Opioid Misuse Prevention

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Manage episode 273304715 series 2460299
By AllCEUs Counseling CEUs and Dr. Dawn-Elise Snipes. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Opioid Misuse Prevention

Dr. Dawn-Elise Snipes PhD, LPC-MHSP
AllCEUs Counselor Education

CEUs available at: https://www.allceus.com/member/cart/index/product/id/1348/c/

Objectives
– Identify the types of prevention
– Learn the steps in prevention
– Understand why people use opioids
– Explore the connection between pain and mood disorders
– Identify 5 prevention strategies

Prevention Types
– Primary—Prevent people from developing a problem in the first place
– Secondary—Prevent the problem from getting worse
– Tertiary—Prevent the development of additional issues (HIV, homelessness, stroke)
Steps in Prevention
– Raise awareness of an issue
– Change what people know, believe, and think about the promoted behavior
– Teach the skills needed to perform the behavior
– Build a person’s confidence in his or her ability to perform a specific behavior in a particular situation
– Provide support for sustaining a new behavior
Understand the Reasons People Use
– Acute pain management
– Chronic pain management (including autoimmune issues)
– Anxiety reduction
– Depression reduction
– Withdrawal (refractory pain)
Pain, Anxiety & Depression
– Anxiety activates the HPA-Axis which can increase inflammation and trigger autoimmune issues and depression
– Depression without anxiety is also associated with increased inflammation and pain.
– Ketamine (anesthetic) is used in pain relief and shown significant promise in treatment of acute suicidality

Pain, Anxiety & Depression
– Reducing Inflammation
– Emotional Regulation (HPA-Axis)
– Anti-inflammatories
– Improved nutrition
– Reduction of highly processed foods, increase raw fruits/veggies
– Vitamin D
– Vitamin C (immune system, inflammation, cartilage)
– Vitamin E (nuts and seeds)
– Omega 3

Prevention Strategies
– Improving Health Literacy (social media, schools, MSM)
– Physical (vulnerability prevention, pain management)
– Affective
– Cognitive: Teaching psychological flexibility and CBT skills
– Environmental
– Relational (Interpersonal skills)

Prevention Strategies
– Development of opioid alternatives
– Pain Reform extended release local anesthetic
– CBD Oil
– Gabapentin
– Muscle relaxants
– Antiepileptics (i.e. Lamictal)
– Acupuncture
– Chiropractics

Prevention Strategies
– Management of mood disorders and other SUDs
– Screening for and addressing mood and addictive disorders in all people at annual physical
– Improve access to MH and SUD treatment
– Addressing macrosystem issues contributing to opioid misuse
– Conservative Prescribing (and reducing expectation)
– Accessibility/availability (drug take back, parental control, injectables to reduce diversion)
– Improve drug screening protocols and drug free workplace policies at all organizations and in high school and collegiate athletics
– Make public assistance benefits dependent upon being drug free OR actively participating in a treatment program
– Enhancing community connectedness

Strategies
– Harm reduction (tertiary prevention)
– MAT
– Needle exchange programs
– Naloxone
– Provider education and guidelines
– Collaborative, multidisciplinary approaches required by insurance and taught in graduate school

Summary
– Opioids have a place for acute pain management
– Opioids have also been associated with reductions in anxiety and depression
– Dependence and tolerance develop quickly
– Currently opioids are very easily diverted
– Prevention needs to focus on all of the reasons people abuse opioids including stress and anxiety management, depression, and pain

442 episodes