Clinical Pearls 1

Clinical Pearls presentations will be recorded and posted but are only available for live credit.

Paternal Postpartum Depression - Identification and Barriers
Shari N. Allen, PharmD, BCPP

1 in 8 mothers will experience postpartum depression (PPD). In women, PPD, is commonly screened for and recognized. The incidence in male partners ranges from 8-13% but largely goes under studied, under assessed, and under treated. The higher risk in men may correlate with PPD in the birth parent as well as previous episodes of depression. While the treatment of PPD in men and women is similar, the clinical presentation in men is more associated with irritability, emotional bluntness, and indecisiveness. Men may present with resistance to seeking help and accepting treatment. It is important to identify and address paternal postpartum depression because a lack of doing so may result in negative outcomes for the child and the family unit.


Tackling the Treatment of Tardive Dyskinesia
Ahmaya Mustafa, PharmD, BCPS

Tardive dyskinesia is a condition which can affect many patients receiving long-term antipsychotic treatment. The management of tardive dyskinesia has undergone significant advancements since the publication of the American Academy of Neurology guidelines in 2013. This presentation aims to provide insights into the management of tardive dyskinesia using vesicular monoamine transporter 2 (VMAT-2) inhibitors, while also discussing alternative treatment strategies for patients who are unable to use this class of medications.


Home Sweet Home: Operationalizing Low-Dose Buprenorphine Initiations for Virtual Care
Audrey Abelleira, PharmD, BCPS, BCPP

Buprenorphine utilization is increasing as its role in chronic pain management expands and access increases due to elimination of the X-waiver. In the post-COVID landscape more patients and providers are relying on telehealth to provide needed care to under-resourced or rural communities. The traditional method for initiating buprenorphine may present a barrier to treatment for these patients due to fear of experiencing opioid withdrawal or inability to travel to the clinic due to rurality or reliance on telehealth to receive chronic pain and opioid use disorder care. Low-dose buprenorphine initiations (LDBI) represent an alternative to traditional initiations; buprenorphine's affinity for the mu receptor is used strategically to gradually introduce a therapeutic dose of buprenorphine over several days, allowing for a discontinuation of full agonists with minimal opioid withdrawal symptoms while completing the process from home. Many questions remain regarding not only home initiations of buprenorphine, but also LDBI, and how best to incorporate this into clinical practice.

Consider making this session part of your BPS Continuing Professional Development plan! Please refer to the BPS Psychiatric Pharmacy Content Outline to see how this activity may align.

Target Audience

If you are a pharmacist, nurse practitioner, or other health care professional involved in the comprehensive medication management of individuals living with mental health and/or substance use disorders, we invite you to participate in this online course.

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.

Faculty Information

Shari N. Allen, PharmD, BCPP
Ahmaya Mustafa, PharmD, BCPS, BCPP
Audrey Abelleira, PharmD, BCPS, BCPP
View biographical information

Shari N. Allen, PharmD, BCPP
Associate Professor of Pharmacy Practice
Philadelphia College of Osteopathic Medicine, School of Pharmacy
Atlanta, GA

Dr. Allen is an Associate Professor of Pharmacy practice at Philadelphia College of Osteopathic Medicine (PCOM) – School of Pharmacy where she has been teaching or 12 years. She earned her Doctor of Pharmacy degree from Florida A&M University College of Pharmacy and Pharmaceutical Sciences in 2009 and completed an ASHP accredited PGY-1 (General Practice) and PGY-2 (Psychiatry) residency at the Buffalo Psychiatric Center. At PCOM, Dr. Allen teaches the mental health and neurology components of the therapeutics curriculum. She also works directly with our Veterans as she maintains a clinical practice site at the Atlanta VA Medical Center in outpatient general mental health. In addition to her work at PCOM and the Atlanta VAMC, Dr. Allen is an active member of many pharmaceutical organizations such as the American Association of Psychiatric Pharmacists and American Society of Health-System Pharmacists. Both in the classroom, at her hospital, and through public social media forums, Dr. Allen has a goal of educating patients, caregivers, students, and other health care professionals on mental health medications, with a career goal of one day being the official pharmacist for Good Morning America.

No Relevant Financial Relationships to Disclose
My presentation will include discussion of off-label, experimental, and /or investigational use of drugs or devices: oral antidepressants are used off label for the treatment of postpartum depression in males and females
 
Ahmaya Mustafa, PharmD, BCPS, BCPP
Pharmacy Resident
Michael E. DeBakey VA Medical Center
Houston, TX

Dr. Ahmaya Mustafa is a board-certified pharmacotherapy specialist who earned her Doctor of Pharmacy degree from Texas Tech University Health Sciences Center in Amarillo, Texas. She completed a PGY1 Pharmacy Practice Residency and a PGY2 Psychiatric Pharmacy Residency at the Michael E. DeBakey VA Medical Center in Houston, Texas. Dr. Mustafa currently provides care to veterans as a mental health clinical pharmacy practitioner within the behavioral health interdisciplinary program at the South Texas Veterans Health Care System in San Antonio, Texas.

No Relevant Financial Relationships to Disclose
This presentation will include discussion of off-label, experimental, and /or investigational use of drugs or devices: tetrabenazine, vitamin E, vitamin B6, amantadine, gingko biloba, clonazepam
 
Audrey Abelleira, PharmD, BCPS, BCPP
Clinical Pharmacist Practitioner
VISN 1 Clinical Resource Hub
Orange, CT

Dr. Audrey Abelleira is a Clinical Pharmacist Practitioner at the VISN 1 Clinical Resource Hub in West Haven, CT. She is a graduate of Tufts University and Massachusetts College of Pharmacy. After completing a PGY-1 Pharmacy Practice Residency at Tufts Medicine and PGY-2 Psychiatric Pharmacy Residency at the Captain James Lovell Federal Health Care Center she joined the VA Connecticut Healthcare System in 2020 as the facility’s first substance use and pain management clinical pharmacist practitioner. In her current role she provides pain management & substance use disorders telehealth care to rural veterans throughout New England.

No Relevant Financial Relationships to Disclose
My presentation will include discussion of off-label, experimental, and /or investigational use of drugs or devices: The presentation will include some discussion regarding the off-label use of sublingual buprenorphine or buprenorphine/naloxone for chronic pain.
 

Learning Objectives

Paternal Postpartum Depression - Identification and Barriers

  1. Identify the signs and symptoms of postpartum depression in paternal partners.
  2. Recognize barriers to recognizing paternal postpartum depression and the outcomes of delayed identification.

Tackling the Treatment of Tardive Dyskinesia

  1. Identify factors which impact Vesicular Monoamine Transporter 2 (VMAT-2) inhibitor selection and use.
  2. Develop a pharmacologic treatment plan for the management of tardive dyskinesia.

Home Sweet Home: Operationalizing Low-Dose Buprenorphine Initiations for Virtual Care

  1. Differentiate between buprenorphine initiation methods and determine when a low-dose initiation may be appropriate
  2. Review logistical considerations involved in formulating a low-dose buprenorphine initiation transition plan implemented through telehealth.

Continuing Education Credit and Disclosures

Activity Date: 04/09/2024
ACPE Contact Hours: 1
ACPE Number: 0284-0000-24-031-L04-P (Knowledge)
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 American Association of Psychiatric 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

2024 Program Committee and Recertification Editorial Board

Elayne D. Ansara, PharmD, BCPP, BCPS
Mental Health Clinical Pharmacist Practitioner
VISN23 Clinical Resource Hub
Indianapolis, IN
Non-Financial Interests: The Board of Pharmaceutical Specialties (Psychiatric Pharmacy Specialty Council)

Bridget Bradley, PharmD, BCPP
Clinical Pharmacist
Oregon Health & Science University
Beaverton, OR
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: ACCP PSAP May 2021, Neurology and Psychiatry Book
Educational Grants, Research Grants or Contracts: NACDS Community Pharmacy Residency Grant

Katie L. Brase, MA
Program Specialist
American Association of Psychiatric Pharmacists
Lincoln, NE
No Relevant Financial Relationships to Disclose
Dana Chiulli, PharmD, BCPP
Clinical Pharmacist Practitioner - Mental Health
VISN 06 Mental Health Clinical Resource Hub
Flower Mound, TX
No Relevant Financial Relationships to Disclose
Marissa Cullen, PharmD, BCPP
Clinical Pharmacist
UPMC Western Psychiatric Hospital
Pittsburgh, PA
No Relevant Financial Relationships to Disclose
Beth DeJongh, PharmD, BCPS, BCPP
Director of Continuing Professional Development
American Association of Psychiatric Pharmacists
Lincoln, NE
No Relevant Financial Relationships to Disclose
Chelsea N. Di Polito, PharmD, BCPP
Assistant Director, Pharmacy Administration - Clinical Services
University of Maryland School of Pharmacy
Baltimore, MD
No Relevant Financial Relationships to Disclose
Alisha D. Donat, PharmD, BCPP
Clinical Pharmacy Specialist - Mental Health
South Texas Veterans Health Care System
San Antonio , TX
No Relevant Financial Relationships to Disclose
Bennett J. Doughty, PharmD, BCPP, BCPS
Clinical Assistant Professor
Binghamton University School of Pharmacy and Pharmaceutical Sciences
Binghamton, NY
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: PsychU- Speaker's Bureau
Traci M. Dutton, PharmD, BCPP, BCPS
Clinical Pharmacy Specialist - Mental Health; Program Director - PGY2 Psychiatric Pharmacy Residency
VA Tennessee Valley Healthcare System
Murfreesboro, TN
Employment: Tennessee Valley VA Healthcare System, Clinical Pharmacy Specialist - Mental Health, Member of VA PBM Educational Advisory Committee which
oversees Board Certification Study Groups

Megan J. Ehret, PharmD, MS, BCPP
BCPP Program Director
Professor
University of Maryland
Baltimore, MD
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Saladex Biomedical Consultant, Lexi-Comp Consultant/Reviewer, SMI Adviser; Pharmacist Consultant
Educational Grants, Research Grants or Contracts: FDA/University of Maryland CERSI, Maryland Behavioral Health Department, NIH

Kimberly Ehrhard, PharmD, BCPP
Clinical Pharmacist, Psychiatry
The University of Kansas Health System
Kansas City , KS
No Relevant Financial Relationships to Disclose
Robert J. Haight, PharmD, BCPP
Program Committee Chair
Clinical Pharmacist | Forensic Services
Saint Peter Regional Treatment Center (SPRTC), Minnesota Department of Human Services
Saint Peter, MN
No Relevant Financial Relationships to Disclose
Abigail Hampton, PharmD, BCPP
Clinical Pharmacy Practitioner- mental health
Kansas City Veterans Affairs
Kansas City, MO
No Relevant Financial Relationships to Disclose
Suzanne C. Harris, PharmD, BCPP
Associate Professor/Director of Well-being and Resilience/Clinical Pharmacist Practitioner
UNC Eshelman School of Pharmacy
Chapel Hill, NC
No Relevant Financial Relationships to Disclose
Jordan Haygood, PharmD, BCPP
Clinical Pharmacy Specialist - Psychiatry
Medical University of South Carolina
Charleston, SC
No Relevant Financial Relationships to Disclose
Courtney A. Iuppa, PharmD, BCPP
Clinical Pharmacy Manager & Residency Program Director
Center for Behavioral Medicine
Kansas City, MO
No Relevant Financial Relationships to Disclose
Archana R. Jhawar, PharmD, BCPP
Clinical Pharmacist
Jesse Brown VAMC/ UIC College of Pharmacy
Chicago, IL
No Relevant Financial Relationships to Disclose
Kayla D. Johnson, PharmD, BCPP, BCPS
Clinical Pharmacist Specialist
Vanderbilt University Medical Center
Thompsons Station, TN
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Pharmacy Times Continuing Education Speaker
Dongmi Kim, PharmD, BCPP, BCPS
Assistant Clinical Professor
Fairleigh Dickinson University School of Pharmacy
Florham Park, NJ
No Relevant Financial Relationships to Disclose
Jamie C. Kneebusch, PharmD, BCPP, BCPS
Assistant Clinical Faculty
UC San Diego, Skaggs School of Pharmacy
La Jolla, CA
No Relevant Financial Relationships to Disclose
Erin D. Knox, PharmD, BCPP
Director of Experiential Education
UCI School of Pharmacy & Pharmaceutical Sciences
Irvine, CA
Non-Financial Interests: Santa Ana Community College, Pharmacy Technology Program, Advisory Committee
Lauren E. Leiby, PharmD, BCPP
Behavioral Health Patient Care Pharmacist
Nationwide Childrens Hospital
Columbus, OH
No Relevant Financial Relationships to Disclose
Linda D. Logan, PharmD, BCACP, BCPP, BCPS
Public Service Associate
University of Georgia
Athens, GA
Educational Grants, Research Grants or Contracts: HRSA Graduate Psychology Education Grant, UGA Mental Health Seed Grants for MHFA and Virtual Dementia Tour,
UGA College Pharmacy Ansel Fund
Megan Maroney, PharmD, BCPP
Clinical Associate Professor
Ernest Mario School of Pharmacy at Rutgers, the State University of New Jersey
Long Branch, NJ
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Pharmacy Times - speaker and medical writing honoraria, Otsuka Pharmaceuticals - Excel Speakers
Bureau (former, through March 2022), Novus Medical Education - consultant/medical writing, Boehringer Ingelheim - advisory board, Sunovion Pharmaceuticals –
consultant/advisory board, Biogen and Sage Therapeutics - advisory board
Monica Mathys, PharmD, BCGP, BCPP
Professor
Texas Tech University School of Pharmacy
Dallas, TX
Non-Financial Interests: AAPP Foundation Board member
Maren McGurran, PharmD, BCPP, BCPS
Clinical Pharmacist, Psychiatry
Northwest Missouri Psychiatric Rehabilitation Center
MO
No Relevant Financial Relationships to Disclose

Lindsey N. Miller, PharmD, BCPP
Clinical Pharmacist and Associate Professor
Lipscomb University and Vanderbilt Psychiatric Hospital
Nashville, TN
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Social Security Administration- Board of Adjudication: Presentations on various disease states
Financial Interests: Pharmacy Times Panel Discussant- Payer Forum Sponsored by Alkermes (January 2020), Pharmacy Times- CE Presentation Sponsored by Otsuka (August 2019)

Breanna L. Moody, PharmD, BCPP
Clinical Pharmacy Specialist - Mental Health Clinic
Lexington VA Health Care System
Lexington, KY
Non-Financial Interests: BPS - BCPP Item Writer for 2022 cycle
Brianne Mosley, PharmD, BCPP, BCPS
Psychiatric Clinical Pharmacist
McLean Hospital
Belmont, MA
No Relevant Financial Relationships to Disclose
Jessica L. Mulhollan, PharmD, BCPP
Clinical Pharmacy Specialist, Substance Use Disorders and Mental Health Clinical Pharmacy Supervisor
Louis Stokes Cleveland VA Medical Center
Cleveland, OH
No Relevant Financial Relationships to Disclose
Kristen Neumeister, PharmD, BCPP
Clinical Pharmacist
North Texas State Hospital
Fort Worth, TX
No Relevant Financial Relationships to Disclose
Megan O'Connell, PharmD, BCPP
Clinical Pharmacy Specialist - Psychiatry and Neurology
Michigan Medicine
Ann Arbor, MI
No Relevant Financial Relationships to Disclose
Melissa C. Palmer, PharmD, BCPP, BCPS
Clinical Pharmacy Specialist - Mental Health
Alaska VA Healthcare System
Anchorage, AK
No Relevant Financial Relationships to Disclose
Haley Pals, PharmD, BCPP
Substance Use Disorder/Psychiatric Clinical Pharmacist
Tomah VA Medical Center
Tomah, WI
No Relevant Financial Relationships to Disclose
Brittany L. Parmentier, PharmD, MPH, BCPS, BCPP
Clinical Pharmacy Specialist in Psychiatry
The Harris Center for Mental Health and IDD
Houston, TX
No Relevant Financial Relationships to Disclose
Jake R. Peters, PharmD, BCPP, BCPS
Assistant Professor of Pharmacy Practice/Clinical Pharmacy Specialist - Psychiatry
Butler University College of Pharmacy/Indiana University Health
Indianapolis, IN
No Relevant Financial Relationships to Disclose
Sarah J. Popish, PharmD, BCPP
VA PBM Academic Detailing Services, Program Manager
Department of Veterans Affairs
Sarasota, FL
No Relevant Financial Relationships to Disclose

Devon A. Sherwood, PharmD, BCPP
Associate Professor of Pharmacy Practice
University of New England
Portland, ME
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: New Hampshire MCAP (Mental Health Care Access in Pediatrics) - Subject Matter Expert –
Psychiatric Pharmacy / Psychopharmacology Consultative Services
Educational Grants, Research Grants or Contracts: SAMHSA funded grant - Collaborative SBIRT Training for Maine’s Future Health Professions Leaders

Rosana Steavenson, PharmD, BCPP, BCPS
Program Manager, Mental Health Clinical Pharmacy Programs; Mental Health Clinical Pharmacy Specialist
South Texas Veterans Health Care System
San Antonio, TX
No Relevant Financial Relationships to Disclose
Abby Stocks, PharmD, BCPP
Inpatient Behavioral Health Pharmacist
Inova Fairfax Medical Campus
Falls Church, VA
Educational Grants, Research Grants or Contracts: College of Psychiatric and Neurologic Pharmacists "Defining the Future" research grant
Nina Vadiei, PharmD, BCPP
Clinical Associate Professor
University of Texas at Austin
San Antonio, TX
No Relevant Financial Relationships to Disclose
Heidi J. Wehring, PharmD, BCPP
Adjunct Associate Professor of Psychiatry
Maryland Psychiatric Research Center, University of Maryland School of Medicine
Baltimore, MD
No Relevant Financial Relationships to Disclose
Kara R. Wong, PharmD, BCPP
Recertification Editorial Board Chair
Clinical Pharmacist Practitioner, Mental Health
Minneapolis VA Health Care System
Minneapolis, MN
No Relevant Financial Relationships to Disclose

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: Shari Allen - My presentation will include discussion of off-label, experimental, and /or investigational use of drugs or devices: oral antidepressants are used off label for the treatment of postpartum depression in males and females Ahmaya Mustafa - This presentation will include discussion of off-label, experimental, and /or investigational use of drugs or devices: tetrabenazine, vitamin E, vitamin B6, amantadine, gingko biloba, clonazepam Audrey Abelleira - My presentation will include discussion of off-label, experimental, and /or investigational use of drugs or devices: The presentation will include some discussion regarding the off-label use of sublingual buprenorphine or buprenorphine/naloxone for chronic pain.

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.

View nursing education availability

ACPE approved contact hours are accepted for ANCC Certification Renewal: At least 50% (37.5 hours) of your 75 continuing education hours must be formally approved continuing education hours. Formally approved continuing education hours meet one or more of the criteria listed below:

  1. Continuing nursing education (CNE) approved for nursing contact hours by an accredited provider or approver of nursing continuing education
  2. Continuing medical education (CME) approved for CME hours
  3. Sponsored by organizations, agencies, or educational institutions accredited or approved by the American Nurses Credentialing Center (ANCC) or the Accreditation Council for Continuing Medical Education (ACCME) or the Accreditation Council for Pharmacy Education (ACPE) or the Commission on Dietetic Registration

All relevant relationships have been mitigated.