Step into a new era of opioid use disorder treatment with the removal of the X-Waiver and discover the expanded opportunities for psychiatric pharmacists. This session will explore the significant changes to buprenorphine prescribing brought about by the Mainstreaming Addiction Treatment Act and highlight the pivotal roles psychiatric pharmacists can play in managing this treatment. Learn innovative strategies to develop a psychiatric pharmacist practice model that optimizes buprenorphine management and improves outcomes for patients battling opioid use disorder.
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


View biographical information
Michelle Geier, PharmD, BCPP, APh, FAAPP
Psychiatric Clinical Pharmacist
San Francisco Department of Public Health
San Francisco, CA
Michelle Geier is a psychiatric clinical pharmacist for San Francisco Department of Public Health (SFDPH). She is currently deployed as a disaster service worker for SFDPH as the Substance Use Services Pharmacy Lead to address the local opioid overdose crisis. In her usual roll, she manages a caseload of psychiatric and substance use disorders clients under a collaborative practice agreement at a county mental health clinic that predominantly serves people experiencing homelessness on admission and dual diagnosis. She oversees substance use disorder clinical services at our county mental health and substance use disorders pharmacy that serves approximately 1200 people with opioid use disorder annually. She participates in multiple quality improvement committees for the health plan that is responsible for all Medicaid beneficiaries with a serious mental illness in San Francisco county. I serve as the Residency Program Director for our PGY2 in psychiatry.
Damian Peterson, PharmD, BCPP, BCPS, APh
Psychiatric Clinical Pharmacist
San Francisco Department of Public Health
San Francisco, CA
Learning Objectives
- Describe the role of psychiatric pharmacists in improving access to buprenorphine for patients with opioid use disorder.
- Apply the PRECEDE planning model to development of a psychiatric pharmacist practice managing opioid use disorder.
- Use the PROCEED model to evaluate a new psychiatric pharmacist practice managing opioid use disorder.
Continuing Education Credit and Disclosures
Activity Dates: 04/28/2025 - 04/28/2028
ACPE Contact Hours: 1
ACPE Number: 0284-0000-25-010-H04-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.
The American Association of Psychiatric Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
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.
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.
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.