The Revolving Door: Improving Transitions of Care for Incarcerated Persons with Opioid Use Disorder

Course Description

There are high rates of substance use disorders, including opioid use disorder, in patients in the correctional system. Access to medications for OUD vary from state to state. Lack of access to treatment upon transition to the community after release has been implicated in relapse, overdose, and high rates of recidivism.

Pharmacists who care for patients with psychiatric disorders often encounter patients who have been recently released from jail/prison and who are in need of continued care for OUD.

Multiple organizations and recent publications have focused on barriers to care and the need to identify ways to successfully transition patients from the criminal justice system into society without a break in treatment to reduce negative outcomes.

Learning Objectives

  1. Analyze barriers to provide medications for opioid use disorder (MOUD) and consequences of the lack of access to care at time of release from incarceration.
  2. Evaluate the literature regarding role of subcutaneous buprenorphine and long-acting naltrexone before transition back into the community.
  3. Construct a pharmacotherapy plan for MOUD at time of transition from incarceration back into the community.

Target Audience

If you are a pharmacist, nurse practitioner or other healthcare professional involved in the comprehensive medication management of psychiatric patients, we invite you to participate in this online course.

Faculty

David Dadiomov, PharmD, BCPP
View biographical information

David Dadiomov, PharmD, BCPP
Assistant Professor
University of Southern California School of Pharmacy
Los Angeles, CA

David Dadiomov, PharmD, BCPP, is a clinical assistant professor of pharmacy practice at the University of Southern California (USC). He received his PharmD from the University of Michigan College of Pharmacy. He completed his PGY1 Pharmacy Residency at Michigan Medicine, and his PGY2 Psychiatric Pharmacy Residency at University of California, San Diego, Health. He holds board certification in psychiatric pharmacy.

He is a credentialed clinical pharmacist within the LA County Department of Health Services where he provides direct patient care for individuals with mental illness, substance use disorders, experiencing homelessness, or incarcerated. He also co-manages clinical pharmacy programs within the county hospitals focused on transitions of care services. He serves as the Director for the PGY2 Psychiatric Pharmacy Residency Program at USC.

No Relevant Financial Relationships to Disclose

Course Requirements

To receive ACPE credit for this session, you must:

  • Register for this course.
  • Review the full content of the activity and reflect upon its teachings.
  • Complete the evaluation at the end of the activity.
  • Provide the necessary details in your profile to ensure correct reporting by AAPP to CPE Monitor.

Continuing Education Credit and Disclosures

Activity Date: 10/06/2022
ACPE Contact Hours: 1.25
ACPE Number: 0284-0000-22-073-H08-P (Application)
Nursing Credit Reminder: Note that ACPE credit is accepted for ANCC Certification Renewal and AANPCB advanced practice provider content. For specific questions related to your organization's acceptance of ACPE continuing education units, please contact your organization directly.

ACPEThe College of Psychiatric and Neurologic Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

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AAPP owns the copyright, is licensed or has received permissions for use of, or is otherwise permitted to use copyrighted materials within any CPE activity. Authors and speakers are required to obtain necessary copyright permissions for content in CPE activities. AAPP complies with copyright laws and regulations.

Questions? Contact AAPP.

View planning committee disclosures

2022 Planning Committee

Ericka Crouse, PharmD, BCPP, BCGP, FASHP, FASCP
Associate Professor
VCU School of Pharmacy
Richmond, VA
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: ASHP - PAM Behavioral Health Committee (volunteer),
Editorial Board - The Medical Letter (paid), American Society of Consultant Pharmacists - speak at meetings/webinars on GeroPsych topics (paid),
Wolters-Kluwer, paid consultant
Cassandra Davis, PharmD, BCPP, BCPS
Mental Health Clinical Pharmacy Specialist
Orlando VA Medical Center
Orlando, FL
No Relevant Financial Relationships to Disclose
Megan J. Ehret, PharmD, BCPP, MS
BCPP Program Director

Professor
University of Maryland
Baltimore, MD
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Psych U Section Advisor,
Lexi-Comp Consultant/Reviewer,
SMI Adviser; Pharmacist Consultant
Educational Grants, Research Grants or Contracts: FDA/University of Maryland CERSI, Maryland Behavioral Health Department, NIH
Sarah Melton, PharmD, BCPP, BCACP, FASCP
Chair
Professor of Pharmacy Practice
Gatton College of Pharmacy
Johnson City, TN
Non-Financial Interests: One Care of Southwest Virginia, Virginia Board of Pharmacy, Virginia Opioid Abatement Authority,
Overmountain Recovery,
Virginia Department of Health Professions Board, Virginia Medicaid Pharmacy and Therapeutics Committee

Troy Moore, PharmD, MS, BCPP
Clinical Pharmacy Specialist, Mental Health/Director, ASHP Accredited PGY-1 Pharmacy Residency Program
Eastern Colorado Health Care System/Rocky Mountain Regional VA Medical Center
Aurora, CO
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Planning committee for the University of Texas
College of Pharmacy Psychopharmacology Update, Alkermes Advisory Panel, Sweet Spot LLC Consultant

Erika Titus-Lay, PharmD, BCPP, BCPS
Assistant Professor
California Northstate University College of Pharmacy
Elk Grove, CA
Educational Grants, Research Grants or Contracts: Sponsor, ASHP Pharmacy Leadership Scholars Research Grant

2022 Reviewers

Audrey Abelleira, PharmD, BCPP, BCPS
Clinical Pharmacy Specialist
VA Connecticut Healthcare System
West Haven, CT
No Relevant Financial Relationships to Disclose

David Dadiomov, PharmD, BCPP
Assistant Professor
University of Southern California School of Pharmacy
Los Angeles, CA
No Relevant Financial Relationships to Disclose

James J. Gasper, PharmD, BCPP
Psychiatric and Substance Use Disorder Pharmacist
California Department of Health Care Services
Sacramento, CA
No Relevant Financial Relationships to Disclose

Cindy A. Gutierrez, PharmD, MS, BCPP
Associate Chief, Clinical Pharmacy Programs
South Texas Veterans Health Care System
San Antonio, TX
No Relevant Financial Relationships to Disclose

Dara L. Johnson, PharmD, BCPP, BCACP
Clinical Pharmacy Specialist/Clinical Coordinator
Providence Medical Group
Portland, OR
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: ASHP Opioid Certificate Program Faculty 2021

Benjamin Miskle, PharmD
Clinical Assistant Professor/Clinical Pharmacy Specialist - Psychiatry
University of Iowa
Iowa City, IA
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Iowa Pharmacy Association (IPA) - Annual Meeting Speaker,
Health Resources and Services Administration (HRSA) Sponsored Presentation in the Counseling Psychology Program
Educational Grants, Research Grants or Contracts: Iowa Department of Public Health (IDPH) - Research Grant,
Iowa Center for Translational Studies (ICTS) - Research Grant
Financial Interests: Johnson and Johnson Stock Options
Non-Financial Interests: Iowa Pharmacy Association - Iowa House of Delegates, University of Iowa Addiction Medicine Fellowship - Board Member

Marnie Noel, PharmD, BCPP
Psychiatric Clinical Pharmacist
John Muir Behavioral Health Center
Concord, CA
No Relevant Financial Relationships to Disclose

All relevant relationships have been mitigated.

All relevant relationships have been mitigated.

View disclaimer and disclosure of off-label use

Off-Label Use: This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA (see faculty information). The opinions expressed in the educational activity do not necessarily represent the views of AAPP and any educational partners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer: Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Presentation-Specific Disclosure: My presentation will include discussion of off-label, experimental, and /or investigational use of drugs or devices: CAM 2038 (Buprenorphine long-acting subcutaneous injection) for opioid use disorder

View fair balance and integrity statement

It is the policy of AAPP to ensure independence, balance, objectivity, scientific rigor, and integrity in continuing education activities. Those involved in the development of this continuing education activity have made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education activity. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and drug delivery systems is subject to change, however, and the reader is advised to check the manufacturer’s package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.

Fair balance is achieved through ongoing and thorough review of all materials produced by faculty, and all educational and advertising materials produced by supporting organizations, prior to educational offerings. Approval of credit for this continuing education activity does not imply endorsement by AAPP for any product or manufacturer identified.