![PCSS-MOUD](/img/default-banner.jpg)
- Видео 38
- Просмотров 342 484
PCSS-MOUD
США
Добавлен 11 апр 2017
Training and educating healthcare providers on evidence-based practices in medication assisted treatment of opioid use disorders; the interface of pain and opioid use disorders; and opioid prescribing best practices.
Funding for this initiative was made possible by cooperative agreement no. 1H79TI086770 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
Funding for this initiative was made possible by cooperative agreement no. 1H79TI086770 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
Treating Patients with OUD Can Be Incredibly Rewarding
Please leave a comment and/or like! PCSS appreciates your feedback.
Several PCSS clinical experts discuss the importance and the rewards of treating opioid use disorder patients using medication assisted treatment (MAT).
Several PCSS clinical experts discuss the importance and the rewards of treating opioid use disorder patients using medication assisted treatment (MAT).
Просмотров: 2 652
Видео
Patient Wants To Stop Taking Buprenorphine
Просмотров 78 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. Edwin Salsitz, a Providers Clinical Support System Clinical expert, speaks to a patient who has been on buprenorphine and has done well and now wants to taper off buprenorphine. They discuss the pros and cons of stopping the medication and what to expect.
Young Adult Seeking Treatment After Overdosing (Part 2)
Просмотров 3 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Pediatrician Timothy Brennan, a Providers Clinical Support System Clinical expert, explains the different options available to a teenager who wants to use medication assisted treatment to stop using heroin. View Part 1: ruclips.net/video/SEtEYFO5-Fs/видео.html
Young Adult Seeking Treatment After Overdosing (Part 1)
Просмотров 3,1 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Pediatrician Timothy Brennan, a Providers Clinical Support System Clinical expert, conducts initial interview with patient who overdosed on heroin and has had little benefit from past treatment. View Part 2: ruclips.net/video/l-fWhWxChho/видео.html
Patient Wants To Stop Using Heroin (Part 2)
Просмотров 1,7 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. Sanchit Maruti, a Providers Clinical Support System Clinical expert, explains to a physician good practices to follow when a healthcare clinic wants to treat patients with opioid use disorder. View Part 1: ruclips.net/video/TuxmMwZkSmU/видео.html
Patient Wants To Stop Using Heroin (Part 1)
Просмотров 2,9 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. Sanchit Maruti, a Providers Clinical Support System Clinical expert, talks with a primary care provider whose first attempt at offering opioid use disorder treatment did not go well. View Part 2: ruclips.net/video/cw-YAFqLPeU/видео.html
How Does Buprenorphine Work? (Part 4)
Просмотров 17 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. John Mariani, a Providers Clinical Support System Clinical expert, explains the difference between being on heroin or other opioids and taking buprenorphine, which is an opioid, to treat opioid use disorder. Part 1: ruclips.net/video/G7ZPYxv7r2I/видео.html Part 2: ruclips.net/video/iuUV3nIVjmU/видео.html Part 3: ruclips.net...
How Does Buprenorphine Work? (Part 3)
Просмотров 21 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. John Mariani, a Providers Clinical Support System Clinical expert, answers a patient’s question about how long she will have to take buprenorphine to treat her heroin addiction. View Part 4: ruclips.net/video/C_1V9Jdcsvw/видео.html Part 1: ruclips.net/video/G7ZPYxv7r2I/видео.html Part 2: ruclips.net/video/iuUV3nIVjmU/видео....
How Does Buprenorphine Work? (Part 2)
Просмотров 25 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. John Mariani, a Providers Clinical Support System Clinical expert, gives a patient an idea of how she will feel once she begins taking buprenorphine for the treatment of opioid use disorder. View Part 3: ruclips.net/video/wxmG0Tm-zoM/видео.html Part 4: ruclips.net/video/C_1V9Jdcsvw/видео.html Part 1: ruclips.net/video/G7ZPY...
How Does Buprenorphine Work? (Part 1)
Просмотров 72 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. John Mariani, a Providers Clinical Support System Clinical expert, discusses with a patient about buprenorphine to treat a patient’s heroin addiction with a patient. View Part 2: ruclips.net/video/iuUV3nIVjmU/видео.html Part 3: ruclips.net/video/wxmG0Tm-zoM/видео.html Part 4: ruclips.net/video/C_1V9Jdcsvw/видео.html
Dr. Sanchit Maruti On Treatment In Rural Areas
Просмотров 1,1 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. Sanchit Maruti, a Providers Clinical Support System Clinical expert, discusses how to access to care is one of the largest barrier to treating addiction in rural areas.
Patients With OUD Are Patients
Просмотров 7836 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. Lipi Roy, a Providers Clinical Support System Clinical expert, urges healthcare providers to not be judgmental with patients who have a substance use order. Be aware of what is evidence-based treatment.
Stigma And OUD
Просмотров 2 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Nurse Practitioner Vanessa Loukas, a Providers Clinical Support System Clinical expert, discusses the issue of stigma in treating patients with opioid use disorder-from the patients to the providers who treat them.
Medications for Treating OUD is NOT Replacing One Drug With Another?
Просмотров 2,7 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. Hillary Kunins, a Providers Clinical Support System Clinical expert, discusses the incorrect notion that treating an addiction patient with medication is simply exchanging one drug with another. Physical dependence is not the same as addiction.
How To Remain Optimistic When Treating Addiction
Просмотров 1,3 тыс.6 лет назад
Please leave a comment and/or like! PCSS appreciates your feedback. Dr. John Mariani, a Providers Clinical Support System Clinical expert, discusses the importance of remaining optimistic and not getting discourage when treating a patient with an addiction.
How Can You Not Treat A Patient With Opioid Use Disorder?
Просмотров 1,1 тыс.6 лет назад
How Can You Not Treat A Patient With Opioid Use Disorder?
Quick Overview Of Medications For Treating OUD
Просмотров 1,2 тыс.6 лет назад
Quick Overview Of Medications For Treating OUD
Uncomfortable Treating Patients With OUD?
Просмотров 6486 лет назад
Uncomfortable Treating Patients With OUD?
How Does Injection Naltrexone Work? (Part 3)
Просмотров 1,7 тыс.6 лет назад
How Does Injection Naltrexone Work? (Part 3)
How Does Injection Naltrexone Work? (Part 2)
Просмотров 2,2 тыс.6 лет назад
How Does Injection Naltrexone Work? (Part 2)
How Does Injection Naltrexone Work? (Part 1)
Просмотров 5 тыс.6 лет назад
How Does Injection Naltrexone Work? (Part 1)
A Patient Shares their Methadone For OUD
Просмотров 4,6 тыс.6 лет назад
A Patient Shares their Methadone For OUD
What To Expect When Receiving First Naltrexone Dose (Part 2)
Просмотров 10 тыс.6 лет назад
What To Expect When Receiving First Naltrexone Dose (Part 2)
What To Expect When Receiving First Naltrexone Dose (Part 1)
Просмотров 49 тыс.6 лет назад
What To Expect When Receiving First Naltrexone Dose (Part 1)
A Patient Discusses With Physician How To Choose Which Medication For Treating Their OUD
Просмотров 7 тыс.6 лет назад
A Patient Discusses With Physician How To Choose Which Medication For Treating Their OUD
Initial Interview With Patient Using Heroin
Просмотров 2,3 тыс.6 лет назад
Initial Interview With Patient Using Heroin
Medications Are Effective For Treating OUD -A Physician Shares Her Views
Просмотров 1,3 тыс.6 лет назад
Medications Are Effective For Treating OUD -A Physician Shares Her Views
A Father Shares His Experience With Daughter’s Recovery From Addiction And The Impact Stigma Plays
Просмотров 6216 лет назад
A Father Shares His Experience With Daughter’s Recovery From Addiction And The Impact Stigma Plays
Been on sub for 5 years. It’s a bandaid. It’s puts the inevitable withdraw symptoms on pause but they will always be waiting. Being on sub is not a good time. They lock on your receptors so strong so nothing else can get through so there is no high no pleasure, fine but that also includes natural chemicals we produce like dopamine and serotonin. Sure I don’t feel sick and weak and tired but I also have no ambition, no joy or happiness in things I used to like. I’m stuck in an endless mild depression. To get off you really need to ween for about a year otherwise the withdraw symptoms are too intense. Suboxone is a huge money maker and doctors that care about their patients should work on a plan to ween off not a plan to take for the rest of your life. Most doctors have no idea what the absence of pleasure in your life can cause real physical pain.
What is wrong with taking low dose of a weak opioid for incurable chronic pain?
This guy is reciting his textbook. Of course Suboxone damages organs. Gastric motility is slowed causing a lack of passing regular bowel movements which causes problems in many different organs. How can you bring a child into this world that has to go through withdraws and you aren’t willing to go through those withdraws yourself? I will agree with him about the public relations issues.
I have been on subox for over a year. I have to disagree with him about no physical consequences. It releases histamines in some causing skin issues,all OPIODS can . The brain cannot rewire to normal dopamine production ( the natural happines reward) while on any OPIODS.. Male sex drive is affected on any opioid! Urine retention is common for many. I believe long term use will hurt the liver , kidney and teeth and bones. My humble educated opinion as a researcher and bup maintenance patient. Yes it worked miracles, but to hope to be free of it eventual. Surprised by his opinion here. God bless my friends!
Great Doctor, if there was more addiction Dr’s with this mentality and approach we would have more addicts staying sober or at least more getting treatment.
doctor explains this excellent , subooxone causes dependence , not addiction
I disagree that there are no negative effects of suboxone. it has an effect on your biochemistry. and it is addictive. try taking it and then quitting. im a fan of suboxone for recovery but to say it is 100% safe is just not correct. I agree that it's better then relapsing.
Withdrawals are longer lasting, one very knowledgable Doctor I have learned much from, endorses changing back to shorter lasting opiates for the final wean (2 or 3 week taper) to make the final kick easier, faster and more bearable.
Im on this i have started on 20 mg iv been reducing since september now its feb 2019 im on 8mg doing well with my opiate addiction recovery
This stuff saved my life.. Thanks to everyone who help make this!...
I applaud this guy for being pro sub for recovery. But I don’t like his opinion on stopping completely. It seems very negative. There can be life after sub use but it takes work. I’m an addict clean for 5 years now. It is not easy but it’s doable. I think the thing this dude is trying to make known is if you do have to be on replacement therapy for life so be it. Don’t ruin your life trying to be clean of everything if in fact you would be better off with sub. Obviously clean is the best way but don’t best yourself up if you have to be on sub for life. Only you know the truth.
I completely forgot about the cravings it was amazing. Being sick from that withdrawal is the worst thing ive ever gone through. Well the suboxone alleviated all that. It lasts much longer too. The staying power is twice that of the Vicodin. Much better
I took hydrocodone for 20 years. Never thought id get past the withdrawal. Well I did. It saved my life.
Good for u i was using morphine nd codeine together for a long time and abused it badley when i had non i done anythinj to get it untill i couldnt live like that anymore i needed help so i got help i im on bupranorphene cant spell it i have got kidney damage now and bowls dont work properly now but im alive and im glad i got help x
Dr. Mariani, Thank you for these videos!
He seems like such a great Doctor.
He has been my dr for years now June makes 3 years no benzodiazepines, suboxon or heroin.
I'm going to say this on every video. This guy is good.
This guy is good. I wish he was my doc.
Buprenorphine IS a powerful drug, but it saves lives.
He has an excellent was of explaining what he is presenting. His delivery is excellent and he really paints a picture for you.
Concur with Timothy Liverights comment. Also noted the apparent disapproving microexpressions when discussing other drugs potentially used. Notice how he shakes his head "no" when asking about prior psychiatric treatments or admissions. Bulk of the questions were closed ended. Some folks might wonder what the patient is thinking.
Pretty much how I conduct initial interviews although I was struck by the interviewer's facial posture of looking at the patient in a sideways position. Seemed a pinch off-putting or a suggestion of his discomfort.
Everyone has different situations. Mine comes from a injury back 8 years ago. I broke my back, severe nerve damage couldn't walk. Dr gave me pain meds I was 41 and in my life I didn't ever take pain meds,,never. Not in my teens,20's ect. After being prescribed pain meds for a year I was sent to a pain management clinic. That's when I made the descision not to go to clinic to be prescribed more pain meds instead I went to a suboxone clinic. The Buph actually helped my nerve pain better than any pain pill ever did. Now my dilemma,,even thou it helps I have depression,dizzy spells, and the cost leaves me month to month broke. I'm supposed to be on 2 8mg a day but instead take 1. If I quit taking my nerve pain increases if I do take I feel better but want off worried about long term effect.I'm thankful I didn't go to clinic in many ways. I feel trapped damned if you take damned if you don't.
Thanks for this video. Excellent description of what is needed for substance abuse disorders. Real science-based medicines that work! Love the term "Medications for Addiction Treatment" - That's the best description of MAT. Naltrexone for alcohol treatment, when used as a targeted medication, is ground-breaking (The Sinclair Method/TSM). This documentary is an intro to the method. tubitv.com/movies/326586/one_little_pill - The many TSM videos on RUclips are compelling 'anecdotal' evidence that Pavlov was spot on, even in humans. Dr Roy Eskapa's book describing TSM and the clinical trials is a must read.
As an MAT provider always looking for persuasive communication ideas, I found this wonderfully concise, sincere, and wonderfully persuasive. Great job!!!
Sherry I am so proud of you! I remember you from your early recovery days in Cambridge. Keep going one day at a time. (Bud)
I think it's dangerous to talk about a "blocking dose" since it encourages a patient to test it. You can always take enough to feel it which risks overdose.
Well make all these doctors keep the ones who want to stay on? on? I take 2 and half mgs. for 11 years now and im straight, I believe im ready to start getting off though? but i'll worry about that when i can't get anymore.
I think it's also important to note that people can overdose even on the XR of Naltrexone, which wasn't clearly stated on the 3 videos. The blockade could be overcome with increased amounts of opioids. Good video overall, keep them coming!
It is good to be optimistic but you and I can not make a change until patient want a change. This the way I see these patient with addiction as their families and friends wants them to be in treatment but ? are they really interested in treatment.
MI( motivational Interview ) will help
Thanks for the explanation, I was scared to start it, now my thoughts are clear!
Not fully accurate
Excellent supportive discussion of a common problem in recovery
Sadly many members of our society Stigmatize treatment of addiction with medication. Some people are able to get off their anti hypertensive medications. Some people need medication for all their lives. As a physician who treats hypertension and addiction I have had patient stay on medication and do well and patients stop medications and do well. Most however remain on medication. Why ? Because medications work!! We are living longer despite rising rates of obesity and heart disease Why? Medication! Why are we dying from substance abuse? Lack of good medication that help treat addiction! The Kakko trial in Sweden in 2003 clearly shows that those who take medication are less likely to DIE than those who stop medication! Please do not stigmatize those who are living a productive life while taking medication. Their life might depend on it!!
As a former psychiatric nurse for nearly 30 years in the largest free standing psychiatric hospital in the east coast, this Physician is excellent. He is compassionate, knowledgeable and invested in the treatment of this woman. Awesome video!
Elizabeth M , totally agree with you! I was just about say the same then I saw your comment, I'm relatively new in healthcare field and I learned so much from him in this video! This level of compassion and understanding can make all the difference no?
Yes agreed
I couldn't be any prouder of the 2015-16 Yale Addiction Psychiatry and Medicine fellows. Very, very strong work to help stem the US opioid crisis.