Hayden Center – Opioid Use Disorders: Clinical Insights and Effective Therapeutic Approaches for Opioid Use and Co-Occurring Disorders

Outline

The Unique Nature of Opioid AddictionThe Unique Nature of Opioid Addiction

• Distinct risks of opioid abuseDistinct risks of opioid abuse
• What neuroscience and biology reveal about opioid use What neuroscience and biology reveal about opioid use
• Brain centers – the relationship between brain centers and painBrain centers – the relationship between brain centers and pain
• The pleasure factor and the addicted brainThe pleasure factor and the addicted brain
• Differences from other substance use disordersDifferences from other substance use disorders
• How chronic opioid use changes the brainHow chronic opioid use changes the brain

Overcome The “Why Try” Effect and Other Barriers to Opioid Use Disorder TreatmentOvercome The “Why Try” Effect and Other Barriers to Opioid Use Disorder Treatment

• Separation of the mental health and addiction treatment systems Separation of the mental health and addiction treatment systems
• Detox vs. maintenance treatmentDetox vs. maintenance treatment
• Availability and affordability Availability and affordability
• Overcoming social stigma Overcoming social stigma
• Combatting the “why try” effect, self-stigma, and shame Combatting the “why try” effect, self-stigma, and shame

Psychotherapeutic Approaches for Treating Opioid Use DisorderPsychotherapeutic Approaches for Treating Opioid Use Disorder

• Signs of opioid abuse and questions to askSigns of opioid abuse and questions to ask
• CBT – recent studies CBT – recent studies
• Motivational Interviewing and commitment to change Motivational Interviewing and commitment to change
• Dialectical Behavior Therapy – confidence and coping skills Dialectical Behavior Therapy – confidence and coping skills
• Acceptance and Commitment Therapy Acceptance and Commitment Therapy
• Family counseling Family counseling
• How Contingency Management can be used with opioid use disorders How Contingency Management can be used with opioid use disorders
• Adjunct approaches Adjunct approaches
• Assess and modify treatment to ensure effectiveness Assess and modify treatment to ensure effectiveness
• Research limitations and risks of psychotherapeutic approaches Research limitations and risks of psychotherapeutic approaches

Identify and Treat Co-Occurring Disorders Identify and Treat Co-Occurring Disorders

• The impact of co-occurring disorders on treatment outcomes The impact of co-occurring disorders on treatment outcomes
• Primary disorders vs. substance-induced co-occurring disorders Primary disorders vs. substance-induced co-occurring disorders
• Screening procedures and tools Screening procedures and tools
• Questions to ask Questions to ask
• Safety issues Safety issues
• Recording results Recording results
• Trauma history Trauma history
• What to do about chronic pain? What to do about chronic pain?
• Treatment considerations and planning Treatment considerations and planning
• Validity in co-occurring treatment research Validity in co-occurring treatment research
• Risks associated with co-occurring treatment optionsRisks associated with co-occurring treatment options

Medication Assisted Treatment (MAT): How the Once Controversial Approach of Treating Addiction with Drugs Can Help RecoveryMedication Assisted Treatment (MAT): How the Once Controversial Approach of Treating Addiction with Drugs Can Help Recovery

• Research and the latest findings Research and the latest findings
• Methadone, buprenorphine, naltrexone Methadone, buprenorphine, naltrexone
• Benefits, drawbacks and risks of MAT Benefits, drawbacks and risks of MAT
• Role of the behavioral health clinician in MAT Role of the behavioral health clinician in MAT