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2024 Overdose Awareness Series

>2024 Overdose Awareness Series
2024 Overdose Awareness Series 2024-08-30T14:41:01-07:00

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Please register for each day you plan to attend.

 

Through presentations from our own staff and from external experts, we’ll explore unintentional and intentional factors that can lead to overdose, how to respond to different overdose situations, how to prevent and reduce harm from overdose, and how to access resources and treatment in the state of Washington. Our goal is to open dialogue, de-stigmatize, and ensure everyone is aware of the help available in our communities.

As in past years, the series will be free and held online only. This year, the series will take place every Wednesday in August: August 7th, 14th, 21st, and 28th. Please register for every day you plan to attend. All times are in PST. Reach out to Meghan King (mking@wapc.org) with any questions.

In order to receive a Certificate of Attendance, you must fill out a survey for each day you attend. We will post the survey link at the end of every session. Once the series ends on August 28, we will send you one certificate with the number of hours you attended.

View recordings and materials from the 2023 series 2022 series, and 2021 series.

DAY 1: AUGUST 7

Buprenorphine: A Panel Discussion
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Dr. Buresh’s slides
Dr. Fockele & Dr. Gressman’s slides
Jordan Mohrenne’s slides
 
This session will start with short presentations from our 4 panelists. Dr. Chris Buresh with UW Medicine/Seattle Children’s will present the 24/7 telebuprenorphine hotline. Dr. Callan Fockele and Dr. Kira Gressman with Harborview Medical Center will discuss efforts in Seattle/King County around field initiation by EMS of buprenorphine. Jordan Mohrenne with South County Fire will discuss similar efforts in Snohomish County. We will then shift to a panel discussion with questions welcomed from attendees.
Panelists

Safer Use Supplies for Overdose & Infectious Disease Prevention
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Download the slides
This session will present the array of safer use supplies available in one syringe services program (SSP) and discuss the public health utility behind distributing such supplies. Melissa Cross and Malia Lewis will provide an overview of supply distribution in an SSP setting and discuss how certain supplies may provide opportunities to offer services beyond what the SSP alone has to offer.
Speakers: Malia Lewis, MSW and Melissa Cross, RN

Silent Intruder: Xylazine’s Impact on Public Health
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In this session, we aim to increase awareness of xylazine, an emerging threat in the drug scene, by educating the audience on its approved uses in veterinary medicine and its misuse in the human population. We will delve into the health impacts and risks associated with xylazine, highlighting both acute and chronic effects, potential for overdose, and the complications that arise in clinical settings. Furthermore, we will provide insights into public health initiatives, community education, the role of poison control centers, and the development of guidelines for healthcare providers to mitigate the impact of xylazine misuse.
Speaker: Sasha Kaiser, MD

Meth: The Forgotten Drug
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After this presentation, the participant will understand:
1. What is methamphetamine, to include its effects.
2. Trends – illicit usage to include polysubstance, overdoses, availability/supply.
3. Treatment considerations.
4. Public health response to contaminated sites.
Speaker: Bob Lutz, MD, MPH

 

DAY 2: AUGUST 14

Cannabis Use & Psychosis Risk: What Do We Need to Know?
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As cannabis use has increased worldwide, so has the incidence of psychosis. People who present to the emergency department experiencing a cannabis-induced psychosis event have a much greater risk of developing schizophrenia years later. The Cannabis Education and Research Program led by Dr. Bia Carlini will present emerging trends related to cannabis induced psychosis and psychotic disorders, which populations are at greatest risk, and how clinicians, policymakers, and consumers may be able to mitigate harms.

Learning Objectives:
1. Describe how acute psychosis events have changed since legalization.
2. Understand the relationship between cannabis-induced psychotic events and psychotic disorders.
3. Name at least two factors that increase risk of experiencing psychosis.
4. Discuss potential interventions that could reduce the number of people who experience mental health harms associated with cannabis use.
Speakers: Beatriz Carlini, PhD, MPH and Sharon Garrett, MA, MPH

Harm Reduction Messaging within Prevention & Intervention Efforts for College Students and Young Adults
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In this presentation, we will review what it means to “do” harm reduction, including a focus on how messages can be delivered within a motivational enhancement framework. Specific guidelines for reducing the harms associated with alcohol use and with cannabis use will be discussed, as will opportunities for prevention and intervention.
Speaker: Jason Kilmer, PhD

Counting Sheep: VX and The Rock and Skull Valley Incident
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Like most Winter mornings, March 14th, 1968 in rural, Skull Valley, Utah was chilly and the hills were covered in snow. On closer evaluation, however, this was not just another morning. Strewn and camouflaged upon the snowy hills was a carnage of 1000’s of sheep. Concerns obviously arose, including: Had the sheep contracted an infectious illness? Had they grazed on poisonous plants? Had they succumbed to pesticides used on the plants? Or… was it the neighboring Dugway Proving Ground, where the U.S. Army was conducting chemical weapons testing, that was the culprit?
Speaker: Sukhi Atti, MD, MPH

Adolescent Suicidality: Prevention, Intervention, and Postvention Response
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This 1-hour session is focused on addressing prevention and intervention techniques to address adolescent suicidality, in addition to discussing postvention response to a suicidal crisis.

Learning Objectives:
1. Identify lethal means restriction and safety planning techniques for a suicidal crisis.
2. Learn brief interventions for managing suicidal risk.
3. Identify postvention responses to a suicidal crisis.
Speaker: Jennifer Cadigan, PhD

Nationwide Newsworthy Drugs
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This session will cover several drugs that have hit the headlines including semaglutide and tirzepatide, tianeptine, marijuana analogs, mushroom edibles, and others. Learn why they are newsworthy, why or if you should be concerned, and some of the symptoms associated with these drugs.
Speaker: Jimmy Leonard, PharmD, DABAT

DAY 3: AUGUST 21

Withdrawal
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This will be a lecture presentation that will describe the physiologic process of withdrawal from addictive substances. We will review withdrawal as a general process in the body, then detail the unique properties and presentations of alcohol withdrawal, opioid withdrawal (including the unique properties of fentanyl withdrawal), stimulant withdrawal, cannabis withdrawal, and benzodiazepine withdrawal. By the end of this presentation, attendees will be able to:
1. Describe how withdrawal occurs in the body.
2. Identify life threatening symptoms of various withdrawal processes.
3. Explain what typical withdrawal symptoms are experienced in withdrawal from alcohol, opioids, stimulants, cannabis, and benzodiazepines.
Speaker: Nicole Rodin, PharmD, MBA

Humanizing through Connection
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I will be discussing my lived experience as a mother who lost her 20-year-old son to a Fentanyl overdose. This will include my experience with grief and stigma. In addition, I will share information on the subsequent founding of my non-profit organization, Fentanyl United Crisis Coalition and it’s mission to provide information, resources and harm reduction education to youth and young adults.
Speaker: Milli Militi Jigamian

Fentanyl Exposures in Young Children
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Washington Poison Center slides
Oregon Poison Center slides

1. Learners will understand clinical effects of fentanyl in young children.
2. Learners will understand the poison prevention practices that may be used to decrease fentanyl exposures in young children.
Panelists

Safety Through Connection: The Friends for Life Fentanyl Education Campaign
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The Washington State Health Care Authority has partnered with DH, a social impact communications agency, to create the Friends for Life campaign, an education and awareness campaign to prevent opioid overdoses. When the campaign began in 2022, 70% of all overdose deaths in Washington state involved fentanyl, with rates rising fastest among young adults aged 18 – 25.

The Friends for Life campaign had the following goals: educate people about the transformation in the drug supply driven by illicit fentanyl, help people learn to recognize and respond to an opioid overdose using nasal spray naloxone, and equip people with other prevention and harm reduction techniques. The campaign is designed to reach youth (12 -17), young adults (18 -25) and their parents and caregivers.

In our one-hour Overdose Awareness Series presentation, Corie Bales, DH’s Director of Content Development, will overview the deep research and social change practices that underpin the campaign, walk through the development of campaign design and messaging, and preview harm reduction and prevention materials. Participants can expect to learn more about what social change marketing is, why positive social norming works, how to develop effective messaging, and how and where to use the campaign materials in their communities.
Speaker: Corie Bales, MA

Adolescent Over-the-Counter Overdoses
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Adolescents represent a unique population when discussing non-prescription medication overdoses. This session will provide a brief overview of the most common medications used by adolescents for self-harm attempts, intentional medication misuse, and therapeutic error overdoses. Specific risk factors for these overdoses will be reviewed, as well as known protective factors and prevention strategies for decreasing adolescent over-the-counter medication overdoses.

Learning Objectives:
– For adolescents, what are the most common medications which are involved in suicidal overdoses, misuse/abuse, and clinically significant therapeutic dosing errors?
– What risk factors increase the risk of adolescent over-the-counter medication overdoses?
– What strategies can be implemented to decrease the risk of adolescent overdoses?
Speaker: Colleen Cowdery, MD

DAY 4: AUGUST 28

Naloxone in Schools: A Panel Discussion
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This session will start with brief introductions from our many esteemed panelists, then will dive right into a facilitated discussion (audience questions and comments encouraged!) about naloxone in high schools. SB 5804, passed in 2023 and expanded earlier this year, requires that naloxone is available in Washington State public schools. In this session, we will learn more about why this law is in place, challenges to policy implementation, community reactions, and more.
Panelists

Supporting Recovery: Treating Alcohol & Opioid Use Disorders with Naltrexone
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Myths about will power often keep people from considering medication options in alcohol use disorder (AUD) and opioid use disorder (OUD). In this presentation we will consider one tool approved to treat both AUD and OUD, naltrexone, which reduces cravings by adjusting the brain’s chemical reward system. But how do we determine who is a good candidate for naltrexone? How effective is it? How can we guide individuals and providers to use it safely? With limited resources, it’s important we consider all the tools in our tool belt, including naltrexone, when preventing relapse and supporting treatment success.
Speakers: Garbo McDermott-Grossman, PharmD and Katie Berenstein, PharmD

Lunchtime AMA

For our final day, we are changing up the networking sessions to be an AMA (Ask Me Anything)! Our expert staff members will be available for you to ask us anything about overdose, prevention, and harm reduction.

Emergency Department MOUD and Linkage to Care
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Patients who are seen in the emergency department for a non-fatal opioid overdose are at high risk of death after discharge. Often these patients are not offered medication that can reduce that risk. This session discusses the benefits of starting medications for opioid use disorder during the emergency department visit, the barriers to doing so, and resources available to support a change in practice. Learning objectives: Describe outcomes associated with non-fatal overdose visits without treatment for opioid use disorder, understand impact of emergency department medications for opioid use disorder, identify emergency department treatment gaps, describe reported barriers to treatment provision, recognize the importance of linkage to care, name local resources that support emergency department initiation of medications for opioid use disorder and linkage to care.
Speaker: Liz Wolkin, RN, MSN, CEN, NPD-BC

Medication Overdose Considerations for Older Adults
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Older adults have many special considerations relating to medication use, as we know age impacts how medications work in our bodies and how we respond to certain medications. We also know that medication misuse and abuse does happen among older adults, and that those special age-related considerations may still apply. In this session we’ll discuss safe medication use, accidental and intentional overdose, and harm reduction strategies to employ when working with the older adult population (age 65+).
Speaker: Abby Winter, PharmD