Training

This course was developed collaboratively by centers across the University that focus on opioids/overdose prevention and is taught by experts at U-M. It empowers non-prescribing providers (e.g. nurses, social workers, medical assistants) to directly impact the ongoing opioid crisis in the United States through increased knowledge and tools that will transform practice and policies. 

Additional information:

U-M Injury Prevention Center Online Course

Impacting the Opioid Crisis: Prevention, Education, and Practice for Non-Prescribing Providers

U-M Impacting the Opioid Crisis: Prevention, Education, and Practice for Non-Prescribing Providers

Implementation details:

Free course available online 

U-M Faculty Leads: 

Sarah Stoddard, PhD, RN and Karen Farris, PhD, M.P.A.

The Michigan Opioid Collaborative is an interdisciplinary team supporting providers and communities to increase access to office-based addiction treatment, expand care, and improve quality of care for patients with opioid and other substance use disorders throughout Michigan. Housed in the U-M Departments of Anesthesiology and Psychiatry, MOC Services include:

• Behavioral Health Consultants (BHCs) located within communities to conduct outreach to clinicians and provide direct clinic support with referrals to treatment and other community resources
• Technical assistance to support clinics to start prescribing MOUD treatment
• Same-day case consultation by addiction specialists
• Providing education to clinicians and communities to improve opioid use disorder (OUD) OUD treatment. 

Additional information:

Michigan Opioid Collaborative

Michigan Child Collaborative Care

Michigan Collaborative Addiction Resources & Education System

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Leads:

Amy Bohnert, PhD, MHS and Allison Lin, MD, MS

OPEN was created to develop a preventive approach to the opioid epidemic by focusing on opioid prescribing and pain management in acute care settings (surgery, dentistry, emergency medicine, obstetrics, pediatrics, trauma).  Addressing opioid prescribing during the acute care period among those patients not using opioids has the greatest potential to reduce the number of new chronic opioid users and minimize unintended distribution of prescription opioids into communities.

Our impact strategies include:

• Examining opioid prescribing, opioid consumption, new persistent use, and patient refills; the effect of opioid legislation on opioid prescribing; storage and disposal strategies after surgery
• Leveraging patient-reported outcomes to drive the creation of evidenced-based prescribing recommendations; and developing innovative strategies to reduce excessive opioid prescribing. 
• Screening for substance use disorders (opioids, alcohol, other drugs of abuse) during acute care episodes to link patients to care and the development of care pathways to ensure safe, equitable care for patients with substance use disorders and those using opioids prior to an acute care episode.

Through BCBSM Collaborative Quality Initiatives, Organizational Partnerships, and Community Lead Take Back Events, and Small Grant Initiatives we reach all across Michigan, to include the Upper Peninsula.

Partners include MDHHS, Michigan Health Endowment Fund, SAMHSA, CDC, BCBSM, Benter Foundation, and the NIH. Internal partners include MOC, Precision Health, the CQIs (ASPIRE, MVC, MSQC, MUSIC, MARCQI, MEDIC, and OBI), School of Music, Theatre & Dance, Biostatistics in the School of Public Health, School of Nursing, School of Dentistry, College of Pharmacy, Physical Medicine & Rehabilitation, Transplant Surgery, Plastic Surgery, Anesthesiology, OB/GYN, Orthopaedic Surgery, General Surgery Administration, Emergency Medicine, Pediatrics Otolaryngology, Urology, Psychiatry.

Areas for community program implementation include, but are not limited to the continued development, expansion and dissemination of :

• Data driven prescribing recommendations 
• Provider education opportunities and resources
• Patient, family and community education opportunities and resources
• Safe storage and disposal education, resources and outreach 
• Clinical best practice implementation research and education
• Stigma reduction education for providers and communities

Additional information:

OPEN

Printable Flier

Michigan network takes preventive approach to address rising opioid overdoses

Take Back Events 

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Leads:

Chad Brummett, MD; Jennifer Waljee MD, MPH, MS; Mark Bicket MD, PhD; Michael Englesbe, MD

This first fully online, comprehensive, evidence-based clinical toolkit was developed to address a deficit in educational resources for clinicians through partnership with U-M and the Michigan Department of Health and Human Services (MDHHS). This toolkit was also designed to provide primary care providers, surgeons, dentists, and their patients and/or families with up-to-date resources, guidelines, and strategies for managing acute and chronic pain with medications as well as non-pharmacologic interventions. The content is updated by a team within the U-M Injury Prevention Center. The toolkit also contains resources to assist clinicians in the care of patients with opioid misuse and opioid use disorder as well as materials related to the care of post overdose patients. 

Additional information: 

U-M Safer Opioid Prescribing Toolkit

134 Development of an evidence-based safer opioid prescribing toolkit for clinical care

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Leads: 

Patrick Carter, MD and Eve Losman, MD

The Prescription Drug Overdose Project is a broad effort to educate Michigan providers regarding safe opioid prescribing using the CDC guidelines. This includes in-person and virtual presentations followed by a Q&A section for participants to converse about important topics covered. In addition, the project supports an online safer prescribing toolkit with curated, rapid access information regarding topics including: prescribing guidelines, creating controlled substance agreements, non-opioid options for pain management, tapering guidelines, screening a patient for opioid use disorder, linking to treatment for those patients with a substance use disorders, and special populations (eg. older adults) that providers can use while in the clinic. This toolkit also includes robust patient education / patient facing materials that providers can use in their practice. The Project team partners with the Michigan Department of Health and Human Services MDHHS) and is operated by U-M Injury Prevention Center teams.

Additional information:

Prescription Drug Overdose (PDO) Prevention Initiative 

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Leads:

Patrick Carter, MD and Eve Losman, MD

This program was created via a 3-year federal grant to incorporate X-waiver training across the nurse practitioner, physician assistant, and medical schools and will expand the medical school curriculum to nurse practitioner and physician assistant schools. The training and other course offerings, operated by U-M faculty and staff, are specifically designed to reduce stigma through workshops, case discussions, and clinical opportunities across the State of Michigan. In addition, the program offers clinical placements in community addiction treatment sites to students, providing a more comprehensive view of the addiction treatment landscape and de-stigmatizing this patient population. U-M partners with community organizations and treatment sites across the state (such as inpatient rehabilitation settings, clinics providing medications for opioid use disorder, public health offices, primary care offices, harm reduction organizations, and community support groups), including: UNIFIED Harm Reduction, the Detroit Health Department, MidMichigan Community Health Services, Detroit Recovery Project, and Families Against Narcotics. The programs are currently operating in Southeast Michigan, with clinical opportunities available across the Lower Peninsula for students in digital/remote programs.

Additional information:

Assessing medical student interest in training about medications for opioid use disorder: a pilot intervention 

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Lead:

Pooja Lagisetty, MD, MSc

Operating since 2013, the Take ACTION: Overdose Education and Naloxone Distribution (OEND) program provides OEND services and consultation to community agencies and individuals in Washtenaw, Lenawee, Livingston, and Monroe Counties. The program uses a “train-the-trainer” format, used in both in-person sessions as well as via its online platform. The program partners with the Community Mental Health Partnership of Southeast Michigan and is operated through the U-M School of Nursing.

Additional information:

Take Action: Online Naloxone Training

Impact of the take ACTION Train-the-Trainer model of opioid overdose education with naloxone distribution- who benefits?

Beyond rescue: Implementation and evaluation of revised naloxone training for law enforcement officers

Development and implementation of intranasal naloxone opioid overdose response protocol at a homeless health clinic

Overdose Education & Naloxone Distribution-Community  Mental Health Partnership of Southeast Michigan

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Lead: 

Gina Dahlem, PhD, FNP

The OPT-IN Program integrates a 30-minute motivational interviewing-based intervention with naloxone distribution to address overdose risk behaviors. OPT-IN’s team partnered with the Center for Managing Chronic Disease to develop an online toolkit to be used to train healthcare and service organizations on use of the intervention for their clients. The OPT-IN online toolkit includes training videos and interactive worksheets, screening for potential clients, an online interactive intervention guide, and information to connect those clients with other related resources. The program has been tested for use via partnerships with Ann Arbor-based housing, social, and medical service providers and is operated by teams within U-M.

Additional information:

OPT-IN Toolkit

OPT-IN Website Application Framework

A pilot randomized clinical trial of an intervention to reduce overdose risk behaviors among emergency department patients at risk for prescription opioid overdose

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Leads: 

Amy Bohnert, PhD, MHS; Erin Bonar, PhD; and Maureen Walton, PhD, MPH