Best and Promising Practices in Pain Management and Opioid Use Disorder
Clinton Service Unit
The Clinton Service Unit (CSU) has placed importance on medication safety, opioid overdose awareness, and collaborations to advance the IHS mission. For several years, CSU has partnered with the Custer County Sheriff Department for DEA National Prescription Drug Take-Back Day events. Over the past two years, this collaboration has grown to include Southwestern Oklahoma State University College (SWOSU) of Pharmacy APhA-ASP Chapter, Cheyenne & Arapaho (C&A) Tribes "Tradition not Addiction Program," Walmart®, and Red Rock Behavioral Health Services which operate naloxone hubs. CSU added to these efforts when Watonga Health Center Pharmacy Chief, LCDR Annie Frymire, partnered with the Blaine County Sheriff’s Department to hold the county’s first drug take-back event. These collaborations have promoted medication safety for the community and growth opportunities for CSU and its partners through various activities, such as C&A Tribes providing medication lock boxes and drug abuse awareness pamphlets for children and adults, and Red Rock and SWOSU providing naloxone hub and local drop box location information, medication disposal pouches, and educational flyers. Through the DEA Drug Take-Back Events, the Clinton Service Unit has developed and fostered meaningful, impactful relationships that work to improve the safety of its Native American community, and increase awareness of the opioid epidemic impacting our nation.
Gallup Indian Medical Center
The Gallup Indian Medical Center (GIMC) prioritizes increased access to Medication Assisted Treatment.
The GIMC has made it a priority to provide treatment for Opioid Use Disorder by increasing access to Medication Assisted Treatment (MAT). The GIMC has focused on supporting provider education and workforce development to increase the number of DATA Waived Providers who are able to provide MAT treatment in the outpatient and inpatient settings. Patients may be referred through an EHR consult or a phone call from all departments within the hospital, or patients can self-refer. Providers work as a team to see the patient as soon as possible.
Additionally, GIMC has developed an interdisciplinary Opioid Use Disorder Committee to increase peer consultation for challenging cases, assist with interpreting urine drug screen results, provide ongoing learning through evidenced based journal article reviews, participate in CME opportunities, and complete outreach and performance improvement projects. This internal committee has allowed the facility to promote internal growth and collaboration to expand services. The GIMC collaborated with Behavioral Health Services to offer twice monthly “Suboxone Group” counseling for patients on MAT.
Early on, GIMC faced the challenges of getting buprenorphine on their local formulary and expanding in-house urine drug screen assays to include buprenorphine. The GIMC team is now working to collaborate with the Navajo Nation Department of Health to further promote treatment and recovery services.
IHS Blog Posts from Gallup Indian Medical Center
- Medication Assisted Treatment--Closing the Treatment Gap. A Prescriber's Journey by Kimberly Suk
- Co-prescribing Naloxone with Opioids May Help Curb the Devastating Risks of Opioid Misuse- by Lt. Catherine Dunton, PharmD, Pharmacy Resident
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