Ways to receive and provide opioid prescribing instruction include presentations; messaging through posters, flyers and newsletters; electronic communication; and web-based educational opportunities. Education combining interventions and outcome measurement has been found to be most effective. The Indian Health Manual includes a statement on controlled substance prescriber training requirements, but other training may also be needed for state licensure.
IHS has adopted the HHS 5-Point Strategy to Combat the Opioid Crisis . In order to put evidence-based opioid prescribing strategies into practice, IHS supports increasing the capacity of health care providers and systems of care. Regional (and if indicated national) care teams should share information, since effective local and national opioid stewardship requires ongoing review and study of available chronic pain management innovations.
In order to provide Mandatory Privacy Training, IHS has developed a new, self-led web-based training program related to the privacy and confidentiality restrictions that apply to substance use disorder treatment records. The recorded version, Substance Use and Confidentiality CFR42.2 is also available as an alternative.
Providers Clinical Support System (PCSS)
The Providers Clinical Support System (PCSS) has developed more than 100 free training courses related to Substance Use Disorder.
The Centers for Disease Control and Prevention (CDC) developed an 11-module interactive training series for providers, "Applying CDC’s Guideline for Prescribing Opioids."
Pain and Opioid Use Disorder Webinar Series
The Pain and Opioid Use Disorder Webinar Series is one of many ways the HOPE Committee offers provider support on pain management and opioid use disorder. The webinar series offers a space for healthcare providers to learn and build ideas for local facilities. The series highlights model IHS programs and collaborates with internal and external subject matter experts to deliver discussions on a wide array of related topics. CEU credits are available for the following professions through live webinar attendance: Medicine, Psychology, Psychiatry, Social Work, Nursing, and Pharmacy.
Previous webinar recordings are linked below:
Ketamine - "Ketamine in the Acute Care Setting" (2/8/2022)
Buprenorphine Micro-induction - "Novel Buprenorphine Induction Strategies" (7/12/2021)
Treatment in the ED — "Treatment of Opioid Use Disorder in the ED: should it be a choice?" (11/12/2020)
Mental Illness — "Assessment and Treatment of Pain and Co-occurring Opioid Use Disorder in Individuals with Serious Mental Illness" (3/30/2020)
MAT Resources — "Implementing Integrated Medication Assisted Treatment Models – A Review of Resources" (2/4/2020)
Treatment and Pregnancy — "Initiating Buprenorphine as Medication Assisted Treatment for Pregnant Women with Opioid Use Disorder" (9/30/2019)
Do you have an idea for a webinar topic or want to share your current practices? Email Tincy Maroor, our webinar coordinator.
The Substance Use Warmline (1-855-300-3595) offers on-demand clinician-to-clinician support for IHS providers managing alcohol and substance use disorders. Download a printable Substance Use Warmline bumper sticker [PDF - 444 KB]
Naloxone Train the Trainer
In collaboration with the Northwest Portland Area Indian Health Board, the IHS HOPE Committee launched a virtual, on-demand naloxone train-the-trainer course that medical professionals, first responders, and community members may all use to become official naloxone trainers. The course discusses the rise in opioid-related deaths, how to identify an overdose, how to properly administer nasal and injectable naloxone, as well as sharing best practices related to harm reduction strategies.
Essential Training on Pain and Addiction
IHS Essential Training on Pain and Addiction is required for all IHS Federal prescribers, contractors, clinical residents and trainees within the first six months of employment, and Refresher training is required to be completed every 3 years.
For pain management related IHS Clinical Rounds webinars, please visit the other training page.
ECHO and DATA Waiver Training
In partnership with University of New Mexico's School of Medicine, Project ECHO (Extension for Community Healthcare Outcomes) IHS offers ECHO tele-education and training.
The Northwest Portland Area Indian Health Board (NPAIHB) also offers information, resources, and free Substance Use Disorder (SUD) and Hepatitis C (HCV) ECHO training to staff serving American Indian and Alaska Native people.
Indian Country ECHO allows IHS, Tribal, and Urban Indian healthcare workers to learn from each other, and for specialists to learn from Indian Country as new best practices emerge.
Screening, Brief Intervention and Referral to Treatment (SBIRT)
The Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, integrated, evidenced-based tool for early identification and intervention with patients whose patterns of alcohol and/or drug use (and other behaviors) put their health at risk. This ten part series offers a comprehensive training as well as stand-alone modules to offer training and resources for healthcare providers. Visit the IHS Tele-education website for this on-demand training.