DSM-5
What is Opioid Use Disorder (OUD)?
DSM-5 diagnosis characterized by a problematic pattern of opiate use leading to significant impairment or distress within the last 12 months.
This type of language can increase shame and decrease the likelihood someone will seek treatment.
Stigmatizing language
Myth or Fact
Medications like methadone or buprenorphine just replace one addiction with another
Myth!
These medications are evidence-based treatments that reduce cravings, withdrawal symptoms and overdose risk.
Name 3 approved curriculums for MAT Case Managers to utilize for recovery groups
Anger Management
Positive Psychology
ICT
Matrix
Seeking Safety
Start Now
According to WP policy, how many pathways are there to accessing MAT treatment in Vermont?
4
Continuation
Treatment of active withdrawal symptoms
Positive DSM validated screen for OUD followed by evaluation and treatment as medically indicated
A patient can request an evaluation at any time.
How many criteria do you need to meet to diagnose an OUD?
At least 2
What is a common stigmatizing term for a positive UDS result?
Dirty
Myth or Fact
A return to use means that treatment has failed
Myth!
Recurrence of use can be part of the recovery process and may signal an adjustment to the treatment process.
What is the focus of Seeking Safety?
Coping Skills
When a patient reports they would like to discontinue their MAT medication, what are the two forms that should be completed?
Taper readiness
MAT Discontinuation Consent
True or false- The criteria used to diagnose an AUD is the same as the criteria to diagnose an OUD?
True
Name 3 examples of person first language used with OUD
Person with OUD
Person in recovery
Person in treatment
Person who uses drugs
Myth or Fact
There are 3 FDA approved medications for treating OUD
Fact!
What does ICT stand for?
Integrated Change Therapy
What template should a MAT Case Manager use in Correctek when a patient is requesting MAT treatment?
MAT Need
How many criteria do you need to meet to diagnose a severe OUD?
DSM-5 severity category is assigned when a person meets 6 or more criteria.
True or False- Requiring patients to hit rock bottom before treatment is evidence-based practice?
False
Myth or Fact
Naltrexone is an opioid antagonist.
Fact!
Naltrexone is an opioid receptor antagonist that blocks the euphoric and sedative feeling of opioids and one of the 3 approved FDA medications.
What does HALT stand for?
Hungry
Angry
Lonely
Tired
What does SOAP in a SOAP note stand for?
Subjective
Objective
Assessment
Plan
How many diagnostic criteria are available for diagnosing Opioid Use Disorder (OUD)?
11
Bonus- Name One of the criteria
What is trauma informed care?
This communication approach emphasizes respect, empathy and person first language to reduce stigma and improve treatment engagement.
Myth or Fact
Methadone gets in your bones
Myth!
Methadone is primarily metabolized by the liver and eliminated by the body over time. People may experience withdrawal symptoms when tapering which likely contributes to the misconception that it is stored in the bones but there is no scientific evidence that it accumulates in the bones.
What is the definition of anger according to the SAMSHA Anger Management for Substance Use and Mental Health Clients curriculum?
Anger is a feeling or emotion that ranges from mild irritation to intense fury and rage.
Name 2 questions on the Functional Analysis
Triggers
Readiness to change x2
Diversion triggered by a craving
Thoughts feelings and beliefs about trigger
Positive and negative results
Good outcome and concerns of changing behavior