The Comprehensive Pain and Addiction Center initiative 2.3C will help lead Arizona and the nation to implement a socio-psycho-biological approach to pain management, substance misuse, and addiction.
2.3C Outcome Objectives:
2.3C Funded Projects:
Project FUTRE (Families Uplifted Through Recovery Education):
The University of Arizona Comprehensive Pain and Addiction Center, in collaboration with the Workforce Development Program, the Colleges of Public Health and Medicine, and the Arizona Center for Rural Health, received a four year, $2.74 million HRSA grant award. The collaboration launched Project FUTRE. The goal of Project FUTRE is to increase the number of behavioral health paraprofessionals who are trained to work with children and families impacted by opioid use disorder (OUD) and other substance use disorders (SUDs) in Southern Arizona counties.
The University of Arizona Comprehensive Pain and Addiction Center, in collaboration with the Workforce Development Program, the Colleges of Public Health and Medicine, and the Arizona Center for Rural Health, received a four year, $2.2 million HRSA grant award. The collaboration launched PeerWORKS. The goal of PeerWORKS is to increase the number of peer support specialists by recruiting and training a diverse workforce prepared to serve children, adolescents, and transitional-aged youth and work in communities with high behavioral health disorder treatment needs. PeerWORKS will establish relationships with community partners and promote experiential and collaborative training through team-based models of care in integrated, primary care, and interprofessional health settings.
Arizona Rural Opioid Response-Implementation (AzRORI):
The University of Arizona Comprehensive Pain and Addiction Center received a one year, ~$70,000 subcontract from the Arizona Alliance for Community Health Centers, part of the RCORP-Implementation/HRSA grant award. The collaboration launched state-wide substance use training and technical assistance with a focus on Gila, Graham, and Mohave counties. The goal is to address barriers to accessing substance use disorder (SUD) treatment, including opioid use disorder (OUD). Click here for more details.
Foundation for Opioid Response Efforts (FORE):
The University of Arizona Southwest Institute for Research on Women (SIROW), in collaboration with the Comprehensive Pain and Addiction Center, received a 15-month, $230,357 FORE award. The collaboration launched Evidence for Action: COVID-19 as a Window of Opportunity to Normalize Medications for Opioid Use Disorder Access. The project will study the impact of COVID-19 on acccess to medication for opioid use disorder (MOUD) and patient health. The research team will document the impact of COVID-allowed policy changes through a survey of 1,000 Arizona MOUD providers and interview with 200 MOUD patients, with a focus on rural and tribal communities. Beth Meyerson at SIROW is the PI on the project, and Benjamin Brady, DrPH at CPAC is a Co-investigator.
During Summer 2022, the Opioid Response Network will host a free CME/CEU, UA Spark Diversity, Equity and Inclusion credit event titled Advancing Racial Equity Series. This training series will consist of two sessions. Although attending both sessions is not mandatory, it is highly encouraged.
Session 1: Continuing the Conversation: Developing a Shared Language for Diversity, Equity and Inclusion: June 30, 2022, 12:00 to 1:00 p.m. (AZ Time)
Session 2: Systemic Racism and Substance Use Disorder: Anti-Racist Strategies: July 28, 2022, 12:00 to 1:00 p.m. (AZ Time)
This event will be hosted virtually on Zoom. Register here: https://us02web.zoom.us/webinar/register/WN_Zn2vViAbSkmMPtbQcJKEFQ
This training covers topics such as:
(a) Explore data on the impact of Diversity, Equity, and Inclusion (DEI) issues on health care access, experiences, and outcomes.
(b) Describe how social and structural determinants of health can explain disparities in disease prevalence and inequities in the recovery continuum.
(c) Outline individual, leadership, and organizational strategies for addressing racial equity.
On December 8, 2020, Dr. Melody Glenn provided a CME event titled Treating Opioid Use Disorder (OUD) in Rural Communities. This training covered topics such as:
(a) a history of OUD treatment,
(b) addiction as a disease,
(c) harm reduction and stigma,
(d) overdose education and Naloxone distribution (OEND),
(e) medications for OUD (MOUD). Click HERE to see the training slides.
Dr. Melody Glenn presented part of this training series during the December 8, 2021. The videos expand on the training to provide a more in-depth look at addiction treatment history, harm reduction and overdose education and naloxone distribution, and medications to treat opioid use disorder.
On April 14, 2021, Dr. Melody Glenn provided a CME event titled Pain, Substance Misuse & Treatment: Science, Practice, and Prescribing Guidelines. This training covered topics such as:
(a) Pervasiveness of overdose in Arizona
(b) Definitions and neurobiological stages of addiction
(c) Factors associated with pain
(e) Updates to Arizona’s prescribing guidelines
(f) Effective OUD treatments
(g) Resources for additional information and training. Click HERE to see the training slides.
On July 13, 2021 Dr. Barbara 'Basia' Andraka-Christou conducted the webinar Making Opioid Use Disorder Treatment Medication Mainstream. Learning outcomes included:
(1) Assess the history of medications to treat opioid use disorder (MOUD) and its relationship with criminal justice.
(2) Analyze the historical influence on the provision of evidence-based treatment today, particularly in rural areas.
(3) Evaluate barriers, solutions, and strategies for increasing capacity to offer evidence-based treatments for populations involved in justice settings.
Integrative Pain Management Series 10 Hours (2020-2022)
Continuing Medical Education Opportunities:
Are you qualified and interested in becoming a Medicated Assisted Treatment (MAT) provider? MAT is a whole-patient practice that combines FDA approved medications and behavioral therapies to treat substance use disorders. This flyer lists various free or low cost opportunities to become a MAT provider.
Are you an Arizona physician authorized to prescribe Schedule II controlled substances that needs to complete their continuing medical education (CME) in opioid related, substance use disorder or addiction? This flyer lists various CME courses, free or payment required, state-wide and nation-wide that may help you obtain your required CME units for your licensing renewal period.
Arizona nurse practitioners who are authorized to prescribe Schedule II controlled substances and hold a valid U.S. Drug Enforcement Administration (DEA) registration number are required to participate in at least 3 units of opioid-related, substance use disorder related or addiction continuing medical education each licensing renewal period. Below are some free or low-cost opportunities.
Are you qualified and interested in becoming a MAT provider?
Our community is experiencing a high number of fatal overdoses and access to medication assisted treatment (MAT) is limited. Here are some resources for training and licensing to become a DATA-waived provider.
Already a MAT provider?
Please visit the AZ MAT Mentors Program site. The Arizona Center for Rural Health is looking for DATA-waived medication assisted treatment (MAT) providers interested in collaborating with an experienced MAT provider to build capacity to offer treatment. The AzMAT Mentors Program matches less experienced MAT providers with experienced MAT providers to engage in a collaborative consultation model.
Arizona Alliance for Community Health Centers created a series of short videos called "Addict: A Candid Conversation Around Stigma and Substance Use Disorder". The series includes:
1.1 How Substance Abuse Disorder Impacts the Brain
1.2 The Relationship Between Trauma and Substance Use Disorder
1.3 Genetics and Substance Use Disorder
1.4 Substance Use as a Result of Prescription Drug Use
2.1 Differing Paths on the Route to Recovery
2.2 What is Medication Assisted Treatment (MAT)?
2.3 Providers Formerly Hesitant to Prescribe MAT
2.4 Impact of a Passionate Provider
2.5 Bri's Journey to Recovery-- A MAT Success Story
3.1 Nurse in Recovery
3.2 Therapist in Recovery
3.3 Peer Support Specialist in Recovery
3.4 Impact of Having Support from Medical Professionals
Titled: The Epidemiology of Pre-Hospital Care for Opioid Overdoses in a US-Mexico Border Town
Authors: Darien Stratton, MD, MA, Harrison Stratton PhD, MS, Rachel Munn, DO, Brittany Arcaris, MD, Melody Glenn, MD, MFA
During the COVID119 pandemic, deaths linked to opioid overdose and rates of EMS transport refusal following prehospital naloxone administration significantly increased. Investigators sought to better characterize patients who received prehospital care for an opioid overdose in a rural, primarily Spanish-speaking, US-Mexico border town that implemented an EMS-driven, leave-behind naloxone program.