Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: The American Medical Directors Association designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of 1 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: This session presents an overview of the growing problem of addictive behavior in long term care as the patient population in our facility changes to reflect a different demographic. As attitudes toward drug/alcohol use liberalize, we are faced with individuals who have incorporated drugs and/or alcohol into their lifestyle, and who often attempt to continue use, and even addictive use in long term care as a "right." We will examine various types of addiction, treatment options, the impact of cognitive impairment/brain injury, and ways we have managed addictive behavior in the long term care setting. Among these are drug testing, prescribing practices, environmental interventions, and educational/therapeutic interventions. A sample contract used for patients on chronic opioid therapy and methods to monitor and approach addictive behavior in relation to pain prescribing will be shared.
Describe drug treatment approaches in light of current research.
Discuss the variety of addictive behaviors and substances likely to be encountered in LTC, as well as the impact of cognitive deficits/brain injury.
Examine a variety of options for management of addictive behavior in LTC, as well as risks and duties associated with treating patients with addiction.
Utilize a pain management contract for patients on opioid therapy to accurately document conversations and means of monitoring therapy for chronic opioid use.
Speakers(s): Robert M. Gibson, PhD, JD; Rebecca Ferrini, MD, MPH, CMD
Disclosure(s): Robert M. Gibson, PhD, JD has no disclosures to report. Rebecca Ferrini, MD, MPH, CMD has no disclosures to report.
References: Handbook of Alcoholism Treatment Approaches: Effective alternatives, 3rd Edition. Edited by Hester, R.K., and Miller, W.R., (2003). http://www.nida.nih.gov/ (National Institute on Drug Abuse)
MD, MPH, CMD,
County of San Diego, Health and Human Services, Edgemoor DP SNF