The Opioid Epidemic: How We Got Here, Where We are Headed and Data to Inform Strategies Looking Forward
Bradley C. Martin, Pharm.D., Ph.D.
1:00 pm - 1:10 pm
The evolving landscape of opioid prescribing, misuse, addition, and overdoses will be presented with an examination of the factors that have fueled the opioid epidemic. Dr. Martin will also present some of his own team’s research that were among the first to quantify the reliance on opioids to manage chronic pain. Data on how quickly persons transition from acute to chronic opioid use in addition to the influence of PDMP and medical marijuana policies influence opioid use will be presented.
Dr. Bradley Martin is currently Professor and was the founding head of the Pharmaceutical Evaluation and Policy (PEP) Division at the University of Arkansas for Medical Sciences College of Pharmacy. The Pharmaceutical Evaluation and Policy division offers graduate and professional instruction and conducts research in pharmacoeconomics, patient reported outcomes, pharmaceutical economics, and large health claims data base analysis. Dr. Martin was or is the Major Advisor for 10 PhD students and 12 M.S. students. Dr. Martin received his Pharm.D. from the University of Illinois and earned his Ph.D. in Pharmacy Care Administration from the University of Georgia. Dr. Martin’s research efforts have focused on conducting retrospective observational comparative effectiveness and economic analyses using large administrative data sets and national health surveys, conducts policy analyses, and develops cost effectiveness models and has contributed to the understanding of the opioid epidemic. Dr. Martin has over 100 peer reviewed manuscripts published which have been collectively cited over 6000 times and his work has been funded by NIH, AHRQ, VA, and a variety of research foundations as well as partnerships with the pharmaceutical industry. Dr. Martin contributes to national policy research on opioids and health care financing and has recently lead an international effort to improve the conduct and reporting of CER observational research organized by three national and international associations: ISPOR, NPC, AMCP.
Treating Chronic Pain According to the Guidelines: What Resources are Available to Help?
Corey J. Hayes, Pharm.D., M.P.H
1:45 pm - 2:20 pm
Treating chronic pain according to evidence-based guidelines in clinical practice is difficult, particularly for the busy clinician. This presentation will break down the current CDC guidelines for treating chronic pain in the outpatient setting. It will also discuss resources available to clinicians to help with treating patients with chronic pain including a discussion of AR-IMPACT, a look at resources available from the CDC, and an evaluation of other mobile apps that can be used in practice.
Dr. Corey Hayes is an Assistant Professor of Psychiatry at the University of Arkansas for Medical Sciences and Research Health Scientist in the Center for Mental Health and Outcomes Research at the Central Arkansas Veterans Healthcare System. Dr. Hayes received his Pharm.D. and M.P.H. from UAMS in 2013 and practiced for 3 years, primarily functioning as the clinical pharmacist with the psychiatric treatment team on the two inpatient psychiatric units at Baptist Health Medical Center in Little Rock, Arkansas. From 2016-2018, Dr. Hayes completed a NIDA funded T32 Post-Doctoral Fellowship in Translational Addiction Research. Dr. Hayes’s research has focused on evaluating opioid use and abuse in populations, and some of his previous works has been published in Morbidity and Mortality Weekly Report, Health Services Research, Journal of Pain, and Pharmacoepidemiology and Drug Safety.
Chronic Pain: Challenges and New Innovations
Jonathan Goree, MD
2:20 pm -3:00 pm
This presentation will discuss the newest innovations in Chronic Pain Treatments. This includes Spinal cord stimulation and complex radiofrequency ablation. Dr. Goree will also review the SPACE trial and the use of non-opiate therapy over opiate therapy in the treatment of chronic pain.
Dr. Johnathan Goree received his Bachelor of Arts in biology from Washington University in St. Louis. He then moved to New York City where he completed both his medical degree and residency in anesthesiology at the Weill College of Medicine at Cornell University. Following his time in Manhattan, he completed a fellowship in interventional pain management at Emory University Hospital in Atlanta, Georgia. In 2014, Dr. Goree returned home to Little Rock, Arkansas to join the faculty at UAMS where he serves as the Director of Chronic Pain Division and an Assistant Professor in the Department of Anesthesiology. He primarily focuses on the treatment of chronic pain conditions using minimally invasive procedures, spinal cord stimulation, and vertebral augmentation. His specific research interests include gait analysis in patients with degenerative spine conditions and treatment of complex regional pain syndrome.
Medication Assisted Treatment for Opioid Use Disorder and Expanding Access
Michael J. Mancino, MD, FASAM
3:30 pm - 5:00 pm (concurrent panel session with Ms. Healy, below)
Dr. Mancino graduated medical school from Northeastern Ohio Universities College of Medicine. He trained for several years in neurological surgery and eventually completed his training at UAMS in psychiatry in 2004. He is board certified by the American Board of Psychiatry and Neurology as well as the American Board of Addiction Medicine. He is an associate professor at the UAMS Psychiatric Research Institute and currently the Program Director for the Center for Addiction Services and Treatment. He is also Medical Director of the Recovery Centers of Arkansas. He focuses his clinical practice on medication assisted treatment for opioid use disorders and also treats patients with co-occurring psychiatric and substance use disorders. Dr. Mancino also has an interest in conducting clinical trials for medications development for patients with psychostimulant and opioid addictions and is funded by the National Institute on Drug Abuse (NIDA) on a project designed to improve outcomes for prescription opioid use disorders as Co-PI with Dr. Alison Oliveto.
Office-Based Management of Opioid Use Disorder: Evaluation of New Patients for Opioid Agonist Treatment (OAT)
Peggy Healy, LCSW, LADAC, LPN
3:30 - 5:00 pm (Concurrent Panel Session with Dr. Mancino)
This presentation will introduce participants to the treatment of opiate addiction with medications that have been very successful in alleviating the craving, withdrawal syndrome and high rate of relapse to opiate use and overdose death associated with discontinuation of chronic opiate use. Dr. Mancino will discuss the definitions of Misuse, nonmedical use, and use disorder and the epidemiology of the opioid problem and the treatment gaps that exist. He will also explore reasons for misuse, factors in Prescription drug misuse and evidence based Intervention strategies to include Medication Assisted Treatment (MAT). MAT is an important tool in the fight against the opioid epidemic in Arkansas. Participants will become familiar with the basics of MAT as well as Resources available for support for those clinicians interested in providing MAT as part of their clinical practice. This is open to Physicians, APRN’s and PA’s. He will discuss ongoing CME available through Project ECHO that leverages technology to provide case based learning along with free CME/CEU for practitioners on a weekly basis while remaining in their practice location. The perspective of the nurse’s role in providing MAT will also be discussed during this session.
Ms. Healy is a graduate of Adelphi University, with a Master Degree in Social Work. She is currently Clinic Manager at UAMS for the Center of Addiction Service and Treatment (CAST). She has worked in the field of addiction for over 30 years.