Learning Collaborative Meeting Videos
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Co-Occurring OUD and Psychiatric Disorders
- Dr. Marc Fishman, Maryland Treatment Centers
- This presentation covers:
- The occurrence of depression and other mood disorders with a substance use disorder dual diagnosis.
- How to assess these clients
- How to interpret symptoms when co-occurring disorders are present and understand how they may overlap
- How to treat these clients with medication and family engagement
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Ask the Doc- Jail MAT
- Dr. Marc Fishman, Maryland Treatment Centers
- This presentation covers:
- Broad considerations for treating opioid use disorder (OUD)
- Symptom of sedation with some OUD medications and what to do about it
- The best time of day for dosing
- Medication cost differences
- How to decide what dose to start patients on
- Benefits of injectable medications
- Options for those who have diverted their OUD medication
- No research or evidence on what to do; there is just clinical best practice
- Tactics for preventing and monitoring medication diversion
- How to talk to clients about maintaining engagement with injectable MOUDs
- Increasing treatment retention
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Building MAT Capacity in Jails
- Warden Mary Ann Thompson and Ms. Monica Thomas, St. Mary’s County Detention and Rehabilitation Center and Ms. Christy McMillan, Allegany County Detention Center
- This presentation covers:
- St. Mary’s Offender Reentry program and how they are implementing Maryland House Bill 116
- Resources and community partnerships that help the inmates upon reentry
- St. Mary’s Jail partnership with Friends Research Institute and participation in the JCOIN randomized trial
- Benefits of running an MOUD program in a jail setting
- The Allegany County jail methadone program development and expansion to prepare for House Bill 116
- Reentry programming for people leaving jail
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Jail MAT Economic Evaluation
- Dr. Sean M. Murphy, Weill Cornell Medical College and CHERISH
- This presentation covers:
- Approaches to calculating the costs associated with starting and running an MOUD program in a jail
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Jail MOUD Considerations
- Dr. Meskerem Asresahegn and Director Corrine Labbe, Prince George’s County Correctional Center
- This presentation covers:
- Overview of the Prince George’s County Detention Center and how they have implemented and expanded services to prepare for House Bill 116
- Problem solving how to release someone to the community and still maintain them on medication for OUD
- The medication, counseling, nutritional aspects of their program
- Implementing policies to prevent medication diversion
- Some case examples of using MOUD for treatment in their facility
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Continuity of Care for Individuals Leaving Incarceration on MOUDs
- Tracy L. D. Schulden and Rebecca Trott, Anne Arundel County Department of Health and Tammy Black, Access Carroll Integrated Health Care
- This presentation covers:
- Anne Arundel County Health Department discusses their programs for substance use disorder, their partnership with Anne Arundel County Jails, and their Road to Recovery program for treatment of Opioid Use Disorder.
- Access Carroll discusses the services they offer for substance use disorder and the continuity of care for individuals transitioning from the Carroll County jail to community treatment.
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Preventing Diversion of Medications for Opioid Use Disorder in Jails
- Presenter: Warden Mary Ann Thompson, St. Mary’s County Detention and Rehabilitation Center
- This presentation covers:
- How the St. Mary’s County Detention Center physically accommodated medication delivery in their facility
- How their Medication for Opioid Use Disorder program developed and challenges they encountered when expanding the program
- The importance of properly supervising inmates during dosing
- Medication diversion prevention strategies and lessons learned
- Presenter: Ms. Angel Dalverny, BSN, RN, Allegany County Sheriff’s Office, Detention Center
- This presentation covers:
- How the Allegany Detention Center’s medication area is set up
- The process of medicating inmates to reduce medication diversion
- Policies regarding inmates caught diverting medications
- Misconceptions about providing medications for opioid use disorder in carceral settings
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Increasing Inmate Acceptance of Medications for Opioid Use
- Presenter: Major Craig Rowe, Washington County Sheriff’s Office, Detention Center
- This presentation covers:
- The start of their Medication for Opioid Use Disorder program and its goals
- Messaging to inmates regarding the program
- The importance of educating inmates on Medication Assisted Treatment and its benefits
- The county’s Day Reporting Center Program and its successful use of extended-release naltrexone
- Presenter: Mr. Teron Powell, MA, Silverman Treatment Solutions
- This presentation covers:
- The importance of therapeutic collaboration
- How to get people on all sides of the process to say “yes”
- The clinic’s history of treatment collaboration with the Howard County Department of Corrections
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Adding/Expanding Peer Recovery Coaches as Staff in Carceral Settings
- Presenter: Acting Warden Margaret M. Chippendale, Howard County Department of Corrections
- This presentation covers:
- How the detention center started their Peer Program
- The role expectations and responsibilities of their peers
- The process of hiring and training peers in their facility
- Examples of groups and events their peers have organized
- Presenter: Mr. Kevin Nock, i-FPRS, CPRS, RPS, Office of the Public Defender
- This presentation covers:
- How he began his journey to become a peer
- The different certifications he earned and how they helped him in his work and career trajectory
- His current role at the Maryland Office of the Public Defender
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Expanding Buprenorphine Treatment Using Telemedicine in Rural Counties
- Presenter: Dr. Eric Weintraub, University of Maryland School of Medicine
- This presentation covers:
- An overview of the opioid epidemic in rural Maryland
- An overview of the three types of MOUDs and availability challenges
- The benefits of offering buprenorphine via telemedicine
- Development of their telemedicine buprenorphine program
- A description of their buprenorphine mobile treatment unit
- Challenges of offering a telemedicine program
- Implementation and preliminary data from their telemedicine buprenorphine program in the Allegany County Detention Center
- Funding issues
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Methadone Treatment for People in Jail: Different Approaches to Increase Access
- Presenter: Ms. Rebecca Trott, Anne Arundel County Department of Health
- This presentation covers:
- An overview of the Anne Arundel County jail’s opioid treatment program (OTP)
- Program standards and outcomes
- The steps for establishing their OTP
- Combatting methadone myths and stigma
- The process of delivering methadone treatment from identification in the jail to release into the community
- Presenter: Captain Steve Wallace, Kent County Department of Corrections
- This presentation covers:
- Staffing and logistical challenges to delivering methadone treatment to detainees in a rural county