Pre-Conference Workshops -- Wednesday, October 7
(Limited registration. Additional fee.)
Full Day Workshops (9:00 am to 5:00 pm)
A. Pain and Addiction: A Combined Workshop for Physicians Who Treat Pain and for Methadone Treatment Providers
The morning focuses on pain management in a primary care practice or pain practice where there are patients who may be referred to a methadone maintenance treatment program for management of opioid dependence. It also addresses care of pain patients who are in methadone treatment, with emphasis on how to coordinate care between the physician prescribing for pain and the methadone program treatment staff.
For the afternoon, the audience selects one of two concurrent sessions. One provides a clinical overview of neck and back pain and considers pharmacological management of such chronic pain conditions in patients at risk for misuse or addiction. Two other topics will be covered—all with ample time for question and answers: opioid-induced hyperalgesia and the future of buprenorphine used for pain.
The other concurrent session addresses medical issues specific to methadone treatment such as sexual dysfunction, questions about bone density, cardiac considerations, sleep apnea, risk management in an OTP and “what do you do when there is no evidence to guide your decision?”
Offered by CSAM Committee on Treatment of Opioid Dependence; CSAM Task Force on Pain and Addiction; California Chapter of the American Academy of Pain Medicine; and the California Department of Alcohol and Drug Programs.
Faculty includes:
Daniel Alford, MD, Associate Professor of Medicine, Boston University School of Medicine, Boston, MA
Joseph Graas, PhD, Medical Director, San Diego Reference Laboratory, San Diego, CA
Paul Kreis, MD, Assistant Professor, Anesthesiology, Pain Medicine, UC Davis School of Medicine
John J. McCarthy, MD, Executive and Medical Director, Bi-Valley Medical Clinic, Carmichael, CA
Jerome Schofferman, MD, Director of Research and Education, San Francisco Spine Institute; SpineCare Medical Group, Inc., Daly City, CA
Lee Snook, MD, Metropolitan Pain Management Consultants, Sacramento, CA
B. What is SBIRT? How Do You Do It and Teach It Effectively?
This workshop, for physicians who teach in residency training programs, is designed to improve your teaching skills about screening for and assessing alcohol and drug use, conducting a brief intervention and making referrals--even with patients who are resistant to the efforts. The majority of the time will be spent in role plays with patients, followed by feedback from clinicians experienced in SBIRT interactions and education specialists. Interested residents are welcome to register.
Sponsored by the Medical Education and Research Foundation for the Treatment of Alcoholism and Other Drug Dependencies (MERF). A limited number of scholarships are available from MERF for residents and faculty in residency training programs. See the CSAM website (csam-asam.org) or the MERF website (merfweb.org) for more information on scholarships.
Faculty includes:
Richard Brown, MD, MPH, Associate Professor, University of Wisconsin School of Medicine; Clinical Director, WI Initiative to Promote Healthy Lifestyles
Jennifer Hettema, PhD, Assistant Professor , Department of Psychiatry and Neurobehavioral Sciences,
University of Virginia, UVA Center for Addiction Research and Education
Paula Lum, MD, MPH, Assistant Professor of Medicine, Positive Health Program, San Francisco General Hospital, UC, San Francisco
Julie Nyquist, PhD, Professor, Division of Medical Education, Keck School of Medicine at USC, Los Angeles, CA
Ken Saffier, MD, Contra Costa Regional Medical Center Family Medicine Residency; Associate Clinical Professor, Departments of Family and Community Medicine, UC San Francisco and UC Davis
Morning Workshop (8:30 am to 12:00 pm)
C. Urban Trauma, Addiction, and The Search for Forgiveness
Post-Traumatic Stress Disorder (PTSD) and substance dependence are closely interwoven. While it has long been recognized that addiction facilitates traumas, it is increasingly apparent that the pathophysiology of these two disorders is closely linked as well—with virtually all substances of abuse having important biological effects at multiple levels of the stress system (cortex, sub-cortex, and hypothalamic-pituitary-adrenal axis). Although the etiological relationship between PTSD and addiction has yet to be fully elucidated, clinicians must face the conundrum of managing these often unstable patients.
Addicted individuals are often simultaneously the victims of traumas and the victimizers of others. Meaningful recovery from addiction inevitably requires a working-through of social wreckage and an accounting of harm done to others as well as harms to one's social nexus. This workshop will seek to explore the relationship between co-occurring PTSD and addiction in order to inform clinical interventions that facilitate effective working-through.
Lisa Najavits, PhD, Associate Professor of Psychiatry, Harvard Medical School; Director of the Trauma Research Program in the Alcohol and Drug Abuse Treatment Center at McLean Hospital, Boston, MA; author, Seeking Safety: A Treatment Manual for PTSD and Substance Abuse
Charlie Marmar, MD, Professor-in-Residence and Vice Chair, UC San Francisco Department of Psychiatry; Chief of Mental Health Services, VA Medical Center, San Francisco, CA
Peter Banys, MD, MSc, Clinical Professor of Psychiatry, UC San Francisco; Director, Substance Abuse Programs, VA Medical Center, San Francisco, CA
Itai Danovitch, MD, Director, Addiction Psychiatry Clinical Services, Associate Director, Addiction Psychiatry Fellowship, Cedars Sinai, Department of Psychiatry and b3ehavioral Neurosciences, Los Angeles, CA
Afternoon Workshop (1:30 pm to 5:00 pm)
D. Too Much Sex, Gambling and Shopping: Addressing Out of Control Behaviors
This workshop will address the diagnostic criteria and treatment options for "out of control behaviors" also known as impulse control disorders, behavioral addictions or process addictions. With the internet and new technologies providing more and more access to potential behavioral vulnerabilities, the topic of how to address these clinical disorders is both controversial and fascinating.
The workshop will begin with an overview of impulse control disorders and a presentation on possible DSM V criteria for behavioral addictions. Faculty with extensive experience in treating these disorders will explore the features and treatment of pathologic gambling, compulsive shopping, and "sex addiction." The workshop will conclude with a panel discussion and question/answer session.
Jon Grant, MD, Associate Professor of Psychiatry at the University of Minnesota; Co-director, Impulse Control Disorders Clinic, University of Minnesota Medical Center, Minneapolis, MN
Donald Black, MD, Professor of Psychiatry at the University of Iowa Carver College of Medicine, Iowa City, Iowa
Reef Karim, DO, Assistant Clinical Professor, Semel Institute for Neuroscience and Human Behavior; Associate Director, UCLA Addiction Medicine Clinic, Director, Beverly Hills Center for Self Control and Lifestyle Addictions
