This article was downloaded by: [Michigan State University] On: 22 February 2015, At: 04:36 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK
Journal of Addictive Diseases Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/wjad20
Our Tiny Organization Packs a National Wallop Margaret M. Kotz DO
a
a
President, American Osteopathic, Academy of Addiction Medicine Published online: 17 Apr 2014.
Click for updates To cite this article: Margaret M. Kotz DO (2014) Our Tiny Organization Packs a National Wallop, Journal of Addictive Diseases, 33:1, 65-66, DOI: 10.1080/10550887.2014.884883 To link to this article: http://dx.doi.org/10.1080/10550887.2014.884883
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
Journal of Addictive Diseases, 33:65–66, 2014 C Taylor & Francis Group, LLC Copyright ISSN: 1055-0887 print / 1545-0848 online DOI: 10.1080/10550887.2014.884883
PRESIDENT’S MESSAGE
Downloaded by [Michigan State University] at 04:36 22 February 2015
Our Tiny Organization Packs a National Wallop
In reviewing the activities in which the American Osteopathic Academy of Addiction Medicine (AOAAM) has been involved this year, I am quite struck by the influence we have on national addiction related activities despite (because of?) our small numbers. Most of our activities have been performed in collaboration with other, much larger, organizations, which has enabled us to leverage our influence. This message is to ensure that all of you are aware of what the organization is doing and of the importance of your participation in the initiatives.
The PCSS-O involves a consortium of national organizations that developed an extensive system of educational resources aimed at prescribers and students from a variety of healthcare backgrounds, including dentistry, nursing, and pharmacists. Over the course of the 3 years, the AOAAM will conduct 18 onehour webinars. Several AOAAM members serve as mentors/peer support colleagues as part of the grant. The latest grant awarded, the PCSS-MAT, began this year. The primary goals of this grant are to improve health professionals’ knowledge, skills, and attitudes regarding medicationassisted treatment of opioid addiction. It is hoped that this will expand the repertoire of providers who have heretofore provided only abstinence-based recovery services. The educational modules emphasize the medical model of addiction management and present data that compellingly demonstrate that pharmacotherapy is the most effective of currently available strategies for facilitating lasting sobriety. The AOAAM will be responsible for 72 webinars and 18 face-to-face programs, among other efforts. The AOAAM has joined with the American Society of Addiction Medicine’s (ASAM) Practice Improvement and Performance Measures Action Group (PIPMAG), which was developed by the ASAM to address the marked disparities in addiction care provided by specialists in the field. The group will develop standards and promulgate performance measures for addiction specialist physicians. AOAAM members serve on the PIPMAG’s steering committee and standards work group. The AOAAM also is part of the ASAM coalition steering committee that developed the new
CLINICIAN EDUCATION In the past 3 years, the Center for Substance Abuse Treatment awarded 3 grants for clinician training, all to The American Academy of Addiction Psychiatry. We are subgrantees on all 3 grants. These initiatives developed multiple strategies targeting the education of clinicians in addiction-related topics. Typically, there were live seminars, web-based symposia, establishment of formal mentoring relationships, and publication of enduring educational materials. The grants supported The Physician’s Clinical Support System for Buprenorphine (PCSS-B) (which ended in May 2013), the PCSS-O (for opioids), and the PCSS-MAT (for medicationassisted treatment). As part of these projects, the AOAAM has conducted 40 buprenorphine certification courses through face-to-face courses and live webinars. To maximize attendance, our members presented monthly webinars on Saturday mornings and Wednesday evenings, in addition to live courses nationwide. As a result, a total of 864 physicians received DATA-2000 waivers.
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M. M. KOTZ
levels of care criteria, which were published in October 2013.1 AOAAM members joined the work groups that revised the criteria and served as field reviewers. The ASAM criteria are guidelines for assessment, service planning, placement, continued stay, and discharge. They also provide a framework for multidimensional patient assessment.
Downloaded by [Michigan State University] at 04:36 22 February 2015
MEDICAL SCHOOL EDUCATION We have believed for many years that the ignorance of American physicians concerning a fatal illness that afflicts up to 20% of adults was a national disgrace. We are now taking action on this front. Two of our past presidents, Tony Dekker, DO, and Steve Wyatt, DO, are providing leadership on the Coalition on Physician Education in Substance Use Disorders (COPE), a volunteer organization devoted to improving patient care and public health by assuring that all physicians are trained to prevent, identify, and treat substance use disorders. The most recent activities, organized in partnership with Substance Abuse and Mental Health Services Administration (SAMHSA), have been conferences for medical school faculty that focus on developing addiction curricula. The first COPE regional summit, with New England faculty, was held in Boston on March 15, 2013, and was highly successful. The next, the Region V Great Lakes Summit, was scheduled for December 13, 2013, in Chicago and I co-chaired that meeting. HEALTH POLICY AS A PRIORITY The AOAAM championed the passage of AOAHOD Resolution H-429 on Epidemic Opioid Overdose Deaths in America. It calls for systematic evaluation of all available interventions to prevent opioid deaths, including patient education, and the widespread adoption of the strategy of giving prescriptions for emergency supplies of naloxone, along with instructions in safe use. Bill Morrone, DO, AOAAM President Elect, authored the resolution. The AOAAM participated in the meeting of the National Institute on Drug Abuse’s National Advisory Council
on Drug Abuse in Rockville, Maryland, on May 8, 2013. ANNUAL CONVENTION The AOAAM’s 2013 annual meeting was held at the American Osteopathic Association (AOA) annual conference from September 30th to October 4th. Former Drug Czar, Dr. Robert DuPont, kicked off our meeting. Several of our presentations supported the 3 priorities of our U.S. National Drug Control Strategy: (1) stopping drug use before it starts, (2) healing drug users, and (3) disrupting the market. AOAAM speakers addressed special populations, including the military, athletes, women, and children. National leaders from law enforcement closed the conference with lectures on drug diversion and gripping presentations of “human and drug trafficking.” The AOAAM carries the addiction banner for tens of thousands of osteopathic primary care physicians. We provide education, leadership, and expertise in the field of addiction medicine. We encourage our readership to join the AOAAM to make a difference in patients’ lives. I began by suggesting that perhaps our remarkable impact is not so much despite our small size as it is because of it. Megaorganizations often promote passivity—there’s always someone else to take on a project. However, in our organization, each of us counts and we know that, so we get involved. When we do, people listen! Keep it up. Margaret M. Kotz, DO President, American Osteopathic Academy of Addiction Medicine REFERENCE 1. Mee-Lee D, Shulman GD, Fishman MJ, Gastfriend DR, Miller MM, eds. The ASAM criteria: Treatment criteria for addictive, substance-related, and co-occuring conditions. 3rd ed. Carson City, NV: The Change R ; 2013. Companies
Journal of Addictive Diseases Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/wjad20
Our Tiny Organization Packs a National Wallop Margaret M. Kotz DO
a
a
President, American Osteopathic, Academy of Addiction Medicine Published online: 17 Apr 2014.
Click for updates To cite this article: Margaret M. Kotz DO (2014) Our Tiny Organization Packs a National Wallop, Journal of Addictive Diseases, 33:1, 65-66, DOI: 10.1080/10550887.2014.884883 To link to this article: http://dx.doi.org/10.1080/10550887.2014.884883
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
Journal of Addictive Diseases, 33:65–66, 2014 C Taylor & Francis Group, LLC Copyright ISSN: 1055-0887 print / 1545-0848 online DOI: 10.1080/10550887.2014.884883
PRESIDENT’S MESSAGE
Downloaded by [Michigan State University] at 04:36 22 February 2015
Our Tiny Organization Packs a National Wallop
In reviewing the activities in which the American Osteopathic Academy of Addiction Medicine (AOAAM) has been involved this year, I am quite struck by the influence we have on national addiction related activities despite (because of?) our small numbers. Most of our activities have been performed in collaboration with other, much larger, organizations, which has enabled us to leverage our influence. This message is to ensure that all of you are aware of what the organization is doing and of the importance of your participation in the initiatives.
The PCSS-O involves a consortium of national organizations that developed an extensive system of educational resources aimed at prescribers and students from a variety of healthcare backgrounds, including dentistry, nursing, and pharmacists. Over the course of the 3 years, the AOAAM will conduct 18 onehour webinars. Several AOAAM members serve as mentors/peer support colleagues as part of the grant. The latest grant awarded, the PCSS-MAT, began this year. The primary goals of this grant are to improve health professionals’ knowledge, skills, and attitudes regarding medicationassisted treatment of opioid addiction. It is hoped that this will expand the repertoire of providers who have heretofore provided only abstinence-based recovery services. The educational modules emphasize the medical model of addiction management and present data that compellingly demonstrate that pharmacotherapy is the most effective of currently available strategies for facilitating lasting sobriety. The AOAAM will be responsible for 72 webinars and 18 face-to-face programs, among other efforts. The AOAAM has joined with the American Society of Addiction Medicine’s (ASAM) Practice Improvement and Performance Measures Action Group (PIPMAG), which was developed by the ASAM to address the marked disparities in addiction care provided by specialists in the field. The group will develop standards and promulgate performance measures for addiction specialist physicians. AOAAM members serve on the PIPMAG’s steering committee and standards work group. The AOAAM also is part of the ASAM coalition steering committee that developed the new
CLINICIAN EDUCATION In the past 3 years, the Center for Substance Abuse Treatment awarded 3 grants for clinician training, all to The American Academy of Addiction Psychiatry. We are subgrantees on all 3 grants. These initiatives developed multiple strategies targeting the education of clinicians in addiction-related topics. Typically, there were live seminars, web-based symposia, establishment of formal mentoring relationships, and publication of enduring educational materials. The grants supported The Physician’s Clinical Support System for Buprenorphine (PCSS-B) (which ended in May 2013), the PCSS-O (for opioids), and the PCSS-MAT (for medicationassisted treatment). As part of these projects, the AOAAM has conducted 40 buprenorphine certification courses through face-to-face courses and live webinars. To maximize attendance, our members presented monthly webinars on Saturday mornings and Wednesday evenings, in addition to live courses nationwide. As a result, a total of 864 physicians received DATA-2000 waivers.
65
66
M. M. KOTZ
levels of care criteria, which were published in October 2013.1 AOAAM members joined the work groups that revised the criteria and served as field reviewers. The ASAM criteria are guidelines for assessment, service planning, placement, continued stay, and discharge. They also provide a framework for multidimensional patient assessment.
Downloaded by [Michigan State University] at 04:36 22 February 2015
MEDICAL SCHOOL EDUCATION We have believed for many years that the ignorance of American physicians concerning a fatal illness that afflicts up to 20% of adults was a national disgrace. We are now taking action on this front. Two of our past presidents, Tony Dekker, DO, and Steve Wyatt, DO, are providing leadership on the Coalition on Physician Education in Substance Use Disorders (COPE), a volunteer organization devoted to improving patient care and public health by assuring that all physicians are trained to prevent, identify, and treat substance use disorders. The most recent activities, organized in partnership with Substance Abuse and Mental Health Services Administration (SAMHSA), have been conferences for medical school faculty that focus on developing addiction curricula. The first COPE regional summit, with New England faculty, was held in Boston on March 15, 2013, and was highly successful. The next, the Region V Great Lakes Summit, was scheduled for December 13, 2013, in Chicago and I co-chaired that meeting. HEALTH POLICY AS A PRIORITY The AOAAM championed the passage of AOAHOD Resolution H-429 on Epidemic Opioid Overdose Deaths in America. It calls for systematic evaluation of all available interventions to prevent opioid deaths, including patient education, and the widespread adoption of the strategy of giving prescriptions for emergency supplies of naloxone, along with instructions in safe use. Bill Morrone, DO, AOAAM President Elect, authored the resolution. The AOAAM participated in the meeting of the National Institute on Drug Abuse’s National Advisory Council
on Drug Abuse in Rockville, Maryland, on May 8, 2013. ANNUAL CONVENTION The AOAAM’s 2013 annual meeting was held at the American Osteopathic Association (AOA) annual conference from September 30th to October 4th. Former Drug Czar, Dr. Robert DuPont, kicked off our meeting. Several of our presentations supported the 3 priorities of our U.S. National Drug Control Strategy: (1) stopping drug use before it starts, (2) healing drug users, and (3) disrupting the market. AOAAM speakers addressed special populations, including the military, athletes, women, and children. National leaders from law enforcement closed the conference with lectures on drug diversion and gripping presentations of “human and drug trafficking.” The AOAAM carries the addiction banner for tens of thousands of osteopathic primary care physicians. We provide education, leadership, and expertise in the field of addiction medicine. We encourage our readership to join the AOAAM to make a difference in patients’ lives. I began by suggesting that perhaps our remarkable impact is not so much despite our small size as it is because of it. Megaorganizations often promote passivity—there’s always someone else to take on a project. However, in our organization, each of us counts and we know that, so we get involved. When we do, people listen! Keep it up. Margaret M. Kotz, DO President, American Osteopathic Academy of Addiction Medicine REFERENCE 1. Mee-Lee D, Shulman GD, Fishman MJ, Gastfriend DR, Miller MM, eds. The ASAM criteria: Treatment criteria for addictive, substance-related, and co-occuring conditions. 3rd ed. Carson City, NV: The Change R ; 2013. Companies
