Filtering by: Clinical Trial
Apr
22
12:00 PM12:00
Clinical Trial, Health disparities, Intimate Partner Violence, Opioid use disorders, Psychotherapy, Trauma

CDIAS PSMG: Tanya Saraiya

Addressing Underlying Trauma in Opioid Use

Tanya Saraiya, PhD
Medical University of South Carolina

ABSTRACT:
Up to 90% of people with opioid use disorder (OUD) have trauma exposure and up to 41% have posttraumatic stress disorder (PTSD). However, studies estimate that less than 12% of people with OUD and co-occurring PTSD receive treatment for their PTSD. Dr. Saraiya will present her early career work on assessing and addressing underlying trauma among people struggling with opioid use. Specifically, she will share findings from a new integrated therapy for opioid use disorder and PTSD and the development of a digital toolkit to assess for intimate partner violence in three opioid treatment programs in South Carolina. Throughout this talk, other projects and associated reflections on how systemic racism and healthcare barriers influence trauma and opioid use treatment will be discussed.

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Nov
14
12:00 PM12:00
Implementation Science, Clinical Trial, Adaptation, Fentanyl, Emergency Medicine

C-DIAS PSMG: Lauren K. Whiteside

Adapting to the Fentanyl Epidemic: Implications for translation of a multi-component intervention and RCT in the Emergency Department and real world lessons from an implementation practitioner 

Lauren K. Whiteside, MD, MS
University of Washington

ABSTRACT:
The opioid epidemic is rapidly evolving with the proliferation of nonpharmaceutical fentanyl. Simultaneously, researchers, public health officials, and clinicians are working to develop and implement interventions to improve clinical care for patients with opioid use disorder (OUD). The Emergency Department Longitudinal Integrated Care (ED-LINC) randomized clinical trial harnesses the Collaborative Care model to reduce illicit opioid use and improve initiation and retention of evidence-based medications for opioid use disorder (MOUD) for patients that visit the ED with OUD. The original ED-LINC intervention was developed and pilot-tested prior to the overwhelming availability of fentanyl in our community.  We present information on a systematic rapid qualitative approach leveraging real-time clinical observations related to fentanyl use among the initial n=30 ED-LINC intervention participants.  This method was used to systematically produce and document protocol modifications and intervention adaptations required to ensure successful implementation of an intervention that is relevant to the target population amidst the rapidly intensifying fentanyl epidemic. As an implementation practitioner, there is an unavoidable urgency in treating patients with OUD due to fentanyl now and it is crucial that research does not lag behind the current state given the rapidly evolving epidemic. 

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