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Prescription opioid abuse and the resurgence of heroin Opioid Crisis Summit Meeting October 17 2017 Dr Theodore J Cicero PhD Washington University in St Louis Department of Psychiatry Email . A CVAHEC Summer Project. Simone Cotes, UVM MSW Student. Adrienne Jarvis, UVM Medical Student. Americans make up 4.6% of world population, yet consume 80% of global opioid supply . (Manchikanti & Singh, 2008). Kenneth L. Kirsh. , . Ph.D.. Clinical Research Educator and Research Scientist. Millennium . Laboratories. Millennium Research Institute. San Diego, CA. The Opioid Pendulum. Opiophobia. Balance of Addiction Medicine and Pain Management Principles. By Carla Alexander, 4. th. Year Pharmacy Student. March . 15, . 2011. Pain management in the elderly differs from that for younger people:. Clinical manifestations are often complex and multi-factorial. Following Cesarean Delivery. By: . Rose Fontana BSN, RRNA and . Courtney Henderson BSN, RRNA. Acknowledgements . Webster University. Committee Members:. Michael Burns MS, CRNA. Christopher Black MS, CRNA. David Kan, M.D.. University of California. San Francisco. VA Medical Center. San Francisco. History of Opioids. The “Pod of Pleasure”. OTC Opiates. Opium. Smoker. Opium in San Francisco. Gentlemen prefer…opium. Foroud. . shahbazi. . PharmD. Introduction . Opioid analgesic overdose is a preventable and potentially lethal condition that results from prescribing practices, inadequate understanding on the patient's part of the risks of medication misuse, errors in drug administration, and pharmaceutical abuse. Bob Sammons, M.D., Ph.D.. Mesa Behavioral Medicine Clinic. TMS Solutions. Conflict of interest. None.      Dr. Sammons received a bachelors and master’s degree from Auburn University, a PhD in clinical psychology from the University of North Carolina at Greensboro, and a medical degree from the University of North Carolina at Chapel Hill.  He did a residency in psychiatry at the University of Virginia as well as a forensic fellowship.  While serving in the United States Air Force as a squad commander and captain, he was selected as one of 5 psychologist to establish the opiate treatment phase of the drug treatment program for the Department of Air Force in 1972.  For this he receive the  Meritorious Service Medal.  He has practiced adult psychiatry in Grand Junction for 28 years.  He is 1 of 2 physicians in town that have received specialist training and a special DEA number that allows him to prescribe Suboxone treatment for opiate dependency.. Training of Trainers. Massachusetts Department of Public Health. Bureau of Substance Abuse Services. Agenda. Massachusetts Department of Public Health. Bureau of Substance Abuse Services. Understanding Opioids. How it Happened. . Andrew Kolodny, M.D.. .. Executive Director, Physicians for Responsible Opioid Prescribing. Co-Director, Opioid Policy Research Collaborative, . Heller School for Social Policy and Management, Brandeis University. Cayce Watson, LAPSW, MAC . cayce.watson@lipscomb.edu. Lipscomb University. April Mallory, LCSW, MAC . amallor3@utk.edu. University of Tennessee College of Social Work. Workshop Learning Objectives. John e lopes . j. r. .. , . dhs. c. , pa-c. A. ssociate Professor, . Physician Assistant Program. Central Michigan University. and . Project Director. Medication-assisted Treatment Waiver Training Initiative. Prescription opioid abuse and the resurgence of heroin. Statewide Public . Health System . Meeting. July 27, . 2017. Dr. Theodore J. Cicero, PhD. Washington University in St. Louis,. Department of Psychiatry. Mental Health Roundtable. October 6, 2017. Last year, 1138 . Virginians died . from . an opioid overdose. . Profile of Opioid Addiction. Opioids are natural and synthetic compounds that bind to the brain’s opioid receptors and trigger the release of dopamine. . Joshua Blum MD. April 7, 2018. No relevant financial disclosures. Learning objectives. Utilize the latest evidence around opioid-induced hyperalgesia to mitigate negative consequences . Implement best practices around opioid rotation to manage OIH.