-8 weeks following completion of the training.

Continuing Education: 

UCLA ISAP is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LCSWs, LPCCs, and/or LEPs (Provider #64812). UCLA ISAP maintains responsibility for this program/course and its content. Course meets the qualifications for one hour of continuing education credit for LMFTs, LCSWs, LPCCs, and LEPs as required by the California Board of Behavioral Sciences. UCLA ISAP is also an approved provider of continuing education for RADTs I/II, CADCs-CASs, CADCs I/II, CADCs-CSs, and LAADCs (CCAPP, #2N-21-339-1225), CATCs (ACCBC/ CAADE, #CP40 872 C 0825), and CAODCs (CADTP, #151).

CE credit will be awarded at the conclusion of the training. Upon completing the final module, you must pass the final test with a minimum of 80% correct. Once you pass the final test, it will display a link to complete a course evaluation and submit the required information for your CE certificate. Upon completing this required course evaluation, you will receive your CE certificate via email within six to eight weeks.

If you have any CE-related questions, please contact Darren Manley at dmanley@mednet.ucla.edu.

Estimated time to complete the course:

This course should take approximately one (1) hour to complete.

Cost:

Free

Disclosure statements:

Erin Winstanley, PhD, Associate Professor, Department of Behavioral Medicine & Psychiatry, West Virginia University

Jennifer Thomas, MD, Medical Director – Morris Hospital, Integrated Behavioral Health System, Braidwood, IL

Debra Newman, PA, Provider – First Judicial District Court, Adult Drug and Mental Health Treatment Courts, Santa Fe County, NM

Moderated by Laura Mae Baldwin, MD, Professor of Family Medicine, University of Washington

None of the presenters, planners, or others in control of content for this educational activity have relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Presenters:

Erin Winstanley, PhD, Associate Professor, Department of Behavioral Medicine & Psychiatry, West Virginia University

Jennifer Thomas, MD, Medical Director – Morris Hospital, Integrated Behavioral Health System, Braidwood, IL

Debra Newman, PA, Provider – First Judicial District Court, Adult Drug and Mental Health Treatment Courts, Santa Fe County, NM

Moderated by Laura Mae Baldwin, MD, Professor of Family Medicine, University of Washington

Recommended Audience:

This online course is recommended for primary clinicians and community health providers who are involved in providing multidisciplinary care to persons with opioid, stimulant, and other substance use disorders, including, but not limited to:

• Physicians
• Physician Assistants
• Nurse Practitioners
• Registered Nurses and LVNs
• Psychologists
• Marriage and Family Therapists
• Social Workers
• Alcohol and Other Drug and Mental Health Counselors
• Case Managers
• Medical Assistants

Instructions for Requesting Accommodations for Disability:

If you need a disability-related reasonable accommodation/alternative format for this event, please contact Darren Manley at dmanley@mednet.ucla.edu.

Instructions for Filing a Grievance Concerning UCLA ISAP’s Continuing Education Program:

Please contact Dr. Thomas E. Freese, CE Program Administrator, in writing: (UCLA ISAP, 10911 Weyburn Ave, Suite 200, Los Angeles, CA 90024) or by phone (310-267-5397). Alternately, you may contact Dr. Gloria Miele or Dr. James Peck, ISAP-affiliated doctoral-level psychologists responsible for program planning for the ISAP CE Program. Drs. Miele and Peck can be reached in writing at: 10911 Weyburn Ave, Suite 200, Los Angeles, CA 90024 or by phone at: 310-267-5888 (Miele) or 310-267-5346 (Peck).

Please click on the lesson below to start the course.