Monday, Oct 24

• IntNSA Global Board of Directors Meeting –  6pm, McTavish Harold

Tuesday, Oct 25

7am – 2pm ~ Imperial 5-7-9

• Exhibit Area Set-up

2pm – 4:30pm ~ Foyer

• Registration & Check-In

4:15pm – 4:30pm ~ Imperial 8

• Welcome & Opening

4:30pm – 5:30pm ~ Imperial 8

Keynote Address

91. Strategically Advancing Addictions Nursing Locally to Globally

• Presentation Handout
• Michelle Acorn, DNP, NP PHC/Adult, CGNC, FCAN, FAAN; Chief Nurse, International Council of Nurses; Ontario, Canada

Learner Objectives:

1. Highlight key global strategic nursing priorities.
2. Reveal how to leverage your value-added nursing impacts for population and professional health from local to global.

5:30pm – 6:30pm ~ Imperial 5-7-9

• Welcome Dinner

8pm – 9pm ~ Gallery

• Support Group Meeting

Wednesday, Oct 26

6am – 6:30am ~ Hotel Lobby

• Morning Walk, hosted by the Foundation for Addiction Nursing

7:30am – 9am ~ Imperial 5-7-9

• Breakfast

8am – 8:50am ~ Imperial 4

• First-time Attendee Orientation (open to all attendees)

8am – 5pm ~ Foyer

• Registration & Check-In

8am – 5pm ~ Imperial 5-7-9

• Exhibit Area

9am – 10am ~ Imperial 8

Keynote Address

94. A Call to Action for Mitigating the Social Determinants of Health: Implications for Addictions Nursing

• Vincent Guilamo-Ramos, PhD, MPH, LCSW, RN, ANP-BC, PMHNP-BC, FAAN; Dean and Distinguished Professor, Duke University School of Nursing, Vice Chancellor of Nursing Affairs, Duke University; North Carolina, USA

Learner Objectives:

1. Discuss and synthesize key principles about the mechanisms of SDOH.
2. Make an application to SDOH mitigation in addictions nursing.

10:05am – 10:35am ~ Imperial 4

Breakout Session

51. Educational sessions and changes in injection practices in the Mobile Drug Consumption Room in Lisbon: some case study examples

• CANCELLED

10:05am – 10:35am ~ Imperial 6

Breakout Session

11. Leveraging Community-Based Partnerships to Customize a Digital Self-Management Support Intervention for Mothers in Early Recovery from Addictive Substances

• Presentation Handout
• Phyllis Raynor, PhD, PMHNP-BC, CARN-AP, APRN, FIAAN; University of South Carolina College of Nursing; South Carolina, USA

Learner Objectives:

1. Describe the purpose and benefit of utilizing a community based participatory approach when addressing the needs of pregnant and early parenting women with substance use disorders.
2. Discuss preliminary findings regarding support needs for pregnant and parenting mothers in early recovery from addictive substances.
3. Discuss the benefits and barriers to providing parenting and recovery support using digital technology. Discuss implications for future studies.

10:05am – 10:35am ~ Imperial 8

Breakout Session

7. Addressing Self-Directed Hospital Discharge among People Who Use Drugs

• Presentation Handout
• Peggy Compton, RN, PhD, FAAN; School of Nursing, University of Pennsylvania; Pennsylvania, USA
• Shoshana Aronowitz, PhD, FNP-BC, MSHP; School of Nursing, University of Pennsylvania; Pennsylvania, USA
• Rachel French, PhD, RN; Center for Mental Health, University of Pennsylvania; Pennsylvania, USA
• Rachel McFadden, BSN, RN, CEN; Emergency Department, Hospital of the University of Pennsylvania; Pennsylvania, USA

Learner Objectives:

1. Describe the roles of acute pain, cravings, and withdrawal in self-directed discharge from the hospital among persons with substance use disorders.
2. Discuss nursing and interdisciplinary interventions which when implemented are designed to decrease rates of self-directed patient discharge.

10:35am – 10:55am ~ Imperial 5-7-9

• Break in Exhibit Area

10:55am – 11:25am ~ Imperial 4

Breakout Session

5. Trauma and addiction treatment

• Presentation Handout
• Paul du Buf, RGN, NMP, Somatic Practitioner; UK

Learner Objectives:

1. Describe 3 key learnings from trauma research and their relevance for addiction treatment. Understand the relevance of knowing about trauma, trauma treatment and its prevalence in addiction treatment and our culture.
2. Feel into the possibility, opportunities and challenges for addiction services to become trauma-informed and in that way lead the way to and help create a trauma-informed culture.

10:55am – 11:25am ~ Imperial 6

Breakout Session

8. Individuals to systems: Methodological and conceptual considerations for addressing mental illness and addiction stigma holistically

• Jacqueline Smith, PhD RN; University of Calgary; Canada

Learner Objectives:

1. Discuss the three levels of stigma (intrapersonal, interpersonal, and structural) that create barriers for clients and families needing access to quality health services for addiction and/or mental heath issues.
2. Explore interventions that can mitigate stigma in healthcare at both the individual and structural/organizational levels.

11:30am – 12pm ~ Imperial 4

Breakout Session

61. Opioids, Chronic pain and Addiction; Does suicide have to be the solution?

• Susanne Fogger, DNP, PMHNP-BC, CARN-AP, FAANP; University of Alabama at Birmingham (UAB); Alabama, USA

Learner Objectives:

1. Review US CDC guidelines for managing chronic pain as well as those underlying substance use disorders.
2. Review best practices in managing chronic pain utilizing pharmacological and non-pharmacological approaches.
3. Define options for treatment with long acting opioids for chronic pain as well as substance use.

11:30am – 12pm ~ Imperial 6

Breakout Session

57. Learning to say yes: merging novel harm reduction strategies at the Calgary ODP utilizing a mobile outreach model

• Cristina Zaganelli, MN NP; Alberta Health Services; Canada
• Heather Hatch, BN RN; Alberta Health Services; Canada
• Alana Wade, RN, BScN; Alberta Health Services; Canada

Learner Objectives:

1. Recognize opportunities to incorporate multiple services, especially mobile approaches, alongside OAT to increase flexibility, reduce barriers and improve access to our most vulnerable and severe OUD patients.
2. Identify what novel harm reduction strategies were employed at the iOAT and ODP program in Calgary in response to the double crisis of the Covid 19 pandemic as well as increasing overdose rates from a toxic drug supply.

11:30am – 12pm ~ Imperial 8

Breakout Session

105. Predictors of alcohol and tobacco use in the CONEMO trials participants

• Heloisa Garcia Claro, BSN, MSN, pHD; Universidade de Sao Paulo; Brazil

Learner Objectives:

1. See abstract tab

12pm – 1pm ~ Imperial 5-7-9

• Lunch Buffet

1pm – 2pm ~ Imperial 8

Keynote Address

95. Strengthening Resilience in Times of Adversity

• Nancy Manix, JD; Palix Foundation; Calgary, Canada

Learner Objectives:

1. Unpack the science behind the three aspects of the Resilience Scale Metaphor and explain the dynamic forces that influence resilience over time.
2. Discuss what is the resilience scale metaphor is and how can it be applied.
3. Explore how this resilience work can be used as a tool for clinical practice and to shift systems.

2:05pm – 2:35pm ~ Imperial 4

Breakout Session

47. Pain Management and Risks Associated With Substance Use: Practice Recommendations

• Presentation Handout
• Stephen Strobbe, PhD, RN, PMHCNS-BC, CARN-AP, FIAAN, FAAN; University of Michigan School of Nursing; Michigan, USA
• Peggy Compton, RN, PhD, FAAN; University of Pennsylvania School of Nursing; Pennsylvania, USA

Learner Objectives:

1. Describe three or more risks for individuals with co-occurring pain and substance use.
2. List two or more ethical principles related to the treatment of individuals with co-occurring pain and substance use.

2:05pm – 2:35pm ~ Imperial 6

Breakout Session

14. Publishing Addiction Science

• Christine Vourakis, PhD, RN, FAAN; Editor Emeritus, Journal of Addictions Nursing; California, USA
• Ann Mitchell, PhD, RN, AHN-BC, FIAAN, FAAN; Editor, Journal of Addictions Nursing; Pennsylvania, USA

Learner Objectives:

1. Identify main reasons for publishing your work.
2. Explore steps to publishing your manuscript including authorship.
3.  Discuss approaches to revising your manuscript.
4. Examine ways to avoid/address rejection.

2:05pm – 3:05pm ~ Imperial 8

101. FIAAN Position Paper: The Necessity of Treatment of Co-occurring Disorders: i.e. Mental Health/psychiatric Disorders and Substance Use Disorders

• Dana Murphy-Parker, MS, PMHNP-BC, CARN-AP, FIAAN
• Marissa Abram, PhD, PMHNP-BC, CARN-AP, FIAAN
• Devon Noonan, PhD, MPH, FNP-BC, CARN, FIAAN
• Camille Zalar, MHA, BSN, RN, CARN, FIAAN
• Deborah Bowman DNP, PhD, CARN-AP, NP, FIAAN

Learner Objectives:

1. Discuss the prevalence of co-occurring disorders; substance use disorders and mental health disorders.
2. Discuss the current evidence and research gaps for co-treating mental health and substance use and discuss lessons learned from COVID that can be translated to long-standing policy change to support integrated care.
3. Discuss the current treatment modalities, both traditional and alternative, for co-occurring disorders.
4. Identify influencing factors that sustain stigma associated with mental health and substance use disorders and how healthcare professionals can help change the narrative by using de-stigmatizing language.

2:40pm – 3:10pm ~ Imperial 4

Breakout Session

16. Community-based research to understanding and respond to substance use and addiction in Prince Albert, Saskatchewan: Complexities and lessons learned

• Presentation Handout
• Geoffrey Maina, RN, PhD; University of Saskatchewan; Canada
• Marcela Ogenchuk , RN, PhD; University of Saskatchewan; Canada
• Jordan Sherstobitoff, RN, MN student; University of Saskatchewan; Canada

Learner Objectives:

1. Describe the community-engagement processes undertaken to identify priorities for families affected by SUD and addiction in Prince Albert.
2. Describe elements of the community engagement process in the research process on exploring the needs for and developing interventions for families affected by addiction in Prince Albert.
3. Discuss lessons learned in the community engagement process for the project- exploring the needs for and developing interventions for families affected by addiction in Prince Albert.

2:40pm – 3:10pm ~ Imperial 6

Breakout Session

27. Building capacity for cross county collaborations to advance Addictions Nursing Science

• Devon Noonan, PhD, MPH, FNP-BC, CARN; Duke University; North Carolina, USA
• Jennifer Jackson, PhD RN; University of Calgary; Canada
• Maria Duaso, PhD RN; Kings College London; UK

Learner Objectives:

1. Describe the process for implementing cross county research collaborations in Addiction Nursing.
2. List two key suggestions for designing and sustaining similar partnerships globally among tobacco nurse researchers that can be applied to other areas of addictions science.

3:10pm – 3:30pm ~ Imperial 5-7-9

• Break in Exhibit Area

3:30pm – 4:30pm ~ Imperial 8

102. Harm Reduction Associated with Substance Use Disorders in a Post Pandemic World: A Global Perspective

• Dana Murphy-Parker, MS, PMHNP-BC, CARN-AP, FIAAN; University of Colorado; Colorado, USA
• Paulo Seabra, PhD; Lisbon Nursing School; Portuagal
• Adrian Jugdoyal, G Dip, PGCAP, BSc (Hons), BSc (Hons), Dip HE; Faculty of Health, Social Care and Education, Middlesex University; UK Adam
• Searby, RN, PhD; Deakin University, Melbourne; Australia
• Virtual attendance by Theresa Fay-Hillier, DrPH, MSN, PMHCNS-BC, Drexel University; Roseann Regan, PhD, APRN, BC, Drexel University

Learner Objectives:

1. Identify two evidence-based harm reduction interventions.
2. Identify the impact bias has on Harm Reduction interventions.
3. Identify at least one difference in Harm Reductions interventions globally.

4:40pm – 5:40pm ~ Imperial 8

Keynote Address

104. Intergenerational Trauma: Our Community’s Opportunity to Heal a Families Inherited Stigma

• Agnes Chen, RN; Founder of Starlings Community; Calgary, Alberta

Learner Objectives:

1. Identify how substance use stigma can influence risk for adverse health outcomes in youth who are exposed to parental substance use disorder.
2. Apply a trauma-aware and healing centred approach to their practice with individuals who have a SUD.
3. Recognize potential opportunities within the nursing community to dismantle stigma and support the well-being of impacted families.

6pm – 7pm ~ Imperial 5-7-9

• Networking Dinner

6pm – 8pm ~ McTavish Harold

• JAN Editorial Board Meeting (closed)

8pm – 9pm ~ Gallery

• Support Group Meeting

Thursday, Oct 27

6am – 6:30am ~ Hotel Lobby

• Morning Walk, hosted by the Foundation for Addiction Nursing

7:30am – 9am ~ Imperial 5-7-9

• Breakfast

8am – 5pm ~ Foyer

• Registration & Check-In

8am – 5pm ~ Imperial 5-7-9

• Exhibit Area

9am – 10am ~ Imperial 8

Keynote Address

96. Preventing Maternal Overdose: What can be done?

• Meaghan Thumath, RN, MPH, D.Phil; Regional Director Communicable Disease Control, Office of the Chief MHO, VCH; Clinical Assistant Professor, School of Nursing, University of British Columbia; Clinician Scientist, Centre for Gender and Sexual Health Equity

Learner Objectives:

1. Review evidence on risk factors and prevention strategies to prevent overdose among women who use drugs, with an emphasis on mothers.
2. Understand interventions to reduce maternal overdose for my patients and community.

10:05am – 10:35am ~ Imperial 4

Breakout Session

32. Interactive Computer Simulation Training for Clinicians in Screening and Brief Intervention for Substance Use Among Adolescent Psychiatric Inpatients

• Presentation Handout
• Samantha Toomey; University of Michigan School of Nursing; Michigan, USA
• Emma La Forest; University of Michigan School of Nursing; Michigan, USA
• Jai Ahluwalia; New York Medical College; New York, USA
• Rhonda Schultz , BSN, RN; University of Michigan School of Nursing; Michigan, USA
• Robert Ploutz-Snyder , PhD, PStat; University of Michigan School of Nursing; Michigan, USA

Learner Objectives:

1. Identify key aspects of the interactive computer simulation, SBI with Adolescents (Kognito).
2. Describe outcomes (e.g., assessment challenge scores, self-perceived competence and confidence, and qualitative feedback) among a sample of inpatient adolescent psychiatric clinicians who participated in this training.

10:05am – 10:35am ~ Imperial 6

• Breakout Session

49. Risk perceptions and recovery threats for clients with a history of methadone maintenance therapy dropout

• Jordan Sherstobitoff, BScN, RN, MN Student; University of Saskatchewan; Canada
• Geoffrey Maina, RN, BScN, MN, PhD; University of Saskatchewan; Canada

Learner Objectives:

1. Increase understanding of clients perspectives of the systemic and personal barriers present in the treatment for Opiate Use Disorder in Prince Albert Region, SK.
2. Increase understanding of clients perspectives of opiate use disorder risks and management before, during treatment and following treatment failure and re enrollment to opiate substitution therapy in Prince Albert Region, SK.

10:05am – 10:35am ~ Imperial 8

Breakout Session

45. Chemsex Treatment in Rotterdam: An Integrated Mental Health Program for problematic sexualized drug use

• Presentation Handout
• Jennifer Krans, MSc.; Antes; Netherlands Christopher Tearno, MSc.; Antes; Netherlands

Learner Objectives:

1. Discover an innovative outpatient care offering recently begun at an outpatient addiction services clinic in Rotterdam (the Netherlands).
2. How to treat multiple disorders related to the problematic Chemsex (EG: Borderline Personality disorder, Post Traumatic Stress Disorder, ADHD, Sexual dysfunctions, ineffective self esteem).
3. Providing culturally relative care and involving peer coaches in treatment.

10:35am – 10:55am ~ Imperial 5-7-9

• Break in Exhibit Area

10:55am – 11:25am ~ Imperial 4

Breakout Session

6. The Booze-Less Drinking Game: Exploring Alcohol Consumption Among Australian Nurses

• Presentation Handout
• Adam Searby, RN, PhD; Deakin University; Australia

Learner Objectives:

1. Explore the prevalence of alcohol consumption among Australian nurses, particularly in the context of the global COVID-19 pandemic.
2. Present potential technology-based interventions for risky alcohol consumption among nurses.
3. Explore qualitative research that explores the implementation of these interventions, as well as the perception of alcohol consumption, stress and the pandemic.

10:55am – 11:25am ~ Imperial 6

Breakout Session

55. Implementing an innovative service to support transitions in care for people with substance use disorders: Lessons learned and preliminary evaluation

• Presentation Handout
• Sara Ling, RN, PhD, CPMHN(C); Centre for Addiction and Mental Health; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto; Canada
• Alison Watson, RN, MN, CPMHN(C); Centre for Addiction and Mental Health; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto; Canada

Learner Objectives:

1. Learn about the formation of a novel service to support patients with substance use disorders transitioning from inpatient settings to the community.
2. Hear patient and clinician feedback about the service.
3. Understand key lessons learned in the development and evaluation of the service from the perspectives of nurse leaders.

10:55am – 11:25am ~ Imperial 8

Breakout Session

62. Challenges for Nurse Anesthetists Re-Entering Practice Following Substance Use Disorder Treatment

• T’Anya Carter, CRNA, PhD; Texas, USA

Learner Objectives:

1. Describe substance use disorder in nurse anesthesia providers.
2. Describe the challenge of stigma that prevents CRNAs from returning to practice.
3. List the facilitators to re-entry for nurse anesthetists in recovery attempting to re-enter practice following SUD treatment.

11:30am – 12pm ~ Imperial 4

Breakout Session

20. Creating space for immigrant communities to speak up and build solutions to address substance use and addiction in Regina, Saskatchewan.

• Presentation Handout
• Geoffrey Maina, RN, PhD; University of Saskatchewan; Canada
• Jordan Sherstobitoff , RN, MN student; University of Saskatchewan; Canada
• Razawa Maroof , MD; Regina Community Clinic; Canada
• Thea Herzog , BSN MN; University of Saskatchewan; Canada

Learner Objectives:

1. Describe the process of community engagement and knowledge exchange with immigrant stakeholders on substance use and addiction among recent immigrants in Regina, Saskatchewan.
2. Discuss the outcome and lessons learned from community engagement and knowledge exchange with immigrant stakeholders on substance use and addiction among recent immigrants in Regina, Saskatchewan.

11:30am – 11:59am ~ Imperial 6

Breakout Session

9. Emergency department (ED) discharge protocols/procedures for patients presenting with an illicit, accidental drug overdose (OD): Determining evidence-based practice (EBP) interventions and discharge instruction

• Presentation Handout
• Ruthanne Palumbo, DNP, RN, CNE, CARN; UNCW; North Carolina, USA
• Nancy Ahern, PhD, RN, CPHQ; UNCW; North Carolina, USA
• Amany Bebawy, Quality Management System Manager PhD, RN, CPHQ; New Hanover regional Medical Center-Novant Health; North Carolina, USA
• Brandy Mechling, PhD, RN, PMHCNS-BC; UNCW; North Carolina, USA

Learner Objectives:

1. Identify two gaps in interventions provided to post-OD patients upon discharge.
2. Discuss the incorporation of appropriate EBP interventions.

12pm – 1pm ~ Imperial 5-7-9

• Lunch Buffet

1pm – 2pm ~ Imperial 8

• Awards Ceremony

2:10pm – 3:10pm ~ Imperial 8

103. Interdisciplinary Teams: Integrating Addiction Treatment into Whole Person Care

• Dr. Brian Hurley, President-Elect; American Society of Addiction Medicine; USA

Learner Objectives:

1. Describe the treatment gap and the rationale for integrating addiction treatment throughout all sectors of healthcare.
2. Define the collaborative care model and discuss its role in managing behavioral health treatments within primary care.
3. Compare and contrast the many definitions of integrated care and the role nurses play within integrated care models.

3:10pm – 3:30pm ~ Imperial 5-7-9

• Break in Exhibit Area

3:30pm – 4pm ~ Imperial 8

Keynote Address

93. Addiction Nursing Skills and Practices in Europe: Challenges in These Times of Change

• Paulo Seabra, PhD; Lisbon Nursing School; Portugal

Learner Objectives:

1. Reflect on usual practices on addiction nursing and harm reduction paradigm in Europe.
2. Stimulate discussion on the paths of addiction nursing in Europe.

4:05pm – 4:35pm ~ Imperial 8

Keynote Address

108. Translating Research into Practice to Increase the Drug Treatment Workforce

• Presentation Handout
• Charlotte Sisson, MA; Senior Foreign Affairs Officer, U.S. Department of State; Washington, DC, USA

Learner Objectives:

1. Identify different aspects of drug treatment and prevention education developed for the international workforce to include populations with special clinical needs.
2. Learn about other professionals and grassroots organizers in the field of substance use disorders.

4:45pm – 5:15pm ~ Foyer

• Poster Sessions, see poster tab

5:30pm – 7pm ~ Imperial 5-7-9

• Networking Dinner

6pm – 8pm ~ McTavish Harold

• IntNSA Global Board Meeting (closed)

8pm – 9pm ~ Gallery

• Support Group Meeting

Friday, Oct 28

6am – 6:30am ~ Hotel Lobby

• Morning Walk, hosted by the Foundation for Addiction Nursing

7am – 8am ~ Gallery

• Support Group Meeting

7:30am – 9am ~ Imperial 5-7-9

• Breakfast

8am – 11:30am ~ Foyer

• Registration & Check-In

8am – 11:30am ~ Imperial 5-7-9

• Exhibit Area

8am – 9:30am ~ Imperial 8

• IntNSA Membership Meeting

9:35am – 10:05am ~ Imperial 4

Breakout Session

10. Effective Nursing Recovery-Oriented Interventions for Individuals with Substance Use Disorder: A Qualitative Descriptive Study

• Presentation Handout
• Niall Tamayo, RN, MN, CPMHN(C); Centre for Addiction and Mental Health; Canada
• Annette Lane, PhD; Athabasca University; Canada

Learner Objectives:

1. Outline one theory or approach that nurses utilized that effectively supported the recovery of Individuals with substance use disorder (ISUD).
2. Summarize five nursing interventions that effectively promote the recovery of ISUD.
3. Describe two effective nursing interventions that were infrequently mentioned which promote recovery of ISUD.

9:35am – 10:05am ~ Imperial 6

Breakout Session

36. The experiences of people who smoke with type 2 diabetes: A qualitative interview study using the COM-B model

• Presentation Handout
• Jennifer Jackson, PhD RN; University of Calgary; Canada
• Maria Duaso, PhD; King’s College London; UK
• Devon Noonan, PhD; Duke University; North Carolina, USA

Learner Objectives:

1. Discuss unique challenges of smoking cessation for people diabetes mellitus type.
2. Illustrate how the COM-B model can inform smoking cessation interventions.

9:35am – 10:05am ~ Imperial 8

Breakout Session

52. Sharp Points on a Map: Understanding the Impact of Urban Needle Debris Using GIS Mapping

• Presentation Handout
• Alexandra Ewanyshyn, BA Psychology, Minor in Urban Studies; University of Calgary; Canada
• Twyla Ens, MN RN CCNE, Senior Instructor; Faculty of Nursing, University of Calgary; Canada
• Jennifer Jackson, PhD RN, Assistant Professor; Faculty of Nursing, Univeristy of Calgary; Canada

Learner Objectives:

1. Formulate an understanding of what needle debris is, and how it can be broken down into categories of debris ‘types’.

10:10am – 10:40am ~ Imperial 4

Breakout Session

35. Gaining Recovery in Addictions for Community Elders (GRACE) Project: Age-Specific Substance Use Treatment to Improve Patient Outcomes Among an Older Adult Population

• Kathleen Schachman, PhD, PMHNP-BC, FIAAN; Saginaw Valley State University; Michigan, USA
• Catherine Macomber, PhD, LMSW; Saginaw Valley State University; Michigan, USA
• Matthew Mitchell, DHA, LMSW, CAADC, CCS; Saginaw Valley State University; Michigan, USA

Learner Objectives:

1. Recognize frequently misattributed SUD symptoms in older adults that have historically led to ineffective treatment. Identify factors that contribute to poor treatment uptake and engagement in older adults.
2. Tailor addictions care to the physical, cognitive, and psychosocial needs of older adults.
3. Deliver age-specific SUD treatment strategies for older adults from the context of an interprofessional team.

10:10am – 10:40am ~ Imperial 6

Breakout Session

19. Medication-Assisted Treatment vs 12-Step Group Therapy: A Comparative Analysis of Adherence and Abstinence in Patients with Opioid Use Disorder

• Presentation Handout
• Derrick Glymph, PhD, DNAP, CRNA, APRN, COL., USAR, FAANA, FAAN; FIU; Florida, USA

Learner Objectives:

1. Analyze MAT and 12-step group therapy.
2. Describe Predictors for adherence and abstinence to treatment programs.
3. Evaluate treatment programs.
4. Describe criteria dx of opioid use disorder.

10:45am – 11:15am ~ Imperial 4

Breakout Session

54. Early discharges from an inpatient withdrawal management service: Findings from a qualitative descriptive study.

• Presentation Handout
• Sara Ling, RN, PhD, CPMHN(C); Centre for Addiction and Mental Health; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto; Canada

Learner Objectives:

1. Discuss contributors to early discharges. Understand patient perspectives on the ‘AMA’ discharge experience.
2. Explore possible interventions to prevent early discharges and improve associated processes when they cannot be prevented.

10:45am – 11:15am ~ Imperial 6

Breakout Session

63. Exploring the role of the nurse in opioid use disorder treatment: A focused ethnographic study

• Presentation Handout
• Amie Kerber, RN, BScN, MN Candidate; University of Calgary; Canada
• Tam Truong Donnelly, BScN, MSN, PhD; University of Calgary; Canada
• Aniela Dela Cruz; University of Calgary; Canada Candace Lind; University of Calgary; Canada

Learner Objectives:

1. Understanding of the complexity of care required by clients experiencing OUD,
2. Learning how harm reduction principles permeate all aspects of the nurse role, and the importance of expansion of services for OUD treatment.

11:30am – 12:30pm ~ Imperial 8

Keynote Address

92. What the #$%! Just Happened? Sharing Insights of Healing

• Jennifer Bishop, BScN; Alberta Health Services; Alberta, Canada

Learner Objectives:

1. Inspire support of those who are in the process of healing.
2. Enhance awareness of opportunities to use your voice and gifts influence others towards positive change.

2pm – 8:30pm ~ Hotel Lobby

• Visit to Banff (separate registration fee required); Meet in hotel lobby; coach departs at 2pm (returns to hotel approx 8:30pm)

Pre-Recorded Sessions

17. Program Evaluation of Adolescent Intervention Program (AIP): Substance Abuse Education Program for At Risk Adolescents

• Shanea Clancy, DNP, RN, CARN-AP; Pennsylvania, USA

Learner Objectives:

1. Identify healthcare need being addressed specifically to Adolescent Intervention Programming.
2. AIP Evaluation based off the John Hopkins Nursing EBP Model and the W. K. Kellogg Step by Step Guide to Program Evaluation.
3. Identify how social determinant of health align with AIP evaluation. Identify the differences and strengths between qualitative and quantitative data specific to nontraditional program evaluations.

40. Nursing Led Contingency Management in a Perinatal Substance Exposure Clinic

• Anna Gerhardt, RNC-MNN, MSW; Mountain Area Health Education Center – Project CARA; North Carolina, USA
• Melinda Ramage, FNP-BC, CARN-AP; Mountain Area Health Education Center – Project CARA; North Carolina, USA
• Emma Blake, BS; Mountain Area Health Education Center – Project CARA; North Carolina, USA

Learner Objectives:

1. Understand current trends in stimulant use and the need for contingency management.
2. Review the evidence behind Project CARAs intentional contingency management program design that targets patient engagement over urine drug screen results. Explore the Nurse’s role in creating, implementing, and sustaining a clinical contingency management program.
3. Apply solutions-based strategies to overcome barriers to implementing contingency management programs.

106. S.A.V.E Training (60 minutes)

• Shanea Clancy, DNP, RN, CARN-AP; Pennsylvania, USA

Learner Objectives:

1. Gain a general understanding of the scope of suicide within the United States.
2. Identify a Veteran who may be at risk for suicide. Know what to do when you identify a Veteran at risk.

Virtual Poster

53. An Interdisciplinary Approach to Promote Self-Care and Wellness for Undergraduate Nursing Students

• Presentation Handout (pptx)
• The virtual poster recording can be played by downloading the above handout (pptx) and running the slide audio.
  
• Linda Garner, PhD, RN, MSN; Southeast Missouri State University; Missouri, USA

Learner Objectives: Describe a research project designed to promote self-care and wellness among nursing students using an interdisciplinary model. Present significant findings related to student knowledge, attitudes, and behaviors related to self-care and wellness. Describe integration of self-care and wellness strategies into a nursing curriculum as a way to support students in their efforts to care for themselves while they learn to care for others.

Poster Sessions

Thursday, Oct 27; 4:45pm – 5:15pm ~ Foyer

12. Womens Experiences of Seeking Treatment for Substance Use Disorder During Pregnancy

• Presentation Handout
• Kimberly Dion, PhD, RN, CNE, CARN; University of Massachusetts Amherst Elaine Marieb College of Nursing; Massachusetts, USA
•  Sandra Cardaropoli; Massachusetts, USA

Learner Objectives: Describe two facilitators for pregnant women seeking treatment during pregnancy for their substance use disorder. Describe two barriers for pregnant women seeking treatment during pregnancy for their substance use disorder. Describe two ways that health care providers can improve outcomes of pregnant women with a substance use disorder.

13. The S-Substance A-Abuse M-Management and E-Education Project- Decreasing Student Nurses Stigma

• Presentation Handout
• Kimberly Dion, PhD, RN, CNE, CARN; University of Massachusetts Amherst, Elaine Marieb College of Nursing; Massachusetts, USA
• Donna Zucker, PhD, RN, FAAN; University of Massachusetts Amherst, Elaine Marieb College of Nursing; Massachusetts, USA
• Suzanne Rataz, MPH; University of Massachusetts Amherst; Massachusetts, USA
• Diane Fedorchak, MEd; University of Massachusetts Amherst; Massachusetts, USA

Learner Objectives: Describe three activities to decrease the stigma toward those with a substance use disorder. Describe how to incorporate training into a nursing curriculum to address the needs of individuals with a substance use disorder. Describe how to incorporate harm reduction education into the student nurses’ clinical practicum.

18. Attitudes of Portuguese health professionals towards alcohol consumption

• Paulo Seabra, PhD; Lisbon Nursing School; Portugal
• Ines Nunes, MSc; Northern Lisbon University Hospital Centre (CHULN) – Psychiatry and Mental Health Department; 
• Vanessa Silva, MSc; ASFE SAUDE – Palliative Care Unit; 
• Olga Valentim, PhD; Polytechnic Institute of Lusofonia, Higher School of Health; 
• Lara Pinho, PhD; Nursing Department of Universidade de Evora;

Learner Objectives: Identify the perception of Portuguese health professionals regarding alcohol consumption. Identify the relationship between attitudes towards alcohol consumption, self-efficacy and resilient coping.

29. Identifying and Synthesizing Nurses Actions, Practices, and Work with People Living with Opioid Use Disorder

• Timothy Sowicz, Ph.D., RN; The University of Arizona College of Nursing; Arizona, USA
• Jungmin Lee, Ph.D., RN; Hallym University; South Korea

Learner Objectives: Summarize the strategies used to search the literature. Recite at least two findings from the narrative literature review. State at least one area in need of research based on the findings of this narrative literature review.

31. Improving Opioid Use Disorder Care for Hospitalized Patients with Endocarditis

• Rachel French, PhD, RN; University of Pennsylvania; Pennsylvania, USA
• Peggy Compton, PhD, RN, FAAN; University of Pennsylvania; Pennsylvania, USA
• Justin Clapp, PhD, MPH; University of Pennsylvania; Pennsylvania, USA
• Alison Buttenheim, PhD, MBA; University of Pennsylvania; Pennsylvania, USA
• David Mandell, ScD; University of Pennsylvania; Pennsylvania, USA

Learner Objectives: Understand that hospitalization represents a reachable moment for addressing (opioid use disorder) OUD among patients with OUD and endocarditis. Recognize that at one urban hospital in Philadelphia, most healthcare workers provide some OUD care to patients with OUD and endocarditis. Appreciate that barriers prevent adequate care delivery during and following hospitalization for endocarditis among people with OUD.

33. Evaluation of Simulation Training on Screening, Brief Intervention, and Referral to Treatment for Adolescent Substance Abuse in Pre and Post Licensure Nursing Programs

• Kathleen Elertson, DNP, APNP, CPNP, FNP-BC, RN; University of Wisconsin Oshkosh; Wisconsin, USA

Learner Objectives: Recognize two risk factors for adolescent substance use. Identify two strategies to effectively screen adolescents for substance use.

34. Impact of online mental health educational strategies to reduce stigmatizing attitudes and increase empathy towards people with mental illness and addictions among nursing students

• Presentation Handout
• ARCHANA PAUL, RN, MScN; York University, Arizona, USA

Learner Objectives: Understand and recognize the existence of stigmatizing attitude and negative perception towards individuals with mental illness and addictions among nursing students. Assess the impact of educational strategies in the curriculum in reducing the stigmatizing attitude and negative perception among nursing students. Identify recommendation for future practices.

37. Experiences of healthcare professionals working in Alberta, Canada harm reduction programs: A qualitative interview study

• Presentation Handout
• Farida Gadimova, RN; University of Calgary; Canada
• Jennifer Jackson, PhD, RN; University of Calgary; Canada

Learner Objectives: Increase familiarity with iOAT programs as a treatment for opioid use disorder. Share the experiences of staff working at iOAT programs in Alberta, Canada. Provide recommendations for supporting staff in iOAT and promoting high-quality care in harm reduction services.

44. Instructional Scaffolding to Build Confidence, Competence, and Readiness to Provide Substance Use Treatment Among Nurse Practitioner, Social Work and Pharmacy Students

• Presentation Handout
• Kathleen Schachman, PhD, PMHNP-BC, FAANP, FIAAN; Saginaw Valley State University; Michigan, USA
• Trisha Charbonneau-Ivey, BA, MSHAL; Saginaw Valley State University; Michigan, USA
• Kimberly Martini-Toth, MSW, LMSW, CPC-R, QIDP; Saginaw Valley State University; Michigan, USA

Learner Objectives: Engage addictions recovery communities to participate in the development, implementation, and evaluation of MAT training for health professions students. Develop an Objective Structured Clinical Examination (OSCE) to improve the confidence and competence of health professions students in the assessment, diagnosis and treatment of patients with substance use disorders. Evaluate the effectiveness an addiction-focused OSCE in fostering improvement in knowledge and attitudes toward individuals with substance use disorders.

48. Scoping review of strategies for addressing needle debris in municipalities

• Megan Tung, BSc.; University of Calgary; Canada
• Jennifer Jackson, PhD, RN; University of Calgary; Canada
• Carla Ferriera, MN, RN, CHSE; University of Calgary; Canada
• Twyla Ens, MN, RN, CCNE; University of Calgary; Canada

Learner Objectives: Identify the impact of needle debris and the scope of available literature on discarded drug paraphernalia. Learn about published strategies and interventions to address needle debris.

50. Smartphone addiction and coping strategies in the Portuguese population: A cross-sectional study

• Paulo Seabra, PhD; Lisbon Nursing School; Portugal
• Olga Valentim, PhD; IPLUSO; Portugal
• Lara Pinho, PhD in Nursing; Universidade de Evora;  Lidia Moutinho, PhD in Nursing; ESEL; Portugal
• Ines Nunes, master; Centro Hospitalar Universitario Lisboa Norte; Porgugal

Learner Objectives: Identify the dependence of Portuguese population about smartphone use. Identify the relationship between coping strategies and smartphone dependence in Portuguese population.

56. Exploring the Effects of Off-Label Use of Paliperidone on Mood Disturbance and Suicidal Ideation in Individuals with Severe Alcohol Use Disorder and Borderline Personality Disorder

• Kelly Kokus, DNP, FNP-BC, NP-PHC, MScN, BScN(Hons); Grand River Community Health Centre; Canada

Learner Objectives: Explore the off-label use of Paliperidone for mood regulations and suicidal ideation. Review the secondary effects of Paliperidone on concurrent alcohol use disorder and treatment retention.

58. OPTIONS-DC: A new standard in serious infection discharge planning for those with Substance Use Disorders

• Presentation Handout
• Kathleen Young, CARN, BSN; Oregon Health & Science University; Oregon, USA

Learner Objectives: Identify 3 key components of OPTIONS-DC meetings. List 2 goals of OPTIONS-DC model. Describe RN role in successful orchestration of the OPTIONS-DC model.

59. The Consequences of Stigma on Youth Exposed to a Parent’s Addiction

• Agnes Chen; Starling Community; Canada

Learner Objectives: Gain an understanding of how stigma impacts parents with unaddressed trauma and problematic substance use. Understand the many ways substance use stigma impacts the health and well-being of youth exposed to parental addiction. Gain an understanding of the benefits of how incorporating a trauma-aware and healing-centred lens into their interactions with impacted families.

65. Substance Use Disorders and Type 2 Diabetes Mellitus: Integration of Evidence-Based Diabetes Prevention Program to Promote Quality Health Outcomes in Clients Undergoing SUD Treatments

• Presentation Handout
• Oluremi Adejumo, DNP, MS, RN; University of Maryland School of Nursing; Maryland, USA

Learner Objectives: Recognize that mental health conditions and substance use disorders [SUDs] are contributory risk factors to development of type 2 diabetes (T2DM). Connect the benefits of evidence-based diabetes prevention lifestyle interventions to the care of clients undergoing mental health treatments, such as SUDs. Apply a comprehensive approach and evidence-based skills in management of clients with mental health conditions (i.e., anxiety, depression, SUDs, etc.).

Presenter Biographies

(alphabetical by last name)

Shoshana Aronowitz, PhD, FNP-BC, MSHP; School of Nursing, University of Pennsylvania; Pennsylvania, USA

Shoshana Aronowitz, PhD, FNP-BC, MSHP is a family nurse practitioner, community-engaged health services researcher, and Assistant Professor in the Department of Family and Community Health at Penn Nursing. Her research examines innovative delivery models to promote equitable access to substance use treatment and harm reduction services, as well as racial disparities in pain management in the context of the opioid overdose crisis. She provides substance use disorder treatment at Prevention Point Philadelphia and Ophelia Health. In addition, she is a member of SOL Collective, a grassroots harm reduction organization located in Philadelphia. Dr. Aronowitz holds a PhD in Nursing from Penn Nursing, and earned her Masters in Nursing from the University of Vermont, and Masters in Health Policy from the University of Pennsylvania. She completed her postdoctoral fellowship at the National Clinician Scholars Program.

Caroline Figueira Pereira, Ph.D MsN, BsN; Brazil

Faculty at Sao Paulo University School of Nursing

Michelle Acorn, DNP, NP PHC/Adult, CGNC, FCAN, FAAN; Chief Nurse, International Council of Nurses; Ontario, Canada

Dr. Acorn has evolved from diploma to post-doctoral education. Michelle completed her Doctor of Nurse Practitioner (NP)/Nursing Practice. She was an inaugural international Miller Foundation Post-Doctoral System Chief Nurse Executive Fellow and is in the second Coldiron Fellow cohort in the Shaughnessy Nurse Leadership Academy, Frances Payne Bolton School of Nursing at Case Western University. Dr. Acorn was inducted as an inaugural Fellow of the Canadian Academy of Nursing. She was also inducted into the American Academy of Nursing. Dr. Acorn transitioned from clinical to executive leadership in 2018 as the Ontario Provincial Chief Nursing Officer in Canada, providing strategic nursing expertise and advice. Dr. Acorn was appointed as the inaugural Chief Nurse of the International Council of Nurses in 2021, a federation representing over 28 million nurses worldwide. Michelle is certified as a Global Nurse Consultant. She continues to practice clinically and teach graduate prepared nurses.

Oluremi Adejumo, DNP, MS, RN; University of Maryland School of Nursing; Maryland, USA

Dr. Oluremi Adejumo, a member of the IntNSA-USA and IntNSA-Nigeria chapters, is an Assistant Professor at the University of Maryland School of Nursing and a former Adjunct Professor at Johns Hopkins School of Nursing in Baltimore Maryland. Her primary goal is to help strengthen the nursing capacity in the U.S. and abroad – making prevention a priority. As a translational leader she has facilitated many community-based programs development, even in a complex adaptive system. Her expertise lies in translation of evidence-based research to practice. As an initiative-taking leader, her aim to empower other nurses is evident in her engagements in nursing activities that foster professional growth. When Dr. Adejumo recognized the threats of substance misuse to the citizens of Nigeria, within a short duration of her membership and engagements with IntNSA, she facilitated the establishment of the first chapter of this prestigious nursing society in Africa (IntNSA-Nigeria) to promote inter-professional-collaborations.

Nancy Ahern , PhD, RN, CPHQ; UNCW; North Carolina, USA

I am an Associate Professor who completed her Ph.D. at the University of Central Florida. She joined the UNCW nursing faculty in 2013. Her current scholarship and research interests focus on the risks and resilience of youth and best practice care for individuals with substance use disorders, especially OUD.

Jai Ahluwalia; New York Medical College; New York, USA

Jai Ahluwalia is going into his fourth year of medical school at New York Medical College in Valhalla, NY. He studied economics at the University of Michigan and graduated in 2018. His current research interests include quality improvement, adolescent substance use, and healthcare economics. He has been a part of the University of Michigan School of Nursings team working alongside Dr. Stephen Strobbe regarding Screening, Brief Intervention, and Referral to Treatment (SBIRT) since 2017 and has had the opportunity to present the teams work across multiple forums in his medical school community.

Amany Bebawy, Quality Management System Manager PhD, RN, CPHQ; New Hanover regional Medical Center-Novant Health; North Carolina, USA

I am a Registered Nurse (RN) and Certified Professional in Healthcare Quality (CPHQ). I work on identifying quality improvement opportunities and guide the multidisciplinary team on achieving the initiative’s goals. I have Ph.D. in Health Administration and a Master’s degree in Nursing (MSN) emphasis on Leadership in Healthcare Systems.

Jennifer Bishop, BScN; Alberta Health Services; Alberta, Canada

I am passionate about creating/contributing to the strategic influence to support holistic health care with a special focus on addiction and mental health. I am passionate about opportunities to look at the “big picture” and contribute to the evolution of supporting myself and others in achieving their personal best in physical, mental, spiritual, and emotional health wherever possible. My journey and passion for working with people started growing up in rural Alberta, learning life through the lens of rural community, close family and onto my formal education path of nursing (psychiatric and general) and now dipping into sport psychology. I received a diploma in Psychiatric Nursing from the School of Nursing (now McEwan University), a Bachelor’s degree in Nursing from the University of Alberta and now started a Master’s Degree in Sport Psychology and Performance. I have worked in healthcare for 29 years in many diverse areas such as addiction, mental health clinician, private rehabilitation, post-secondary educator, entrepreneur, and health care leader. I’ve been blessed to have a loving family, was married for 21 years with two beautiful sons, a lovely home, recreation property, modest luxuries, a robust and successful career. My journey is not a new one but was transformed by the harshest of realities in 2021 of which I aim to share my personal insights.

Emma Blake, BS; Mountain Area Health Education Center – Project CARA; North Carolina, USA

Emma Blake is one of Project CARAs Program Coordinators. She graduated in 2020 from Davidson College with a double major in psychology and Hispanic studies. Motivated by her interest in clinical psychology, she started working at MAHEC in 2020 as a Davidson Impact Fellow before transitioning to her role as Program Coordinator and Research Associate at Project CARA in 2021. Her work at CARA focuses on internal operations, perinatal research, and contingency management. Emma is passionate about behavioral healthcare, and is particularly interested in the intersections between substance use and other mental health disorders.

Alison Buttenheim, PhD, MBA; University of Pennsylvania; Pennsylvania, USA

Dr. Alison Buttenheim is an Associate Professor of Nursing and Health Policy. Her research addresses persistent behavior change challenges in public and global health. Using the techniques and frameworks of behavioral economics, Alison designs, trials, and scales innovative interventions in the areas of vaccine acceptance, smoking cessation, reproductive health, cancer prevention, and vector control. A recognized evaluation expert, Alison has consulted on several impact evaluation studies in international settings, including village midwife and microfinance programs in Indonesia, school feeding schemes in Laos, and improved sanitation in urban Bangladesh.

Joao Caldas; Grupo de Ativistas em Tratamentos; Portugal

Peer Educator

Sandra Cardaropoli; Massachusetts, USA

Sandra is a mother, a woman in recovery, and the founder of MAT Moms on Facebook.

T’Anya Carter, CRNA, PhD; Texas, USA

TAnya Carter is a practicing Certified Registered Nurse Anesthetist in Dallas, TX and recently earned her PhD at the University of Alabama at Birmingham School of Nursing. Her research interest includes substance use disorder among Certified Registered Nurse Anesthetists (CRNAs), with a focus on barriers to re-entry into practice.

Trisha Charbonneau-Ivey, BA, MSHAL; Saginaw Valley State University; Michigan, USA

Trisha Charbonneau-Ivey, BA, MSHAL is the Associate Director for the Center for Rural Behavioral Health & Addiction Studies at Saginaw Valley State University. Trisha is dedicated to achieving excellence in integrated behavioral health and substance use disorder prevention, treatment, and recovery services. She is responsible for special projects that develop and deliver innovative interdisciplinary healthcare education opportunities, including Project ECHO. Trisha holds Bachelor of Arts Degree in Sociology from Aquinas College, a Master of Science in Health Administration and Leadership from Saginaw Valley State University, and a certificate in Integrated Behavioral Health and Primary Care from the University of Michigan.

Agnes Chen, RN; Founder of Starlings Community; Calgary, Alberta, Canada

Agnes Chen is a Registered Nurse, a social justice advocate, and the founder of Starlings Community, a not-for-profit whose mission is to protect the health and promote the healing of youth exposed to a parent’s substance use disorder. Leading a national movement that recognizes the harm that substance use stigma imposes on the health and well-being of youth, Agnes is empowering a Canada that addresses the systemic barriers that contribute to intergenerational cycles of trauma in families.

Shanea Clancy, DNP, RN, CARN-AP; Pennsylvania, USA

Dr. Clancy is a DNP graduate of Duquesne University (2021), making her a two-time alumnus with a previous Magnum Cum Laude MSN Forensic Nursing degree (2018). Dr. Clancy completed her BSN at Clarion University in 2015 (Cum Laude). She completed her initial RN training at The Western Pennsylvania Hospital School of Nursing. She is currently employed at the Butler VA as Suicide Prevention Coordinator Team Lead and is the Hispanic Heritage Special Emphasis Program Manager and recently started working on her EMBA-H at the University of Pittsburgh. She previously served as the Facility Evidence-Based Practice Coordinator, RN BHCM as well as 120-day internal detail as facility Risk Manager. She has experience in academia as Adjunct Clinical Professor at Duquesne University as well as Charge Nurse at Greenbriar Treatment Center. She is certified with IntNSA/ANCB as a Certified Addiction Registered Nurse – Advance Practice.

Justin Clapp, PhD, MPH; University of Pennsylvania; Pennsylvania, USA

Justin Clapp, PhD, MPH is an Assistant Professor of Anesthesiology & Critical Care and Medical Ethics & Health Policy at the Perelman School of Medicine. He is also Associated Faculty in Anthropology at the University of Pennsylvania. Dr. Clapp is a linguistic and medical anthropologist who uses qualitative methods and anthropological theory to examine issues in empirical bioethics, health care communication, and medical decision making. His primary work examines patient care trajectories in the perioperative and critical care spaces, seeking to understand how diffuse chains of health care interactions lead to the pursuit of particular treatments.

Heloisa Garcia Claro, BSN, MSN, pHD; Universidade de Sao Paulo; Brazil

Professor at state university of Campinas – Unicamp, school of nursing. Finished a Post-doc on epidemiology at the faculty of medicine at the university of São Paulo – USP. Co-leader of the interdisciplinary research center of studies and research on mental health, alcohol and other drugs. President of the Brazilian chapter of intnsa. Member of the motivational interviewing network of trainers – MINT.

Peggy Compton, RN, PhD, FAAN; School of Nursing, University of Pennsylvania; Pennsylvania, USA

Dr. Compton is a Professor and the van Ameringen Endowed Chair in the Department of Family and Community Health at the University of Pennsylvania School of Nursing. Her area of clinical expertise is the intersection of opioids, addiction and pain, and her novel data have contributed to a growing body of literature on the phenomenon of opioid-induced hyperalgesia, as well as informed guidelines for the management of pain in persons with opioid addiction or on maintenance opioid therapy. She has published extensively in the scientific literature on substance use disorder in chronic pain patients on opioid therapy, and the pain responses of opioid addicts with and without chronic pain.

ANA VITORIA CORREA LIMA, BsN, 2016, Federal University of Maranhao, Sao Luís, Brazil.; Sao Paulo University School of Nursing; Brazil

MsN, In progress, Sao Paulo University School of Nursing, Sao Paulo, Brazil; BsN, 2016, Federal University of Maranhao, Sao Luís, Brazil.

Jose Adelmo da Silva Filho, MsN, BsN; Sao Paulo University School of Nursing; Brazil

Doctoral candidate at Sao Paulo University School of Nursing

Divane de Vargas, Ph.D MsN, BsN. FIANN; Sao Paulo University School of Nursing; Brazil

Dr. Vargas ‘ interest is in contributing to the advancement of nursing in additions, through the improvement and the training of researchers in the area of nursing in additions, in conducting research and studies aimed at producing and disseminating knowledge to foster the practice of nursing and the nurse in the prevention, identification, treatment and care for individuals with related disorders the additions in different situations and scenarios that involve the care to this population. Dr Vargas has clinical experience in nursing care of the client with addictions and psychiatric mental health disorders. His research interests are nursing an addiction: alcohol other drugs with concentration in the following subjects: attitudes, education and knowledge of nurses and undergraduate nurses towards alcohol, alcoholism and alcoholic patient, Substance Use Disorders vulnerable populations and Co-Occurring Mental and

Aniela Dela Cruz; University of Calgary; Canada

Añiela dela Cruz holds a PhD in Nursing and an MSc in Health Promotion Studies (University of Alberta). She has 20 years of professional experience in community and public health, health policy development, and health and program evaluation research. In her career, Añiela has worked with Alberta communities, provincial and federal government stakeholders, and non-government organizations focusing on areas of public health such as HIV/AIDS, chronic disease prevention, pre-natal nutrition, and child and youth health promotion and illness prevention. She has worked extensively with diverse and vulnerable communities in Alberta and across Canada including women, children, people living with HIV, marginalized immigrants, First Nations communities, urban Indigenous communities, and urban and rural populations.

Kimberly Dion, PhD, RN, CNE, CARN; University of Massachusetts Amherst Elaine Marieb College of Nursing; Massachusetts, USA

I am a Certified Nurse Educator and Certified Addictions Registered Nurse with a research background in stigma, harm reduction, and SUD. I have developed numerous trainings aimed at increasing knowledge and decreasing stigma toward people who use drugs. I have been certified as a Train the Trainer for Intranasal Naloxone and Harm Reduction Behavioral Health Training through the Massachusetts Department of Public Health Bureau of Substance Abuse Services. I am the PI for a SAMHSA grant, S.A.M.E- S-Substance A-Abuse M-Management E-Education project (grant 1H79FG000131-01) funded for $194,865, 9/30/20-9/29/22.

Paul du Buf, RGN, NMP, Somatic Practitioner; UK

Paul graduated as a registered nurse in 1994 and worked since with addiction services in the area’s of prevention, treatment, aftercare, dual diagnosis, project management, training and innovation in the Netherlands and UK. In his work, he noticed he missed skills to address symptoms of trauma that his clients shared and he became a somatic practitioner and trauma-informed coach to understand his clients better and become more effective in his work. Becoming trauma-informed allowed him to inform clients about the relationship between trauma and addiction and help them find integrative ways to relate to symptoms and the legacy of trauma. His mission is to support and transform addiction organisations become trauma-informed and trauma-integrated as his vision and experience is that this promotes healing, increase treatment effectiveness, reduces stigma and supports staff satisfaction and retention.

Maria Duaso, PhD; King’s College London; UK

Maria Duaso is a senior lecturer in Adult Nursing at Kings College London, having previously held academic posts at the University of Reading and the University of Navarra (Spain). Maria’s research interests and expertise lie in the area of health promotion and public health. Marias research is supported by Cancer Research UK and international funders to investigate the factors that influence the uptake, adoption, and implementation of smoking cessation interventions. It spans across several clinical areas including substance misuse, diabetes and maternity care.

Kathleen Elertson, DNP, APNP, CPNP, FNP-BC, RN; University of Wisconsin Oshkosh; Wisconsin, USA

Dr. Kathleen Elertson is an associate, tenured professor at the University of Wisconsin Oshkosh and a dual certified nurse practitioner in pediatrics and family practice. She has over 30 years of healthcare experience with special interest on substance use disorders in acute, primary, and community health settings. Dr. Elertson has presented extensively on substance use disorders and the effects of stigma, barriers to care, and promising practices. Dr. Elertson has engaged in scholarship related to substance use disorders and the effects on children and families. Dr. Elertson has also lead research on the benefits of universal screening for substance use disorders. She has engaged undergraduate and graduate nursing students in the utilization of screening tools (SBIRT) when discussing substance use with adolescents and young adults.

Twyla Ens, MN RN CCNE, Senior Instructor; Faculty of Nursing, University of Calgary; Canada

Twyla Ens is a Senior Instructor in the Faculty of Nursing. She obtained her Bachelor of Science in Nursing from the University of Saskatchewan. Her work in cardiology brought numerous opportunities in San Francisco and later Calgary. After teaching in the clinical setting, she sought out and completed a Master of Nursing degree from the University of Calgary. She continues to teach in the undergraduate nursing program. Her clinical work in cardiology led to years of teaching in the acute-care setting. She observed the treatment of vulnerable populations and the learning of her students. This led to an interest in the research of vulnerable populations and how the curriculum impacts nursing students during their practicums.

Alexandra Ewanyshyn, BA Psychology, Minor in Urban Studies; University of Calgary; Canada

Alexandra Ewanyshyn is a soon-to-be graduating Psychology and Urban Studies student at the University of Calgary. She is the co-founder of The Liam Project, a student-led harm reduction coalition which engages in safer substance use education. The Liam Project aims to support youth looking for harm reduction education over the platform of Instagram, @theliamprojectyyc. She is also an active community member in support of ‘Albertans for Ethical Drug Policy’.

THIAGO FAUSTINO AGUILAR , BsN, BsN, University of Sao Paulo School of Nursing, Sao Paulo, Brazil; University of Sao Paulo School of Nursing, Sao Paulo, Brazil; Brazil

BsN, 2021, University of Sao Paulo School of Nursing, Sao Paulo, Brazil

Diane Fedorchak, MEd; University of Massachusetts Amherst; Massachusetts, USA

Ms. Fedorchak serves as Interim Director of the CHP and Project Director for the previously mentioned BASICS program. Her current position involves primary responsibility for training related to alcohol and other drug issues, offender alcohol and drug intervention programs, and the existing Collegiate Recovery Community. She serves as a trainer nationally for SBIRT, Motivational Interviewing, and BASICS and is a national leader for BASICS training in college settings.

Carla Ferriera, MN, RN, CHSE; University of Calgary; Canada

Carla Ferreira is a Senior Instructor in the Faculty of Nursing.

Susanne Fogger, DNP, PMHNP-BC, CARN-AP, FAANP; University of Alabama at Birmingham (UAB); Alabama, USA

Dr Susanne Fogger is a Professor, University of Alabama at Birmingham, School of Nursing. She has several faculty practices within the UAB infectious disease clinic and a chronic pain clinic. She provides psychiatric, pain management and substance use care to HIV positive people and local community members. As an Air Force veteran, she integrates veteran centric mental health care into her teaching looking specifically in treating trauma informed care. She is a Scientist with the Center for Addiction and Pain Prevention and Intervention for UAB. She has been recognized by the American Association of Nurse Practitioners as a Fellow in 2015 and was elected as Treasurer to the Board of Director of the International Nurses Society on Addictions since 2017. In addition, she an Associate Editor for the Journal of Addictions Nursing.

Rachel French, PhD, RN; University of Pennsylvania; Pennsylvania, USA

Rachel French, PhD, RN is a fellow in the National Clinician Scholars Program and a postdoc working in the Department of Psychiatrys Center for Mental Health. Her research focuses on determining the best strategies to successfully implement evidence-based practices to improve outcomes for people who use drugs. She is also passionate about advancing health equity, addressing racial disparities in substance use treatment, and exploring innovative modalities to provide harm reduction supplies. Dr. French received her bachelors degree at Boston College and her PhD at the University of Pennsylvania. She enjoys engaging in research and advocacy to improve care and outcomes for people who use drugs.

Farida Gadimova, RN; University of Calgary; Canada

Farida Gadimova is newly graduated Registered Nurse and a research assistant at the University of Calgary. Her research focuses on studying community health systems, particularly harm reduction programs.

Paula Gala; Medicos do Mundo; Portugal

Registered Nurse

Rodrigo Garcia, MBA, MSN, APN-BC, CRNA; Parkdale Center for Professionals; Indiana, USA

Rodrigo Garcia is the Co-Founder and CEO of Parkdale Center for Professionals, a dual diagnosis substance abuse treatment facility specializing in the management of the impaired health care provider. Rodrigo is also currently the compliance director for the Indiana Professionals Recovery Program (IPRP)and the West Virginia Restore (WVR) program for nurses. Personally, he has emerged successfully from a dangerous battle with the disease of substance use disorder. As a result, he has educated thousands of families, state employees, individuals, employers, and professional organizations on the highly accountable professional afflicted with substance use disorder. As the Parkdale CEO and IPRP & WVR compliance director, he is committed to providing health care professionals, their employers, and their families with the most effective, comprehensive, and progressive treatment, monitoring, and accountability programs possible.

Linda Garner, PhD, RN, MSN; Southeast Missouri State University; Missouri, USA

Dr. Linda Garner is a Professor in the Department of Nursing at Southeast Missouri State University in Cape Girardeau. She teaches community health nursing and nursing research. She is also Chair of the Office of Addictions within the Department of Nursing. Dr. Garner has been a registered nurse for the past 40 years. Originally from southeast Iowa, she obtained her bachelors degree in nursing from Iowa Wesleyan College. She received a masters degree in nursing from the University of Texas in Arlington and her PhD in health education from Southern Illinois University in Carbondale. She is a board certified advanced public health nurse.

Anna Gerhardt, RNC-MNN, MSW; Mountain Area Health Education Center – Project CARA; North Carolina, USA

Anna Gerhardt is Project CARAs lead nurse. She has worked in womens health in a variety of capacities for over 10 years providing support for pregnant and laboring moms and postpartum families. Anna also has a masters degree in social work and understands the impact of trauma on substance use, parenting, and overall health. She is passionate about helping women achieve their goals for self-care, healthy relationships, and being an awesome parent. A parent herself, Anna knows it is a tough job with plenty of opportunities to make (and learn from) mistakes, but it is the best job shes ever had.

Erika GIsset Leon Ramizez, Ph.D MsN, BsN; Sao Paulo University School of Nursing; Brazil

Pos Doctoral Fellow at Sao Paulo University School of Nursing

Derrick Glymph, PhD, DNAP, CRNA, APRN, COL., USAR, FAANA, FAAN; FIU; Florida, USA

Dr. Glymph is the Enrollment and Global Initiative Coordinator and Clinical Associate Professor in the Nicole Wertheim College of Nursing and Health Sciences, Department of Graduate Nursing at Florida International University (FIU). Dr. Glymph started his over 20-year career in nursing as a licensed practical nurse and continued to advanced practice Certified Registered Nurse Anesthetist. Dr. Glymph received his Associate and Bachelor of Sciences degrees from Norfolk State University (1995 and 1997), and his Master of Science and Doctor of Nurse Anesthesia Practice from Virginia Commonwealth University (2004 and 2010). PhD in Nursing Science from University of South Florida (2022) his dissertation was on a comparative analysis between MAT and 12-step Group therapy for marginalized Opioid Use Disorder patients.

Helena Goncalves; Medicos do Mundo; Portugal

Registered Nurse

Vincent Guilamo-Ramos, PhD, MPH, LCSW, RN, ANP-BC, PMHNP-BC, FAAN; Dean and Distinguished Professor, Duke University School of Nursing, Vice Chancellor of Nursing Affairs, Duke University; North Carolina, USA

Vincent Guilamo-Ramos is Dean and Distinguished Professor of the Duke University School of Nursing and Vice Chancellor for Nursing Affairs, Duke University. He is also the founding director of the Center for Latino Adolescent and Family Health (CLAFH) at Duke University. Dr. Guilamo-Ramos is a nurse practitioner dually licensed in primary care (ANP-BC) and psychiatric-mental health nursing (PMHNP-BC). Widely regarded as an expert, scholar and leader in adolescent and young adult sexual and reproductive health promotion and the social determinants of health (SDOH), Dr. Guilamo-Ramos’ research has been funded externally for two decades by the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), and various other funding agencies. His research focuses on the role of families in promoting adolescent and young adult health among Latinos and in other underserved communities, with a special focus on mitigating the mechanisms through which SDOH shape health outcomes and inequities. Most recently, Dr. Guilamo-Ramos has applied SDOH mitigation principles to the design of a nurse-led and family-based approach to increase COVID-19 testing, vaccine uptake, and overall household capacity for COVID-19 mitigation in medically and socioeconomically underserved communities, an application currently being evaluated as part of the National Institutes of Health’s Rapid Acceleration of Diagnostics in Underserved Populations (RADx-UP) initiative. Dr. Guilamo-Ramos currently serves as a member of the Presidential Advisory Council on HIV/AIDS (PACHA), the HHS Panel on Antiretroviral Guidelines for Adults and Adolescents, and the CDC/HRSA Advisory Committee on HIV, Viral Hepatitis and STD Prevention and Treatment. He also serves as chair of the Power to Decide Board of Directors, as vice chair of the Latino Commission on AIDS Board of Directors, and on the Board of the HIV Medicine Association.

Heather Hatch, BN RN; Alberta Health Services; Canada

Heather Hatch is a Registered Nurse who dedicates her career to working with marginalized populations in Calgary. She graduated from the University of Calgary with a Bachelor of Nursing degree in 2003. Through compassionate client care, education and advocacy, Heather strives to improve access to health care and the quality of life of our communitys most vulnerable persons.

Thea Herzog , BSN MN; University of Saskatchewan; Canada

Thea Herzog is a nursing instructor with the College of Nursing, University of Saskatchewan, Prince Albert Campus. In her role as ER Nurse, she has provided care to clients experiencing intimate partner violence arising from their partner’s Substance Use and addiction. She is also interested in substance use prevention among elementary school children in Prince Albert, Saskatchewan.

Dr. Brian Hurley, President-Elect; American Society of Addiction Medicine; , USA

Brian Hurley, MD, MBA, DFASAM, FAPA is an addiction physician based in California and the Medical Director of the Division of Substance Abuse Prevention and Control for the Los Angeles County Department of Public Health. Brian currently serves as President-Elect of the ASAM Board of Directors and is slated to become the President of ASAM in April 2023. He is the Clinical Director of the Addiction Treatment Starts Here programs through the Center for Care Innovations, focused on increasing the delivery of medications for addiction treatment in California’s community health centers. He is a senior researcher at the Friends Research Institute; and is a primary investigator on a Tobacco Related Disease Prevention Program-funded project integrating smoking cessation services into community mental health centers and patient-centered medical homes. Additionally, Dr. Hurley is the grant lead for several Medications for Addiction Treatment Access Points’ projects funded by the Sierra Health Foundation supporting access to medications for addiction treatment across Los Angeles County. He is on faculty at the University of California, Los Angeles, as a volunteer assistant clinical professor of addiction medicine in the department of family medicine.

Rosa Jacinto Volpato, Msn, BsN.; Sao Paulo University School of Nursing; Brazil

Doctoral candidate at Sao Paulo University School of Nursing

ROSA JACINTO VOLPATO , MsN, 2017 BsN, 2014; Sao Paulo University School of Nursing; Brazil

Ph.D, In progress, University of Sao Paulo School of Nursing, Sao Paulo, Brazil MsN, 2017, Federal University of Sao Carlos, Sao Carlos, Brazil. BsN, 2014, Federal University of Mato Grosso, Barra do Garcas, Brazil.

Jennifer Jackson, PhD RN; University of Calgary; Canada

Jennifer Jackson PhD is a Registered Nurse and an assistant professor at the University of Calgary. Her research interest is supporting nurses and improving health systems, currently focusing on community harm reduction services. These projects include studies of staff experiences in supervised consumption services, injectable opioid agonist treatment, and managing public needle debris. Jennifer is also a thought leader on digital technologies in healthcare.

D’Arion Johnston, B.A In Psychology; South Carolina, USA

Obtained my Bachelors at Newberry College and now I am continuing my education at the University of South Carolina where I am a first year graduate student in Counselor Education, being in the process of obtaining my Ed.S Degree in Clinical Mental Health specializing in Play Therapy.

Adrian Jugdoyal, G Dip, PGCAP, BSc (Hons), BSc (Hons), Dip HE; Faculty of Health, Social Care and Education, Middlesex University; UK

Amie Kerber, RN, BScN, MN Candidate; University of Calgary; Canada

Amie Kerber is a Master of Nursing candidate at the University of Calgary. In 2012, Amie completed her undergraduate nursing degree from the University of Alberta Baccalaureate Program. She currently works a Clinical Informatics Senior Trainer within Addiction and Mental Health, focusing on inpatient and residential/detox treatment. Her clinical nursing background was primarily focused on opioid use disorder treatment, and inpatient psychiatry and crisis support. Amie began her graduate studies at the University of Calgary in 2019 with a focus on opioid use disorder and substance use disorder treatment. The title of her thesis is Exploring the role of the nurse in opioid use disorder treatment: A focused ethnographic study”. In 2020 Amie was recognized as an ARNET Scholar.

Kelly Kokus, DNP, FNP-BC, NP-PHC, MScN, BScN(Hons); Grand River Community Health Centre; Canada

Dr. Kelly Kokus is a primary care nurse practitioner and board-certified family nurse practitioner and doctor of nursing practice. She currently works full time in three Rapid Access Addiction Medicine (RAAM) clinics in Brant, Haldimand and Norfolk counties in Ontario. Prior to her current role, she worked on multiple mobile addiction outreach teams providing both primary and mental health care to patients. Dr. Kokus is passionate about providing low barrier, trauma informed, evidence based mental health and addictions care in rural communities. She currently sits on the Board of Directors for the Canadian chapter of the International Society of Nurses on Addictions as the Ontario Representative and is the Co-Chair of the Mental Health and Addictions Community of Practice through the Nurse Practitioners Association of Ontario.

Jennifer Krans, MSc.; Antes; Netherlands

Jennifer Krans is a nurse practitioner specialised in mental health and the manager of the expertise team addiction healthcare outpatient facility at Antes in Rotterdam. She has 14 years of experience in addiction healthcare. Starting as a nursing student at the age of 20, she worked her way up in the organisation. She always had an interest in addiction healthcare because of her own youth. She is the daughter of a father with addiction. The last couple of years she has been specialising in the treatment of the chemsex population and pregnant women with addiction. She is also qualified in CBT, DBT, EMDR and sexology. In her personal life she is married and a mother of 2 boys.

Emma La Forest; University of Michigan School of Nursing; Michigan, USA

Emma La Forest graduated from the University of Michigan School of Nursing (UMSN) with a BSN in April of 2022. During her time at Michigan she participated in UMSNs honors program where she worked alongside Dr. Stephen Strobbe doing qualitative research for the children and adolescent psychiatric inpatient unit at C.S. Mott Childrens Hospital. She has worked multiple jobs at both Michigans adult and pediatric hospitals, and most recently worked as a nurse aide in the pediatric cardio-thoracic ICU. In addition, she was selected to be a part of the Mayo Clinics 2021 summer III nursing externship in Rochester, MN where she worked in the operating room. She was given the opportunity to continue pursuing her passion for pediatrics and the OR as a new graduate operating room nurse at Johns Hopkins Hospital in Baltimore, MD starting in June 2022.

Annette Lane, PhD; Athabasca University; Canada

Dr. Annette Lane is an Associate Professor in the Faculty of Health Disciplines at Athabasca University. Her areas of specialty include mental health and older adults. Dr. Lane presents nationally and internationally on issues germane to mental illness and aging.

Jungmin Lee, Ph.D., RN; Hallym University; South Korea

Jungmin Lee, Ph.D., RN is an assistant professor in the school of nursing at Hallym University. Dr. Lee is interested in the health and well-being of Korean women and has content expertise in several areas, including reproductive health, risky sexual behavior, intimate partner violence, and STDs/HIV. Currently, she is expanding the field of study in STDs/HIV to explicate the unique contributions of nurses in the care of these people, and develop theory-guided, nurse-driven interventions to improve sexual and reproductive health and wellness.

Angela Leite; Grupo de Ativistas em Tratamentos; Portugal

Psychologist

Candace Lind; University of Calgary; Canada

Candaces program of research focuses on child and adolescent health promotion and encompasses research that is relationship-based, builds research capacity in non-academic researchers, informs interprofessional practice and policy development, and addresses the ways in which adolescents are conceptualized in society. Her work is informed by the attributes of social justice and the social determinants of health and she is particularly interested in strengths-building health promoting approaches to research. Her mission is to help create a healthier world for children and adolescents and improve their health outcomes (e.g. social, mental, emotional, physical, spiritual, cultural) through individual, community, systems and societal change.

Sara Ling, RN, PhD, CPMHN(C); Centre for Addiction and Mental Health; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto; Canada

Dr. Sara Ling completed a Master of Nursing with a Collaborative Specialization in Addictions Studies in 2014 and a PhD in 2022 at the Lawrence S. Bloomberg Faculty of Nursing at the University of Toronto. Sara currently works as an Advanced Practice Clinical Leader at the Centre for Addiction and Mental Health (CAMH), where she provides clinical leadership support to the inpatient addictions services. She has worked at CAMH in direct care and leadership roles for the past 12 years.

Chris Loth, RN, MANP, PhD; IntNSA Holland; Netherlands

Chris Loth is MANP mental health and Addictions, she is director of a outpatient mental health care facility and expert in the treatment of patients with double diagnosis problems. She earned her PhD at the university of Amsterdam, college of medicine by doing a action research project in outpatient methadone maintenance clinics resulting in a national guideline for proper nursing care. She is also board member of IntNSA Holland and lecturer addictions and addiction treatment at the MANP mental health at Utrecht / The Netherlands

Catherine Macomber, PhD, LMSW; Saginaw Valley State University; Michigan, USA

Catherine A. Macomber is a Licensed Social Worker (Clinical and Macro) with a PhD and Masters degree in Social Work and a Certificate in Public Health from Michigan State University. She has worked as a nursing home and home care social worker, a long-term care ombudsman, and for the Alzheimer’s Association. She has expertise in interprofessional ethics, curriculum design, research, and policy, and has used this with Federal and State grant funded programs. Cathy has most recently worked with older persons with substance use disorder at a federally funded clinic in Bay City, MI. She currently serves as Chair, BSW Program Director, and Associate Professor in the Social Work and Youth Services Department of Saginaw Valley State University.

Geoffrey Maina, RN, PhD; University of Saskatchewan; Canada

Dr. Geoffrey Maina is an Assistant Professor at the Prince Albert Campus of the College of Nursing at the University of Saskatchewan. His program of research focuses on interventions with an emphasis on HIV prevention and care, (i.e., on harm reduction, stigma reduction, and peer interventions, both locally and globally; and on improving clinical and social outcomes for clients and families affected by addiction). Dr. Maina uses diverse community-based research methodologies that employ qualitative research methods such as narrative inquiry, art-based methods, and methodologies that honour lived experiences such as patient-oriented research. He has received numerous research grants to conduct research on HIV and addiction nationally and globally.

David Mandell, ScD; University of Pennsylvania; Pennsylvania, USA

Dr. Mandell is the Kenneth E. Appel Professor of Psychiatry at the University of Pennsylvania Perelman School of Medicine. He is trained as a psychiatric epidemiologist and mental health services researcher. The goal of his research is to improve the quality of care individuals with psychiatric and developmental disabilities receive in their communities, with a particular focus on people with autism. This research is of two types. The first examines, at the state and national level, the effects of different strategies to organize, finance and deliver services on service use patterns and outcomes. The second consists of experimental studies designed to determine the best strategies to successfully implement proven-efficacious practices in community settings. Dr. Mandell holds a bachelor of arts in psychology from Columbia University and a doctorate of science from the Johns Hopkins School of Hygiene and Public Health.

Nancy Manix, JD; Palix Foundation; Calgary, Canada

Nancy Mannix is the Chair and Patron of the Palix Foundation, a private foundation whose philanthropy aims to ultimately support improved health and wellness outcomes for all children and families. The Foundation, through the Alberta Family Wellness Initiative, focuses on creating alignments between science, policy and practice in the areas of brain development and its implications for child development, mental health and addiction ultimately generating changes at an individual, organizational and systems level. The work Nancy has done with the Palix Foundation has garnered some prestigious awards such as the 2015 Canadian Medical Award for Excellence in Health Promotion; the 2014 Lieutenant Governor of Alberta’s Circle on Mental Health and Addiction True Leadership Award; the 2013 Certificate of Recognition by the Canadian Academy of Child and Adolescent Psychiatry; 2010-2011 President’s Award, Canadian Mental Health Association and the 2006 Medal for Exceptional Contribution for Early Childhood Development by the Centre of Excellence for Early Childhood Development. Nancy has served as a member of the Alberta Innovates-Health Solutions Board and her long career and highly regarded work in the charitable sector has included a number of organizations such as the Calgary Health Trust and the Canada West Foundation. She has also served on numerous boards including the Alberta Heritage Foundation for Medical Research and the Alberta Bone and Joint Health Institute. Nancy has a Bachelor of Arts Degree from the University of San Diego and a Juris Doctor Degree from Seattle University.

Razawa Maroof , MD; Regina Community Clinic; Canada

Dr. Razawa Maroof (co-PI) is a family physician at the Regina Community Clinic, which serves newcomers in Regina. She has been involved in research focusing on immigrant communities’ access to health. She has a passion for immigrant health and has actively participated in research work in immigrant health to increase access to health services and promote their wellbeing.

Kimberly Martini-Toth, MSW, LMSW, CPC-R, QIDP; Saginaw Valley State University; Michigan, USA

Kimberly Martini-Toth, MSW, LMSW, CPC-R, QIDP is the Project Director for the MI Babies project at Saginaw Valley State University. In this capacity, she provides coordination of prevention and treatment services for rural providers to persons with substance misuse / substance use disorder (SUD). She is responsible for the development, implementation, monitoring and evaluation of evidence-based prevention services related to the PFS 2020 Grant to address neonatal abstinence syndrome / neonatal opioid withdrawal syndrome. Kimberly also leads the development and implementation of the Perinatal SUD Project ECHO. Kimberly has a Master of Social Work degree from Wayne State University and Social Work licensure (LMSW) with the State of Michigan. Her past work experience includes Community Mental Health substance use disorder prevention, direct clinical care for persons with Developmental Disabilities as well as being a prevention coordinator for mental health.

Rachel McFadden, BSN, RN, CEN; Emergency Department, Hospital of the University of Pennsylvania; Pennsylvania, USA

Rachel is a nurse in the Emergency Department at the Hospital of the University of Pennsylvania and at Prevention Point Philadelphia, and Bloomberg Fellow at the Johns Hopkins School of Public Health. The foundation of her clinical philosophy and practice is harm reduction – a social justice movement as well as a practical approach to reducing the negative consequences of substance use. Her work centers on reducing stigma, strengthening the hospital’s capacity to respond to the substance use crisis through the integration of harm reduction, and bridging hospital care to community-based and public health efforts.

Brandy Mechling, PhD, RN, PMHCNS-BC; UNCW; North Carolina, USA

I have been a psychiatric mental health nurse for 25 years and in academia (and research) for the past 16 years. I have worked extensively with individuals and families experiencing SUDs and ODs. My research expertise includes working with this population.

Ann Mitchell, PhD, RN, AHN-BC, FIAAN, FAAN; Editor, Journal of Addictions Nursing; Pennsylvania, USA

Dr. Ann M. Mitchell is a professor of nursing and psychiatry at the University of Pittsburgh School of Nursing. Her scholarly interests include mental health outcomes research, bereavement following a death by suicide, and screening, brief intervention, and referral to treatment (SBIRT) in relationship to alcohol and drug use. Dr. Mitchell has served as Project Director (PI) and Project Coordinator HRSA-funded projects designed to teach SBIRT to interprofessional groups of students and healthcare professionals. She has been funded by SAMHSA to integrate SBIRT education into the Nurse Practitioner curriculum and has worked with the CDC on projects to incorporate alcohol screening and brief intervention into nursing practice – with the goal of preventing fetal alcohol spectrum disorders. Dr. Mitchell is certified as a clinical research coordinator through the Association of Clinical Research Professionals and provides consultation and education. She is the current Editor-in-Chief of the Journal of Addictions Nursing.

Matthew Mitchell, DHA, LMSW, CAADC, CCS; Saginaw Valley State University; Michigan, USA

Dr. Matt Mitchell is an Associate Professor of Social Sork at Saginaw Valley State University (SVSU), where he has taught for the past nine years, and serves as the co-director of the Center for Rural Behavioral Health and Addiction Studies. He has 25 years of experience as the regional director for a large residential treatment program for adjudicated youth. Dr. Mitchell helped create a Medication for Addiction Treatment (MAT) program that has grown into three busy clinics. Dr. Mitchells research agenda and he is passionate about educating individuals and organizations on the benefits of using MAT and harm reduction in their practices and to train the next generation of social workers. Dr. Mitchell holds a Doctorate in Health Administration (DHA), is a licensed master’s level social worker (LMSW), holds a master’s in business administration (MBA) is a certified advanced alcohol and drug counselor (CAADC), and a certified clinical supervisor (CCS).

Lidia Moutinho, PhD in Nursing; ESEL; Portugal

PhD in Nursing. Masters in behavioral and Cognitive Therapies, Specialist in Mental Health and Psychiatric Nursing in the Psychiatric Hospital Center of Lisbon Invited Adjunct Professor at Nursing School of Lisbon Investigadora no CINTESIS. Member of IntNSA. ORCID: 0000-0001-5076-0612 Ciencia ID – E71B-A2E3-7514

Dana Murphy-Parker, MS, PMHNP-BC, CARN-AP, FIAAN; University of Colorado; Colorado, USA

Devon Noonan, PhD, MPH, FNP-BC, CARN; Duke University; North Carolina, USA

Dr. Noonan is a nurse scientist, certified addictions nurse and an Associate Professor in the Duke School of Nursing. She received her BSN at Boston College, her MS in Nursing at Georgetown University, her MPH and PhD at the University of Virginia and completed a Post-Doctoral Fellowship at the University of Michigan. Dr. Noonans research is focused on using community-engaged approaches to develop innovative health behavior change interventions, including digital interventions, with the goal of reducing risk for chronic diseases. Dr. Noonans work has a strong focus on rural and medically underserved populations. Much of her work also focuses on tobacco cessation. She has been continuously funded by NCI for the past 5 years to examine text-based intervention approaches for tobacco cessation in rural and medically underserved populations. Dr. Noonan teaches and mentors students across all programs at DUSON and is the Co-Director of the Duke National Clinician Scholars Program.

Ines Nunes, MSc; Northern Lisbon University Hospital Centre (CHULN) – Psychiatry and Mental Health Department; Portugal

Masters in advanced nursing and Master in Nursing with a specialization in Mental Health and Psychiatric Nursing. Specialist Nurse at Northern Lisbon University Hospital Centre (CHULN) – Psychiatry and Mental Health Department. ORCID:0000-0003-4718-8285.

Marcela Ogenchuk , RN, PhD; University of Saskatchewan; Canada

Dr. Marcella Ogenchuk is a registered nurse and Associate Professor in the College of Nursing, University of Saskatchewan. She has extensive pediatric nursing experience in acute care and community nursing and is a passionate primary health care advocate and researcher. She began her journey studying the impact of alcohol at the community level as a nurse early in her career. Dr. Ogenchuk and the multidisciplinary teamwork with Indigenous communities in oral health; in the community and with school communities on substance use education and early intervention, co-creating pathways for enhancing the health and well-being of children, adolescents, families and communities. Dr. Ogenchuks program of research is based upon creating meaningful community connections as she engages with students shaping the next generation of nursing scholars. Community-based research projects, quality improvement studies, and program evaluations are used to create capacity and sustainable change.

Ruthanne Palumbo, DNP, RN, CNE, CARN; UNCW; North Carolina, USA

I am a doctoral-prepared nurse, with Certifications in nurse education (CNE) and addictions nursing (CARN). I have 12 years of experience teaching at the undergraduate and graduate levels. I have clinical nursing experience in medical-surgical and addictions nurse settings. I have several publications in psychiatric, addictions, and education nursing journals.

ARCHANA PAUL, RN, MScN; York University, 4700 Keele Street, Toronto, M3J 1P3; Arizona, USA

Archana Paul is an Assistant Professor in the School of Nursing at York University. In 2005, she received a Master of Nursing Science (Psychiatric Nursing) from India and has practiced as a Registered nurse (RN) in India and Canada over the last 20 years. She also works as an RN at Humber River Hospitals Mental Health Crisis Unit where she utilizes leading edge technology and psychotherapeutic interventions which is grounded in evidence-based practice while ensuring client safety. She is inspired daily by the work nurses undertake with an increasingly complex acute population requiring interventions based on evidence and thus producing positive outcomes. In her current role as an Assistant Professor, she shares her knowledge and expertise to teach undergraduate students. She is motivated in shaping and harnessing future nursing leaders that demonstrate clinical excellence.

Lara Pinho, PhD in Nursing; Universidade de Evora; Portugal

PhD in Psychology and PhD in Nursing and Health. Master in Clinical and Health Psychology. Mental Health Nurse. Assistant Professor at the Nursing Department of Universidade de Evora. Senate Member of Universidade de Evora. Researcher at the Comprehensive Health Research Centre (CHRC), Universidade de Evora, Portugal. ORCID: 0000-0003-1174-0744 Ciencia Vitae: https://www.cienciavitae.pt/portal/1E19-40E0-C6F4

Joana Pires; Medicos do Mundo; Portugal

Registered Nurse

Robert Ploutz-Snyder , PhD, PStat; University of Michigan School of Nursing; Michigan, USA

Dr. Ploutz-Snyder is a Research Professor at the University of Michigans School of Nursing, and the Director of the Applied Biostatistics Lab and Data Management Core. He is an Accredited Professional Statistician through the American Statistics Association with over 20 years experience as an Applied Biostatistician in Academia and Government (NASA). He is a named PI or Co-I on 7 active grants funded from NIH, USDOJ, NASA and Foundations, and has completed 53 prior grants. His personal interests include a-typical prospective experimental designs, small-n studies, longitudinal mixed-effects modeling, and missing data applications. Dr. Ploutz-Snyder has authored over 100 peer-reviewed manuscripts, book chapters, position statements, or NASA technical publications and has been an invited speaker at International Nature/NASA conferences speaking on the challenges of small-n studies under challenging experimental constraints.

Melinda Ramage, FNP-BC, CARN-AP; Mountain Area Health Education Center – Project CARA; North Carolina, USA

Melinda Ramage is Project CARAs co-founder and has worked in sexual and reproductive health with a focus on substance use disorders and diabetes for the past 10 years. She is passionate about eliminating the stigma associated with substance use disorders and ensuring every woman has access to quality care. As a certified addiction advanced practice provider, Melinda has educated and trained healthcare providers in North Carolina and nationally in evidence-based practices in addiction medicine.

SHEILA RAMOS DE OLIVEIRA, BsN, IN PROGRESS at University of Sao Paulo School of Nursing, Sao Paulo, Brazil; University of Sao Paulo School of Nursing, Sao Paulo, Brazil; Brazil

BsN, IN PROGRESS at University of Sao Paulo School of Nursing, Sao Paulo, Brazil

Suzanne Rataz, MPH; University of Massachusetts Amherst; Massachusetts, USA

Ms. Rataj is an Evaluation Manager in the School of Public Health and Health Sciences at UMass where she earned her Master of Public Health degree. She currently works as an evaluation manager on a grant that supports training in SBIRT to student nurses at UMass. She also works as a research coordinator and evaluator on two NIH grants centered on suicide prevention. She has much experience working collaboratively with colleagues to develop collection tools, collect, manage and analyze data, and report on findings. She has a rich background in program evaluation and has participated in evaluations for the Western MA Public Health Training Center and an internal evaluation of the Undergraduate Public Health Program at the University of Massachusetts.

Phyllis Raynor, PhD, PMHNP-BC, CARN-AP, APRN, FIAAN; University of South Carolina College of Nursing; South Carolina, USA

Dr. Raynor is a doctoral-prepared psychiatric advanced-practice nurse who completed her PhD in Nursing at the Medical University of South Carolina in Charleston, SC USA. She also completed her post-masters Psychiatric Nurse Practitioner Certification at Vanderbilt University in Nashville, Tennessee, USA and her Masters in Nursing Administration at the University of Southern Mississippi, USA. She is certified as an Addictions Advanced-Practice Registered Nurse. Her certifications as a psychiatric mental health nurse practitioner and addictions advanced practice nurse allow her to treat common mental health conditions and substance use disorders across the lifespan by providing evidence-based pharmaceutical and non-pharmaceutical interventions. Currently, she works full-time as an Assistant Professor at the University of South Carolina. As a researcher, her focus is currently on developing digital self-management interventions for mothers affected by substance use disorders in close collaboration with community-based partnerships.

Kathleen Schachman, PhD, PMHNP-BC, FAANP, FIAAN; Saginaw Valley State University; Michigan, USA

Dr. Kathleen Schachman is the H.R. Wickes Endowed Professor of Nursing at Saginaw Valley State University (SVSU), where she has been a catalyst in the integration of addictions content into nursing curricula. Her clinical practice has focused on interprofessional primary care and behavioral health integration, with an emphasis on addictions and recovery support services. She established Michigans only geriatric-focused substance use treatment facility, bringing tailored and comprehensive care to vulnerable older adults. Finally, Dr. Schachman established the Center for Rural Behavioral Health and Addiction Studies at SVSU, where she currently serves as the co-director in uniting practice experts, community partners, researchers, and educators in promoting excellence in the prevention and treatment of addictions. Since 2015, she has secured nearly $10 million dollars in state and federal grants to support nurse practitioner education and integrated practice, particularly through expansion into rural Michigan.

Rhonda Schultz , BSN, RN; University of Michigan School of Nursing; Michigan, USA

Rhonda Schultz is the Educational Nursing Coordinator (ENC) for the Nyman Family Unit for Child and Adolescent Mental Health and Wellness, and the Child and Adolescent Inpatient Psychiatric Program at C.S. Mott Childrens Hospital, University of Michigan. As ENC for the unit, she is responsible for orientation and ongoing education for all unit nursing staff. A certified Welle Behavioral Safety Management trainer, Ms. Schultz also serves as the unit expert in de-escalation training and has been part of the quality improvement (QI) project team which has helped implement Welle throughout Mott Hospital along with other unit-based QI projects.

Paulo Seabra, PhD; Lisbon Nursing School; Portugal

PhD in Nursing. Master in Nurse, Specialist in Mental Health and Psychiatric Nursing. Researcher at the Nursing Research, Innovation and Development Center of Lisbon (CIDNUR). Adjunct Professor at Nursing School of Lisbon. Member of IntNSA. ORCID:0000-0001-8296-1021. Contact: pauloseabra@esel.pt

Adam Searby, RN, PhD; Deakin University; Australia

Dr Adam Searby is an Executive Dean’s Health Research Fellow at Deakin University, Melbourne, Australia. He is the current president of the Drug and Alcohol Nurses of Australasia, and has a clinical background in mental health, dual diagnosis and addiction treatment. His current research explores alcohol consumption among Australian nurses and technology-based interventions for high-risk alcohol consumption. Dr Searby has also conducted research into the addiction nursing workforce and dual diagnosis in older people.

Jordan Sherstobitoff, BScN, RN, MN Student; University of Saskatchewan; Canada

Jordan Sherstobitoff is Registered Nurse and Master of Nursing by Thesis student at the University of Saskatchewan. Through street outreach nursing she found her passion for social justice issues which have led her to seek further education. She enjoys being politically active and is passionate about advocating for individuals experiencing homelessness. Her primary field of interest is improving access to health care for marginalized populations.

Vanessa Silva, MSc; ASFE SAÚDE – Palliative Care Unit; Portugal

Masters in nursing, Specialist in Mental Health and Psychiatric Nursing. Specialist Nurse at ASFE SAÚDE – Palliative Care Unit. Invited Assistant at Nursing School of Lisbon. ORCID:0000-0003-2382-1699.

Charlotte Sisson, MA; Senior Foreign Affairs Officer, U.S. Department of State; Washington, DC, USA

Charlotte Sisson, M.A., is a Senior Foreign Affairs Officer in the Drug Demand Reduction Section of the Office of Global Policy and Programs in the Bureau of International Narcotics and Law Enforcement Affairs at the U.S. Department of State. Ms. Sisson’s primary work focuses on increasing the number of drug prevention and treatment professionals worldwide, which also includes building partnerships between the public health and criminal justice systems to increase access to treatment through alternatives to incarceration. Her background includes 16 years of experience at the White House’s Office of National Drug Control Policy where she promoted U.S. best practices on prevention, recovery, and treatment in reducing the demand for drugs domestically and globally. Ms. Sisson holds an undergraduate degree from Virginia Tech University in Liberal Arts and Sciences concentrating in Economics, Political Science, and French and received a Master’s Degree in International Policy and Practice from George Washington University.

Jacqueline Smith, PhD RN; University of Calgary; Canada

Jacqueline Smith is an Assistant Professor in the Faculty of Nursing at the University of Calgary and is the team lead for the Mental Health & Wellness Learning Community. She is an educator, graduate student supervisor and a published researcher within her field of study and research that addresses addiction and mental health across the life span. Alongside her academic responsibilities, Jacqueline is a family counsellor, trauma (EMDR) therapist and a mindfulness practitioner. She is a member of the Alberta Childrens Hospital Research Institute, Mathison Centre for Mental Health Education and Research and the Hotchkiss Brain Institute. Jacqueline sits on the Advisory Committee for Drug Free Kids Canada and is a board member of the Canadian Chapter of the International Nurses Society on Addictions (IntNSA).

Timothy Sowicz, Ph.D., RN; The University of Arizona College of Nursing; Arizona, USA

Timothy J. Sowicz, Ph.D., RN is an American nurse and assistant professor in the community & systems health science division at The University of Arizona College of Nursing. Dr. Sowicz conducts research to facilitate personal access to health care. Currently, he concentrates on how the social determinants of health influence treatment access for Hispanic adults living with co-occurring mental health and substance use disorders.

Stephen Strobbe, PhD, RN, PMHCNS-BC, CARN-AP, FIAAN, FAAN; University of Michigan School of Nursing; Michigan, USA

Stephen Strobbe, PhD, RN, PMHCNS-BC, CARN-AP, FIAAN, FAAN Dr. Stephen Strobbe is a Clinical Professor Emeritus at the University of Michigan School of Nursing, and the Department of Psychiatry. He is board-certified both in psychiatric and addictions nursing. His professional background has included clinical care, research, administration, and education. Dr. Strobbe has authored more than 50 peer-reviewed articles, position statements, book chapters, and other resources related to mental health, substance use, and addictions nursing. He has been an invited speaker, both nationally and internationally, including the Federated States of Micronesia, Europe, South America, Southeast Asia, and Iceland. Dr. Strobbe is a Past President of the International Nurses Society on Addictions (IntNSA, 2016-2018), a former Fulbright Scholar to Brazil (2017-2018), a Fellow of the International Academy of Addictions Nursing (FIAAN, 2016), and a Fellow of the American Academy of Nursing (FAAN, 2017).

Niall Tamayo, RN, MN, CPMHN(C); Centre for Addiction and Mental Health; Canada

Niall Tamayo is an Advanced Practice Clinical Leader at the Centre for Addiction and Mental Health in Toronto. Niall is recently completed his Masters in Nursing at Athabasca University. His areas of interest include acute psychiatric care, addictions, and community care.

Christopher Tearno, MSc.; Antes; Netherlands

Christopher Tearno, RN, MSN is a Nurse Practitioner working at Antes clinic for addiction care in Rotterdam, The Netherlands. He provides medical and psychological treatments to clients with substance and behavioral addictions. Originally from the United States, Christopher has a BSN (2010) from Marymount University in Arlington, Virginia. In 2017 Christopher received his MANP in Rotterdam while working in infectious diseases. He also has a post bachelor certificate in sexology. Christopher conducted his masters thesis research on drug use combined with sex (Chemsex) amongst HIV positive men who have sex with men (MSM). While working in HIV care, he counseled clients trained colleagues on Chemsex. He chairs a regional multidisciplinary team of providers with clients who partake in Chemsex. He is also on a national team of researchers and clinicians advising Chemsex research initiatives. Christopher and his colleagues are creating a treatment option for people with problematic Chemsex use.

Meaghan Thumath, RN, MPH, D.Phil; Regional Director Communicable Disease Control, Office of the Chief MHO, VCH; Clinical Assistant Professor, School of Nursing, University of British Columbia; Clinician Scientist, Centre for Gender and Sexual Health Equit

Dr Thumath is a clinician scientist with the Center for Gender and Sexual Health Equity and a Clinical Assistant Professor at UBC with expertise in gender, substance use and health equity. She is a former addiction medicine fellow trained at the BC Center for Substance Use and is an active member of the WHO Emergencies Programme (WHE) supporting substance use, HIV and public health responses in over 26 countries around the world. Prior to joining VCH she served as the Chief of Staff to the Minister of Mental Health and Addiction in Canada, and as a Street Nurse and Senior Practice Leader at the BC Centre for Disease Control.

Samantha Toomey; University of Michigan School of Nursing; Michigan, USA

Samantha Toomey graduated with honors in April of 2022 with her Bachelors of Science in Nursing (BSN) from the University of Michigan School of Nursing. As an honors student, she worked alongside Dr. Stephen Strobbe in the area of adolescent psychiatric mental health nursing, where they worked in collaboration with the inpatient child and adolescent psychiatric unit at the University of Michigans childrens hospital. Samanthas work developed her passion for serving the pediatric patient population. Samantha has experience as a Nurse Intern in the Cardiac Surgery Intensive Care Unit at Mount Sinai Hospital in New York City, and as a Patient Care Technician in the Neuro Intensive Care Unit at Michigan Medicine at the University of Michigan. She plans to pursue a career in critical care pediatric nursing post-graduation in New York City.

Tam Truong Donnelly, BScN, MSN, PhD; University of Calgary; Canada

Dr. Donnelly is a Full Professor, Faculty of Nursing and an Adjunct Professor at the Department of Community Health Sciences, Cumming School of Medicine. Seconded to Qatar campus from Jan 2009 – Dec 2013, she served as an Associate Dean for Research and Lead Principal Investigator for several large research studies funded by the Qatar National Research Fund (QNRF). As the alumni of Dalhousie University and the University of British Columbia, BC, Canada, Dr. Donnelly has received funding for research studies from the National Cancer Institute of Canada (NCIC) and the Canadian Institutes of Health Research (CIHR). In Canada, Dr. Donnellys research focuses on the Health and Wellness of Immigrants and Refugees which include breast and cervical cancer screening practices, HIV/AIDS, mental healthcare, and support for international students. In 2005, Dr. Donnelly received the Alberta Centennial Medallion Award in recognition for her works with immigrant populations.

Megan Tung, BSc.; University of Calgary; Canada

Megan Tung holds a Bachelor of Science with a focus in biology from the University of British Columbia. At present, she is a Bachelor of Nursing student and undergraduate research assistant at the University of Calgary. Her research focus has been on addressing needle debris in the community and harm reduction. She also has a clinical interest in the topics of mental health and vulnerable populations.

Olga Valentim, PhD in Nursing; IPLUSO; Portugal

PhD in Nursing. Masters in behavioral and Cognitive Therapies, Specialist in Mental Health and Psychiatric Nursing. Doctorate Integrated Researcher at CINTESIS, NursID group. Coordinating Professor at the Polytechnic Institute of Lusofonia, Higher School of Health. Member of IntNSA. ORCID: 0000-0002-2900-3972

Christine Vourakis, PhD, RN, FAAN; Editor Emeritus, Journal of Addictions Nursing; California, USA

Dr. Vourakis has advocated for nurses, no matter the specialty or setting, to identify patients at risk for substance use disorders and intervene with a focus or prevention In her Spring, 1996 Editorial for the Journal of Addictions Nursing, Dr Vourakis first published the phrase Addictions Nursing is Knowledge Specific Not Setting Specific.” Dr. Vourakis’ co-edited interdisciplinary collaborative textbook published in 1983, Substance Abuse: Pharmacologic, Developmental and Clinical Perspectives, was regarded by reviewers as landmark because it transformed nursings prevailing view of addictions from a singular focus on one who abuses substances to a focus on at-risk populations spanning all nursing specialties. As the retiring Cofounder and Editor for the Journal of Addictions Nursing (spanning a 30 year career in addictions journal development and editorial leadership)she has been instrumental in changing the culture of addictions nursing from a hopeless alcoholic perspective to one of promoting prevention and maintenance of change.

Alana Wade, RN, BScN; Alberta Health Services; Canada

Alana is a frontline RN working in community in an outreach capacity. Her career has been spent passionately supporting marginalized populations, starting with incarcerated clients and evolving to a community focus on severe substance use. In 2018 she supported the opening of Albertas first iOAT clinic. In 2020 she cocreated and evolved a now multifaceted outreach service for vulnerable clients to access OAT and wrap around care with the goal of improving stability, reducing poisoning risks and overcoming barriers, known as MOAT. Her passion for engaging highly marginalized populations connects her directly to the dire need for strong advocacy and swift action to address the ongoing poisoning crisis. Alana is a newly elected board member of ANCHR and hopes to use her position to challenge systemic oppression and support utilization of harm and stigma reduction practices to create low threshold access to support for all.

Alison Watson, RN, MN, CPMHN(C); Centre for Addiction and Mental Health; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto; Canada

Alison Watson is the Manager of inpatient addiction beds and the interim manager of the Problem Gambling and Technology Use Service at the Centre for Addiction and Mental Health. Since 2005, she has held Nursing Practice leadership positions at CAMH in Concurrent Disorders, Addictions, Mood and Anxiety, Emergency Psychiatry and Child and Youth Mental Health. Previously, Alison worked at Baycrest in geriatric psychiatry. Alison is an Adjunct Lecturer at the Lawrence Bloomberg Faculty of Nursing at the University of Toronto, where she earned a Master of Nursing degree in 2005.

Kathleen Young, CARN, BSN; Oregon Health & Science University; Oregon, USA

Kathleen Young is an integral part of the Outpatient Parenteral Antibiotic Therapy (OPAT) team within the Division of Infectious Diseases at Oregon Health & Science University in Portland, Oregon. She coordinates care for patients with serious infections needing long term IV antibiotics outside of the hospital setting. She is thankful for the close affiliation with the Addiction Medicine team at her hospital and is passionate about caring for those with substance use disorder (SUD). She is proud to have supported Measure 110, the campaign that led Oregon to be the first state to decriminalize personalized drug use and possession. She lives with her husband and two dogs in the Portland area where they enjoy the fantastic food scene, the amazing wine and beer in Oregon and the beautiful landscape of the Pacific Northwest. Feel free to ask her anything related to true crime or Taylor Swift.

Cristina Zaganelli, MN NP; Alberta Health Services; Canada

Cristina is a primary care nurse practitioner with over 15 years experience working with complex, vulnerable populations with multiple co-morbidities and high rates of substance use and mental health concerns. She completed her bachelor of nursing degree at the University of Calgary and her Master of Nursing degree and diploma in Nurse Practitioner Studies at Dalhousie University, Nova Scotia. Cristina currently works at the Opioid Dependency Program at Alberta Health Services where she helped develop an outreach program for clients of the Injectable Opioid Agonist Therapy program. She also works at the CUPS Health Centre as a primary care provider for homeless and low income individuals.

Donna Zucker, PhD, RN, FAAN; University of Massachusetts Amherst, Elaine Marieb College of Nursing; Massachusetts, USA

Dr. Zucker has vast experience with program planning and coalition building, especially in the field of alcohol and other drug (AOD) prevention programs. Dr. Zucker secured a three-year SBIRT Training Grant (T1026441) from SAMHSA in 2016 for $890,000 to implement an undergraduate nurse-training program and has expertise in curriculum and competency integration. She received her doctorate in nursing from the University of Rhode Island and her masters in nursing from UMass Amherst. She served as the former Associate Dean for Academic Affairs for four years.

Presentation Abstracts

(sorted by Abstract ID, showing first author only)

4. Assessing the Factors Contributory to the Patients Compliance on the Aftercare Program of the Drug Detoxification and Rehabilitation: Towards Its Enhancement

Ruth Grace Pulido

Pre-recorded

Purpose of the study: The study assessed the factors contributory to the compliance of the patient on the aftercare program of the Drug Detoxification and Rehabilitation Unit (DDRU). Methodology: A descriptive correlational design was done. Two groups of respondents – 50 patients who are undergoing the aftercare program and their significant others, were selected non-randomly from June 2017 to December 2017. The researcher administered a 20-item questionnaire to the patients and to their significant others on the scheduled monthly meeting of DDRU. It was validated by three content experts and pilot-tested to 10 respondents. Descriptive measures, t-test and correlation were used to analyze data. Permission to conduct the study was granted by NCMH Research Ethics Committee. Key Results: The respondents are 34.08 (±7.80) years old on average, more than half are single (31, 62%), and a quarter are high school graduates. The respondents have the same evaluation on the factors contributory to their compliance which include patient-centered, social and economic, therapy-related and healthcare system factors. From the overall mean scores, patient-centered, therapy-related, social and economic, and healthcare system factors were all perceived to contribute to the compliance of the patient on the aftercare program, on varying degrees of extent. For the correlation of demographic characteristics with the contributory factors, patient-centered factors were found to have significant relationship with the civil status of the patient respondents while educational attainment is positively correlated with the patient-centered, social and economic, and healthcare system factors. Conclusion: Since all of the factors studied were perceived to contribute to compliance of the patient on the aftercare program, then its implementation could be enhanced through periodic evaluation and expansion to other facilities and communities.

5. Trauma and addiction treatment

Paul du Buf

Wednesday, 10/26/2022, 10:55am – 11:25am, Imperial 4

One of my clients, whilst working in an alcohol outreach pilot project, taught me that I had limited skills to support her in other ways than with cognitive tools. Six years ago, this started my search for ways to support clients holistically, to learn about the role of our nervous systems and how addictive behaviour for most individuals in my experience, can be best understood as a coping mechanism, a way to deal with overwhelming experiences the best they can and could. I will share experiences of clients and the importance of acknowledging the process of including and sensing our body and emotional experience which than can start a process of integration and healing. I will address the prevalence of trauma in addiction treatment and opportunities and challenges will be considered in the process of transitioning addiction services being part of a culture unaware of its own traumatic impact, into trauma-informed addiction service allowing for trauma to be recognised and integrated.

6. The Booze-Less Drinking Game: Exploring Alcohol Consumption Among Australian Nurses

Adam Searby

Thursday, 10/27/2022, 10:55am – 11:25am, Imperial 4

Purpose: Like in many other jurisdictions around the world, nurses make up the majority of the Australian healthcare workforce. Little research attention has been paid to the alcohol consumption patterns of Australian nurses; the purpose of this research project was to explore alcohol consumption among the Australian nursing cohort. Objective (specific aims): 1. To define the prevalence of risky alcohol consumption among Australian nurses 2. To explore subjective experiences of alcohol consumption, and the impact of stress and the pandemic on alcohol consumption 3. To determine whether technology-based interventions for risky alcohol consumption are acceptable to nurses Design and methods: We used a mixed-methods approach to meet the aims of the research project. The first phase of this project used a cross-sectional, online survey to determine the prevalence of risky alcohol consumption among Australian nurses. The second phase used a qualitative, semi-structured interview process to discern the subjective experience of nurses (n=42), including perceptions of stress on alcohol consumption and the acceptability of technology-based interventions. Results: Using the validated Alcohol Use Disorders Identification Test (AUDIT), we surveyed 1,209 nurses from a wide range of settings across Australia, finding the overall prevalence of risky alcohol consumption at 36.9%: 26.1% at risky or hazardous level, 5.6% at high-risk or harmful level, and 5.1% at high-risk, almost certainly dependent level. Correlations between work setting, perceived stress and alcohol consumption were also found. The qualitative phase found many nurses reporting stress as having an impact on their alcohol consumption. Although we did not set out to determine a correlation between the COVID pandemic and alcohol consumption, many participants described the impact of pandemic related increases in patient presentations, workforce changes and work from home or lockdown orders as having an impact on their alcohol consumption. We used the Behaviour Change Wheel to explore these interviews, specifically the COM-B model, to determine factors for use of a technology-based intervention, finding that nurses had specific requirements for any intervention that warrant targeted interventions. Conclusions: In our sample, a substantial number of nurses were consuming alcohol at risky levels. Our qualitative findings indicate that there are several potential drivers for this, including pandemic driven factors such as increasing workloads and working from home. Our participants also expressed a desire for any technology-based intervention to be tailored to the nursing cohort.

7. Addressing Self-Directed Hospital Discharge among People Who Use Drugs

Peggy Compton

Wednesday, 10/26/2022, 10:05am – 10:35am, Imperial 8

Patients with substance use disorders are more likely than those without to have a self-directed hospital discharge (also known as discharge against medical advice), putting them at risk for poor health outcomes including progressing illness, readmissions, and death. In this symposium, Dr. Compton will begin by presenting the results of original research exploring the role of acute and chronic pain in self-directed discharges in patients who use opioids, and the progression of infectious morbidity. Ms. McFadden will discuss how interruptions to care, including self-directed discharges, result in poorer health outcomes and burden low-barrier clinics with limited resources. Dr. Aronowitz will present on approaches to treating acute pain and withdrawal in hospitalized patients with opioid use disorder to avoid self-directed discharge and consider the role of stigmatizing nursing care in self-directed discharges. Finally, Dr. French will discuss the role of interdisciplinary hospital care teams in addressing stigma and self-directed discharge among persons who use substances. Across these presentations, attendees will come to appreciate the roles of acute pain, craving and withdrawal in self-directed discharge from the hospital among persons with substance use disorders and learn about nursing and interdisciplinary interventions designed to decrease rates of self-directed discharge among this patient population. The symposium faculty believe that each hospital admission represents an opportunity to provide evidence-based harm reduction and treatment interventions to people who use drugs. Thus, addressing self-directed discharges is critical to improving health outcomes in this population.

8. Individuals to systems: Methodological and conceptual considerations for addressing mental illness and addiction stigma holistically

Jacqueline Smith

Wednesday, 10/26/2022, 10:55am – 11:25am, Imperial 6

Addiction and mental illness stigma is a complex public health issue that creates barriers for clients needing access to quality health services. Most research focuses on interpersonal stigma with emerging research examining intrapersonal and structural stigma in the healthcare setting. This research commentary focuses on how to address the gaps in the existing research to elicit greater organizational/structural change in healthcare systems and positive health outcomes. It describes key components of a five-year multiphase study that aims to explore and address multiple levels of stigma holistically among stakeholders including physicians, nurses, protective services staff, and patients/families in an emergency department setting. Unique to this study is the inclusion of a patient research partner who is positioned as a co-designer and research partner throughout the project. The goal of this study is to explore, address, understand, and evaluate interventions that mitigate stigma in healthcare at both the individual and structural/organizational levels.

9. Emergency department (ED) discharge protocols/procedures for patients presenting with an illicit, accidental drug overdose (OD): Determining evidence-based practice (EBP) interventions and discharge instruction

Ruthanne Palumbo

Thursday, 10/27/2022, 11:30am – 12:00pm, Imperial 6

Data indicate 175 individuals overdose (OD) daily, many of them receiving care in the emergency department (ED). Stigma is often associated with substance use disorder (SUD) and OD and can influence the care and follow-up patients receive. Even after receiving lifesaving interventions, these patients spend an average of fewer than three hours in the ED and often discharged without needed resources. The Health Stigma and Discrimination Framework were used to guide the study. This was a descriptive study using a retrospective chart review of ED visits for illicit OD between January 1, 2020, and December 31, 2020. Data collected included demographics, length of stay, interventions, and discharge instructions provided. Descriptive statistics were examined. There were 242 patients (male= 60%, female= 40%; mean age=35) treated in the ED for accidental OD from an illicit drug. Patients spent an average of 2 hours and 14 minutes in the ED. Naloxone was administered to 70% (n=166) of patients. Only 25% of patients were provided with a prescription for naloxone. Inconsistencies were noted regarding interventions received and discharge information provided. Addictions nurses caring for this population experience are essential in developing and providing consistent evidence-based practice (EBP) interventions and discharge instruction. Research is needed to develop and implement standardized, EBP interventions and discharge instructions; to determine the effect on patient care and foster positive outcomes.

10. Effective Nursing Recovery-Oriented Interventions for Individuals with Substance Use Disorder: A Qualitative Descriptive Study

Niall Tamayo

Friday, 10/28/2022, 9:35am – 10:05am, Imperial 4

Nurses accompany individuals with substance use disorder (ISUD) in their recovery journey. However, negative attitudes adopted by nurses discourage ISUD from accessing healthcare services, experiencing further consequences of their substance use. Alternatively, nurses can utilize interventions that support the recovery of individuals. Hence, it is beneficial to increase nurses awareness of effective interventions that promote recovery. Purpose: To explore effective nursing interventions used by inpatient nurses in a Canadian academic, teaching, psychiatric hospital that promotes the recovery of ISUD. Objectives: 1) Identify actions, behaviours, and interventions enacted by inpatient psychiatric nurses in real life to promote the recovery of ISUD; 2) highlight similar and different interventions nurses use in actuality in comparison to the literature. Design and Methods: Qualitative Description was used to explore effective recovery-oriented nursing interventions. Four nurses were recruited through purposive sampling. Data was collected using semi-structured interviews and was analyzed using Qualitative Content Analysis. Results: Effective nursing interventions revolved around the themes of person-centred care, empowerment and fostering hope, and utilizing a holistic approach. The study highlights nurse participants utilizing social support, education, withdrawal management, advocacy, and harm reduction to support recovery which were sparsely mentioned in the literature review. Lastly, this study reveals that interventions rooted in spirituality, culture, and disclosure are often unemployed. Conclusion: Nurses can reflect on the utilization of interventions presented within the findings of the study. They can consider how applicable the effective and underutilized nursing interventions are for their settings and apply them as appropriate.

11. Leveraging Community-Based Partnerships to Customize a Digital Self-Management Support Intervention for Mothers in Early Recovery from Addictive Substances

Phyllis Raynor

Wednesday, 10/26/2022, 10:05am – 10:35am, Imperial 6

In rural underserved communities facing poor health outcomes related to maternal substance use disorders (SUD), researchers have sought meaningful partnerships with community stakeholders to tailor interventions designed to meet the specific parenting and recovery needs of that population. Through a community-based participatory research (CBPR) approach, researchers work directly with community stakeholders and pregnant and early parenting women with SUD to identify health needs and ways to customize interventions for those living in rural areas who might otherwise fail to access traditional health care settings. This CBPR project explored the feasibility of delivering tailored parenting and recovery supports through mobile technology to pregnant and early parenting women in early recovery from SUD living in rural areas. The purpose of the presentation is to report findings from this research that explored parenting and recovery support challenges and needs of thirty pregnant and early parenting women in early recovery from SUD (e.g. Opioid, Alcohol, Cannibis, Nicotine, and Methamphetamine Use Disorders). In addition, feedback from the study participants regarding the feasibility of delivering parenting and recovery supports through mobile technology will be discussed during the presentation. Future research will need to examine the extent to which the use of community guided and theory-based tailored digital technology can provide the level of parenting and recovery support needed for mothers in early recovery from SUD.

12. Womens Experiences of Seeking Treatment for Substance Use Disorder During Pregnancy

Kimberly Dion

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Problem- The number of people worldwide using drugs has significantly increased in the past decade and is expected to rise 11% by 2030. Due to the increasing rates of substance use by women of childbearing age, the risk of maternal and neonatal harm from drug use is expected to increase. Pregnancy often serves as a transitional time for the woman with substance use disorder (SUD). Women who use drugs are a difficult population to access, and experience stigma and difficulty accessing services at higher rates than men who use drugs. Purpose- The purpose of this study was to gain insight and understanding of womens facilitators and barriers for transitioning from active illicit drug use to treatment during pregnancy. Methods- Over a 3-month time period, an online survey was administered to query women about their drug use during pregnancy in the last five years and was administered on a private Facebook page for moms on medication-assisted treatment (MAT). Participants were invited to participate in an individual focused interview to further explore their experiences of seeking treatment during their pregnancy. A certificate of confidentiality was obtained for the study. Descriptive statistics were used for survey data and a priori codes of the domains from The Health Stigma and Discrimination Framework (HSDF) were used as a guide to examine and code five qualitative transcripts describing the womens experiences with seeking treatment for their substance use disorder (SUD) during pregnancy. The HSDF consists of four domains: facilitators & drivers, stigma marking, manifestations, and outcomes. Results- Of the 19 participants that completed the survey, the average age was 31, almost all were white (n=16, 84%), the majority (n=18, 94.7%) used opioids, stopped using illicit drugs by their second trimester (n=10, 52.7%), and 94.1% knew about MAT as an option, with the average being at 15 weeks pregnant when beginning treatment. Stigma was experienced some to a great deal by 89.5% (n=16) of the women. All 19 participants were invited to participate in a one-hour in-depth interview, but only five (26%) followed through. Ten (52%) of the participants arranged times to meet on two separate occasions but did not show up for the interview, and four (21%) did not respond to the invitation. Driver and facilitator themes included fear of child protective services, the health of the fetus, partners drug use, health care providers reactions, titration of MAT, and lack of awareness of support services during pregnancy such as mother/child programs. Stigma marking themes included substance use history and drug testing. Manifestations included anticipated and perceived stigma. Outcomes included exclusion from societal norms, resiliency, and advocacy. Conclusions- Among pregnant women with SUD, multiple stigma marks from a societal lens are a major barrier to healthcare. Further expansion of treatment programs and program policy guidelines must be reviewed to support the needs of pregnant women. Nurses can improve maternal and neonatal outcomes through early identification of drug use, non-judgmental care, harm reduction education, awareness of support groups, mother/child programs, and incorporating partners in MAT.

13. The S-Substance A-Abuse M-Management and E-Education Project- Decreasing Student Nurses Stigma

Kimberly Dion

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Problem- In 2019, an estimated 35 million people worldwide had a substance use disorder (SUD), and it has been projected that worldwide drug use will increase 11% by 2030. It is well known that people with SUD experience stigma from their health care providers resulting in a significant barrier to receiving health care. Student nurses struggle with differences between their personal beliefs and professional expectations, often due to a common perception that drug use is controlled by the person with a SUD. Substance dependence education has been described as significantly lacking in nursing programs, and nurses report feeling unprepared to care for people with SUD. Purpose- This first-year SAMHSA grant aimed to determine if targeted anti-stigma interventions improved nursing students’ attitudes and perceived stigma toward people with SUD. Methods- Second-semester junior university nursing students enrolled during the spring of 2021 were invited to participate (n=144) in a pre/post and 6-month follow-up survey. The theory of therapeutic commitment served as the framework. Therapeutic commitment is influenced by the providers feelings of role adequacy, role commitment, and role support. All students received a total of six hours of training that included the physiology of addiction, Screening Brief Intervention and Referral to Treatment, motivational interviewing, stigma reducing and recovery-focused language, trauma-informed education, intranasal naloxone training, and presentations by persons with a lived experience. Substances covered included alcohol, marijuana, stimulants, and opioids. An electronic repository toolkit was developed to provide students with evidence-based harm reduction education and community resources to implement with persons with SUD. The 20-item Drug and Drug Problems Perception Questionnaire (DDPPQ) and 8-item Perceived Stigma of Substance Abuse Scale (PSAS) were completed at baseline, post-intervention, and six months later. Of the 59 matched surveys, frequencies were run for all demographics and satisfaction questions. For DDPPQ and PSAS scores, a Wilcoxon Signed-Rank test was used to determine whether six-month post-training scores were statistically significantly different from baseline scores. Results- The majority of the students were female (53%), white (85%), and ages 20-29 (76%). A Wilcoxon signed-rank test revealed that six months post-intervention subscales of the DDPPQ (Z =.00058) and PSAS (Z= .005) scores significantly improved from baseline scores (Z < .01). Sixty-four percent of the students provided harm reduction education, with the most common being don’t use alone (41%), overdose prevention (32%), referral for treatment (10%), and intranasal naloxone (10%). The least common harm reduction education provided by the student nurses were safe injection technique (7%), referral to a syringe access program (5%), and doing a tester shot (0%). Students reported high satisfaction with the training (96%). Conclusions- It is possible to improve student nurses perceived stigma and therapeutic attitudes through a six-hour innovative multi-modal training. Anti-stigma interventions led to a sustained decrease in stigma and improved overall therapeutic attitudes toward people with SUD. Harm reduction education strategies need to be further researched for student nurses.

14. Publishing Addiction Science

Christine Vourakis

Wednesday, 10/26/2022, 2:05pm – 2:35pm, Imperial 6

The purpose of this webinar is to assist writers in identifying the reasons and steps to publishing their manuscripts. Further, they will be provided with approaches to revising their manuscript based on the feedback from peer reviewers. Finally, participants will participate in a discussion on ways to address and/or avoid or rejection.

16. Community-based research to understanding and respond to substance use and addiction in Prince Albert, Saskatchewan: Complexities and lessons learned

Geoffrey Maina

Wednesday, 10/26/2022, 2:40pm – 3:10pm, Imperial 4

Background: Substance use is a persisting health care crisis that has led to the addiction of diverse substances in the Prince Albert region of Saskatchewan. This public health issue of concern affects not only those with a substance use disorder (SUD) but also their family. In this presentation, we describe the engagement process conducted with community members in different phases of the research process. Aim: This presentation will outline the community-engagement processes undertaken to identify community priorities on substance use and addiction. Including how they guided the grant application and the implementation of the study focussing on the impact of substance use and addiction on family members. Objectives: the objectives of the presentations are to a) describe the community-engagement processes that were undertaken to identify priorities for families affected by SUD and addiction in Prince Albert; b) describe elements of the community engagement process in the research process on exploring the needs for and developing interventions for families affected by SUD and addiction in Prince Albert and; c) discuss lessons learned in the community engagement process for the project- exploring the needs for and developing interventions for families affected by SUD and addiction in Prince Albert. Results and discussion: The initial community engagement event provided clarity of the community needs, i.e., the absence of support for families affected by SUD and addiction. This focus guided team composition to apply for a research grant comprising family members, health care providers, and decision-makers. Utilizing the principles of patient-oriented research in grant design and implementation, ensured that patient and family members were actively engaged in each phase of the research process-from participant recruitment, data analysis, and presentation of the study findings. Conclusion: Through this study, a deeper understanding of the impact of substance use disorder and addiction on family members was made apparent. Involving people with lived experiences as co-applicants in the grant, grounded the research team to ensure the study’s findings were understood by and relevant to the public. Lessons on the complexities of community engagement, best practices in the co-option of family members as research team members, and dynamics of participation in projects were learned.

17. Program Evaluation of Adolescent Intervention Program (AIP): Substance Abuse Education Program for At Risk Adolescents

Shanea Clancy

Pre-recorded

The purpose of this project is to evaluate the effectiveness of the Adolescent Intervention Program (AIP), a faith-based drug and alcohol recovery program for teens. This is an alternative to jail program. Nearly 1 in 10 Americans, 12 years or older (20.1 million people), have a substance use disorder (SUD), involving alcohol or illicit drugs (National Center for Drug Abuse Statistics, 2019). The average age of first-time alcohol or substance use is 13 years-old and nine out of ten addictions start in the adolescent years (National Center for Drug Abuse Statistics, 2019). Adolescents with first-time drug and alcohol arrests can be referred to the AIP as an alternative to jailtime from the juvenile court system (Grim & Grim, 2019). The W.K. Kelloggs Step by Step Guide to Evaluation (2017) guided this program evaluation. One early finding was the lack of program data including participant demographics, completion, and recidivism rates. Even though this was a barrier to completing a traditional program evaluation, the Kellogg model provided guidance in the use of the Appreciative Evaluation approach. Kelloggs Empowerment and Culturally Responsive Evaluation approaches also influenced the development of the stakeholder structured interviews. The Johns Hopkins Nursing Evidence Based Practice Model provided a framework to identify evidence-based research related to faith-based drug and alcohol recovery programs that guided understanding and the foundation for program recommendations. Recommendations included development of a facility leadership succession plan, educational tool kits for parents and teens and the development of a volunteer orientation and training program.

18. Attitudes of Portuguese health professionals towards alcohol consumption

Paulo Seabra

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Problem People attribute meanings, develop behaviors and attitudes towards alcohol consumption. Health professionals, despite their specific training, have attitudes that influence their professional practice. But it is not known how these attitudes are characterized in Portugal, one of the countries in the world with the highest rates of alcohol consumption. Objective To describe the attitudes of Portuguese health professionals towards alcohol consumption and the association between these attitudes, the perception of self-efficacy and resilient coping. Methods Descriptive, correlational, quantitative study carried out in 2021. 3 validated scales were used. 535 professionals answered an online questionnaire (physicians, nurses, psychologists and social workers and final year nursing and medicine students). Results Participants had a mean age of 42.2 years (SD=12.7), 81.3% were women. Mainly nurses 46.7% and physicians 26.9%, with a mean age of 20 years (SD=11.2) of professional practice. 71.2% have professional experience with people with problematic alcohol consumption, 24.5% never had academic training in this area and 48% never had in-service training on the subject. 26.5% of professionals had negative attitudes towards alcohol consumption, with nurses having less positive attitudes. No differences were found between sexes. The older the participants are the more negative attitudes towards alcohol consumption (r=-0.118; p<0.001). There is a positive and statistically significant association between attitudes towards alcohol consumption and self-efficacy (r=0.195; p<0.001) and the perception of resilient coping (r=0.174; 0<0.001). Conclusions Those who have better attitudes have better self-efficacy and better resilient coping. These indicators should be monitored to promote best professional practices.

19. Medication-Assisted Treatment vs 12-Step Group Therapy: A Comparative Analysis of Adherence and Abstinence in Patients with Opioid Use Disorder

Derrick Glymph

Friday, 10/28/2022, 10:10am – 10:40am, Imperial 6

The purpose of this study was to do a comparative analysis of the effects of medication-assisted treatment (MAT) and 12-step group therapy on adherence and abstinence in adult patients with opioid use disorder (OUD). The specific aims were (1) to compare treatment adherence and illicit opioid abstinence of adult OUD patients enrolled in MAT and adult OUD patients enrolled in 12-step group therapy at three months and six months after initiation of treatment, and (2) to compare treatment adherence and illicit opioid abstinence of adult OUD patients enrolled in MAT to the treatment adherence and illicit opioid abstinence of adult patients enrolled in 12-step group therapy after controlling for age, marital status and gender. Findings of the study indicate when comparing MAT to 12-step group therapy, there was not a significant difference in treatment adherence and illicit opioid abstinence in adult OUD patients at three and six months after initiation of treatment (χ2 (1) =0.00, p =0.990) and (χ2 (1) =0.459, p =0.498). Study findings indicate that female gender was a significant predictor of adherence to the treatment programs at both three and six months, (b= 1.41; p < 0.02) and (b= 2.52; p <0.003). Marital status and age were not significantly associated with adherence or abstinence. Considering the integration of a randomized controlled trial, longer periods to access for adherence and abstinence after treatment initiation, as well as exploring about patients perceptions, will be of assistance to improve the future direction of research associated with the OUD population.

20. Creating space for immigrant communities to speak up and build solutions to address substance use and addiction in Regina, Saskatchewan.

Geoffrey Maina

Thursday, 10/27/2022, 11:30am – 12:00pm, Imperial 4

Abstract Background: Anecdotal reports from community partners providing services to newcomers in Regina indicate a noticeable increase in substance use among the newcomer population. The impact of substance use among the immigrant community in Saskatchewan is not known as there are no statistics to describe its scope. Aim of the study: We applied and received a connection grant from the Saskatchewan Health Research Foundation (SHRF) to mobilize immigrant communities in Regina to explore substance use issues and their impact on the community. Methods: A zoom knowledge-sharing event brought together 22 stakeholders in settlement agencies to deliberate on substance use and addiction facing newcomers in Regina, Saskatchewan. Presentations on immigrants and substance use from the clinical, community and lived experience perspectives were made, followed by a panel of Substance use priorities for the immigrant population in Regina. Results and discussion: The community consultation process revealed that acculturation stress and ease of availability of socially acceptable substances are fuelling substance use and addiction among newcomers in Regina. There is a lack of programs to prevent and reduce risks for substance use among this population. Those who develop an addiction experience personal, systemic and cultural barriers that hinder access to care and treatment. Conclusion: To address the concerns raised during the community engagement process, a team comprising of knowledge users, people with lived experiences, service providers and researchers applied and received the SHRF solutions grant. This grant will build community partners’ capacity to respond to substance use and addiction issues identified in the community consultation process.

22. Is the clinical practicum in addiction treatment facilities an effective educational intervention to improve nursing students’ attitudes toward alcohol use disorders?

Divane Vargas

Pre-recorded

The paucity of education and training on substance use disorders (SUDs) in nursing curricula is the main predictor of negative attitudes and results in limited knowledge access and delivery of health care for persons with AUDs. While experts advocate increasing the time devoted to alcohol-related content in a crowded curriculum, didactic strategies for teaching about addiction in prequalifying nursing education have been discussed. This study aimed to verify the effectiveness of an educational experience that integrated clinical practicum experience in addiction treatment facilities for nursing students attitudes. A quasi-experimental one-group study with pre and post three-month follow-ups was carried out with 108 nursing students who answered the EAFAA-Attitudes Scale. The effect of the clinical practicum was apparent, with statistically significant changes to more positive global attitude scores in all measures. Previous educational intervention for AUDs during nursing education was a predictor of positive attitudes (OR 7.21- p<0.04). Students self-perceived skills and professional preparation to deliver and direct care for patients with AUDs improved after the intervention, suggesting that clinical practice influenced students skills for AUD identification across nursing practice. Previous contact with this population with lack of training in SUD seems to favor negative attitude development. Clinical practicum experience in addiction treatment facilities improved nursing students attitudes toward AUDs and patients with AUDs, and its effects were sustained three months later.

23. Impact of a preventive intervention on anxiety symptoms and reduction of alcohol use in Primary Health Care service patients during COVID-19

Divane de Vargas

Pre-recorded

Objective: This study aimed to investigate the impact of a remote intervention carried out through a telephone consultation on anxiety symptoms and reduction of alcohol use in patients of the Primary Health Care service. Method: A quasi-experimental study involving 1270 participants who answered the alcohol use disorders identification test (AUDIT) and the Stait-Trait anxiety inventory (STAI-S6). Results: The impact of the intervention performed was positive in reducing anxiety symptoms between t0 and t1 (µ=1.6 p<0.001) and in reducing the pattern of alcohol use between t1 and t3 (µ=1.57 p< 0.001) Conclusion: The results of the follow-up suggest a positive effect of the intervention in reducing anxiety and the pattern of alcohol use, characterizing it as an alternative for preventive care in mental health, in situations in which the user’s accessibility or of the professional are committed with the potential to cover different groups and population extracts.

26. Strategies adopted by treatment facilities during the COVID-19 pandemic to support the treatment for those in recovery or struggling with a Substance Use Disorders

DIVANE DE VARGAS

Pre-recorded

Objective: Identify and synthesize strategies and actions adopted by substance use disorders (SUD) treatment facilities to support and maintain the treatment during the COVID-19 pandemic. Method: systematic review on databases (BVS, Scopus, Web of Science, PubMed, CINAHL, LILACS), using the following keywords “COVID-19”, SARS-CoV-2”, Substance Abuse”, Alcohol use disorders”, Treatment ” . Results: From a total of 971 articles, 28 studies were included, mostly were opinion articles published in English. The strategies synthetized were classified in five categories: telehealth/telemedicine support; adequacy of prescription and distribution of medications; Reorganization of face-to-face treatment delivery; approaches to preventing COVID-19; Other strategies and changes. Conclusion: there is little available literature on strategies adopted by SUD treatment facilities to maintain the treatment during the COVID-19 pandemic. The majority of the studies published focus on care of individuals with opioid use disorders. Despite the limitation of evidence resulting mainly from opinion articles, they can support health practitioners and stakeholders to address the impact of the pandemic on the treatment for those who are in recovery or struggling with a SUD when the in-person treatment is not possible.

27. Building capacity for cross county collaborations to advance Addictions Nursing Science

Devon Noonan

Wednesday, 10/26/2022, 2:40pm – 3:10pm, Imperial 6

Problem: There are very few addictions nurse researchers with a focus on tobacco cessation. Nurses are instrumental across the spectrum of tobacco control and nurse scientists have a key role in developing innovations to decrease tobacco use globally. Purpose: The purpose of this presentation is to highlight an international tobacco research collaboration between nurse addictions researchers in the U.S., U.K. and Canada and the development of a cross-county addictions nursing research portfolio. Results and Lessons Learned: We will highlight the infrastructure at Duke University School of Nursing and Kings College London that supported the initial connections and collaborations. We discuss navigating the process of developing an international research agenda, funding program, and publication strategy. We will present our research portfolio as an example for other collaborations. We offer strategies to include student nurse researchers and support early career nurses in tobacco research. Finally, we offer key suggestions for designing and sustaining similar partnerships globally among tobacco nurse researchers that can be applied to other areas of addictions science.

29. Identifying and Synthesizing Nurses Actions, Practices, and Work with People Living with Opioid Use Disorder

Timothy Sowicz

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Problem: Approximately 62 million people globally used opioids for non-health related reasons in 2019. People using opioids for such reasons or those with opioid use disorder (OUD) may experience events negatively impacting their health, including overdoses. Several treatment options for OUD exist and nurses involvement with them varies, as some fall outside their scopes of practice. It is important to know what nurses practices with people living with OUD are to inform addictions nursing. Objectives: The objectives of this literature review were to: 1) identify how nurses actions, practices, and work have been presented in the literature and 2) synthesize existing research in which they appear. Design: A narrative literature review was conducted to address the objectives. Methods: CINAHL, PubMed, PsycINFO, and Scopus databases were searched using several keywords (e.g., nurses work, opioid use disorder, heroin). The filters, human subjects and English language, were applied to the search. Inclusion criteria were: 1) title or abstract related to the objectives, 2) research studies with nurse participants, and 3) availability of full-text articles. Duplicate articles were deleted for a final yield of 21 articles. All articles were read entirely. Keywords from each studys verbatim purpose statement, specific aims, or research questions were used as categorical labels and given a description. Other data about the research studies (e.g., inclusion of theory, sample size, setting) were extracted and added to an evidence table. The results sections of each article were scrutinized for words and phrases indicating nurses practices with people with OUD. Each word or phrase was labeled with a standard of practice for addictions nursing (e.g., assessment). Results: The articles were published between 1989 and 2018. Only 2 studies were conducted solely to describe the actions, practices, or work of nurses. The purposes of the remaining studies were about nurses views, roles, experiences, and behaviors toward persons with OUD, the quality of services and caring, and competencies. Most of the studies used qualitative designs and were conducted in Europe and the United States in various clinical settings. Theory was infrequently included or used across studies and the creation of new theories were presented in two studies. Prescriptive authority and treatment was the only practice standard that was not found in the results across all studies. Implementation, assessment, and evaluation were frequently identified practice standards; outcomes identification was infrequently described. Conclusions: Nurses actions, practices, and work with persons with OUD are consistent with the standards of practice for addictions nursing. This finding is foundational for future research to test nurse-led interventions to optimize the health and well-being of people with OUD. In addition, identifying new practices and processes performed by nurses may expand the standards of practice. Developing theoretical knowledge about addiction nurses work and conducting studies in geographic regions of the globe that have not been studied are also major areas needing inquiry.

31. Improving Opioid Use Disorder Care for Hospitalized Patients with Endocarditis

Rachel French

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Research Objective: Driven by the opioid epidemic, rates of hospitalization for infective endocarditis, an infection associated with injection drug use, are increasing. In the United States, the 15,000 patients hospitalized annually for opioid use disorder-associated infective endocarditis (OUD-IE), have distinctly poor outcomes, with one in 10 dying in the hospital and one in 20 leaving against medical advice. We characterized how hospital staff provide care to patients with OUD-IE and examined facilitators and barriers to implementing evidence-based opioid use disorder (OUD) care for these patients. Study Design: We conducted 26 one-hour semi-structured interviews with health care staff who care for patients with OUD-IE. We are using abductive analysis, an approach to generate theory from qualitative observations grounded in pragmatism, to describe interactions between health care staff and patients with OUD-IE and assess facilitators and barriers to implementing evidence-based OUD care for these patients. Population Studied: Health care staff interviewed include registered nurses, physicians, advanced practice providers, pharmacists, certified recovery specialists, and social workers who care for patients with OUD-IE at the Hospital of the University of Pennsylvania, an urban academic-medical center located in Philadelphia, Pennsylvania. Principal Findings: Most health care staff provide some evidence-based OUD care to patients with OUD-IE, such as initiating medication for OUD during hospitalization, coordinating post-discharge OUD care, and providing naloxone at discharge. Other OUD care is also being provided to patients with OUD-IE, including weekly inter-disciplinary huddles” led by social work to discuss the needs of OUD-IE patients undergoing surgery. Given that patients with OUD-IE are typically hospitalized for over 30 days to receive intravenous antibiotics, health care staff view hospitalization as a reachable moment” for addressing OUD. Other facilitators include weekly inter-disciplinary huddles and having champions” for patients with OUD-IE on the care team. Barriers to providing OUD care include significant challenges related to discharge planning when patients are on medication for OUD, pain and withdrawal management, and visiting family or friends who bring illicit drugs to patients. Conclusions: Respondents report that hospitalization represents a reachable moment for addressing OUD among patients with OUD-IE. While staff provide some OUD care to patients with OUD-IE, notable barriers prevent adequate care delivery during and following hospitalization which likely impacts long-term patient outcomes. Implications for Policy or Practice: The huddle” model should be expanded to include all patients with substance use disorders and should be implemented throughout the Hospital of the University of Pennsylvania and at other academic-medical centers. Discharge facilities such as rehabilitation centers and skilled nursing facilities should be incentivized to accept patients who are prescribed medication for OUD and require intravenous antibiotics. Hospitals should consider implementing champion” training programs to develop advocates for patients with OUD and clinicians should ensure they are adequately managing pain and withdrawal among patients with OUD-IE to alleviate the need for illicit drug use.

32. Interactive Computer Simulation Training for Clinicians in Screening and Brief Intervention for Substance Use Among Adolescent Psychiatric Inpatients

Samantha Toomey

Thursday, 10/27/2022, 10:05am – 10:35am, Imperial 4

Background and Purpose Adolescent substance use is a leading public health problem in the United States which often goes unidentified and untreated, with serious, negative consequences. Adolescent screening and brief intervention (SBI) is an evidence-based approach to prevention and early intervention for potential or current substance use. This feasibility study used an interactive computer simulation to teach SBI to a team of interprofessional clinicians on an inpatient adolescent psychiatric unit at a major university hospital. Design and Methods Participants (n = 56) completed the virtual training SBI with Adolescents (Kognito). The clinicians final assessment challenges” were analyzed to determine the percentage of participants who received a passing score of >75 on their first attempt. We analyzed two data sets, one depicting data from before clinicians completed the simulation training, and one following completion. We used these data to assess for changes in self-perceived competence and confidence regarding SBI delivery. Results Post-training data showed that 51 of 56 (91%) clinicians who completed the training achieved a passing score on their first attempt with the final assessment challenge. We found increases in both self-perceived competence and confidence, with p-values < 0.01. We received positive qualitative feedback from clinicians regarding their experiences with the training. Conclusion SBI with Adolescents was found to be a feasible educational tool to increase inpatient adolescent psychiatric clinicians skills for delivering SBI. Practical Implications This project demonstrated support for the potential benefits of using an interactive computer simulation to teach SBI to clinicians on an inpatient adolescent psychiatric unit.

33. Evaluation of Simulation Training on Screening, Brief Intervention, and Referral to Treatment for Adolescent Substance Abuse in Pre and Post Licensure Nursing Programs

Kathleen Elertson

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Adolescent substance use is a prevailing health issue, yet healthcare professionals remain ill-equipped to address substance use and related disorders with their patients. Nurses, nurse practitioners, and physicians report inadequate training or preparation to screen patients for substance use or mental health disorders. In order to effectively screen, clinicians require targeted training and preparation. The following PICOT question addresses the concern: Among baccalaureate and advanced practice nursing students, how does implementation of targeted education and high-fidelity simulation on Screening, Brief Intervention and Referral to Treatment, compared to standard curriculum, affect students confidence and competence in performing SBIRT screening in the adolescent population? Drug and alcohol use at an early age is a predictor for developing a substance use disorder (NIDA, 2019). Despite alarming rates of adolescent substance use and associated health issues, healthcare professionals are failing to appropriately screen for risk (Agley et al., 2018). SBIRT is an evidence- based approach using screening for risk and providing intervention strategies including referral to treatment if indicated. SBIRT has been successful in adult populations, but data with adolescents are limited. Frameworks utilized to guide the intervention were the Health Belief Model and Banduras theory of self-efficacy. The Health Belief Model indicates probability of active participation in a recommended health behavior is based largely on personal perceptions (Hodges & Videto, 2011). Banduras theory uses cognitive representation for motivation to learn and change behaviors (Bandura, 1977). The model and theory align with utilization of interactive high-fidelity simulation by permitting learners to implement and observe varied outcomes through role-play interaction. This project was determined exempt by the University IRB. SBIRT education and training were delivered using Kognito software combined with targeted education on adolescent substance use. Simulations consisted of two interactive trainings and a case challenge. Students are evaluated during the final case challenge based upon ability to engage, establish rapport, assess readiness to change, and motivational style. Aggregate scores on case challenge simulation will be evaluated. Quantitative data will be analyzed using ANOVA and a paired t-test to determine effectiveness of the intervention. Results are pending analysis at this time. Agley, J., Carlson, J., McNeils, A., Gassman, R., Schwindt, R., Crabb, D., & Vannerson, J. (2018). ‘Asking but not screening: Assessing physicians and nurses substance-related clinical behaviors. Substance Use and Misuse, 53(11), 1834-1839. https://doi.org/10.1080/10826084.2018.1438806 Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. Hodges, B.C. & Videto, D.M. (2011). Assessment and Planning in Health Programs (2nd Ed). Jones and Bartlett Learning: Sudbury, MA. National Institute on Drug Abuse [NIDA]. (2019). Trends in annual prevalence of use of various drugs in grades 8, 10, and 12 [Table 2]. Monitoring the Future: Ann Arbor, MI. http://monitoringthefuture.org/data/20data/table2.pdf

34. Impact of online mental health educational strategies to reduce stigmatizing attitudes and increase empathy towards people with mental illness and addictions among nursing students

ARCHANA PAUL

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Title: Impact of online mental health educational strategies to reduce stigmatizing attitudes and increase empathy towards people with mental illness and addictions among nursing students. Background: Stigma related to mental illness and addictions continues to be a great burden on the society causing discrimination and exclusion of individuals from living a meaningful and fulfilling life. Moreover, stigmatizing attitudes and lack of empathy towards mentally ill is highly prevalent among the healthcare professionals thus, affecting the quality of patient care. The investigator attempted to explore the impact of educational strategies while teaching an online mental health nursing course during COVID-19 pandemic. Methods: A single group pretest and post-test survey was conducted with a sample size of 29 undergraduate nursing students enrolled in a mental health course. Data was collected using Mental Illness: Clinicians Attitudes scale (MICA-4) and Kiersma Chen Empathy Scale (KCES), with permission. Findings and Implications: There was a significant decrease in negative attitude and perception of mentally ill as dangerous” after educational strategies were implemented in the classroom. The overall results indicated an increase in empathy towards people with mental illness and addictions post intervention. Nursing students may develop empathy and positive attitude towards individuals with mental illness and addictions when strategies such as evidence informed education on mental illness, treatment and recovery are conducted in a psychologically safe environment in the classroom. Other strategies such as providing theoretical information through lectures, conducting interviews with individuals and their families with mental illness, addressing myths about mental illness and addictions and social contact with trained speakers has an impact on the nursing students and must be incorporated in the mental health nursing courses.

35. Gaining Recovery in Addictions for Community Elders (GRACE) Project: Age-Specific Substance Use Treatment to Improve Patient Outcomes Among an Older Adult Population

Kathleen Schachman

Friday, 10/28/2022, 10:10am – 10:40am, Imperial 4

Background: Identification and treatment of substance use disorders (SUD) among older adults presents unique challenges. Physical and behavioral signs that are suggestive of SUD are often misattributed to the aging process or a co-morbid health condition. While addiction treatment has been shown to dramatically reduce overdose and other health risks in older adults, treatment options for this vulnerable population are limited by lack of availability, accessibility, and acceptability of services. The GRACE Project brought together an interprofessional team to deliver age-specific addictions care in an integrated outpatient setting to improve SUD recognition, treatment, and service provision to older adults. Purpose: The purpose of this research was to develop, implement, and evaluate the acceptability and effectiveness of age-specific SUD treatment for older adults in an integrated outpatient setting. Methods: Individuals aged 55+ years with SUD were invited to participate in the GRACE Project, a geriatric-focused substance use treatment clinic adapted to the physical, cognitive, and psychosocial needs of older adults. Over a 2-year period, clinical outcomes of GRACE patients were tracked and compared to an age-matched historical control group that received treatment as usual” in the context of diverse age groups. Comparative analysis using an independent t-test was conducted to detect group differences in outcomes of interest for addictions care, including treatment engagement and relapse rate. Repeated measures ANOVAs examined differences in change over time (Group x Time interactions) in clinical outcomes for diabetes, hypertension and depression among GRACE patients and age-matched historical controls. Results: As compared to an age-matched historical control group, GRACE patients (n = 39) had fewer relapses, greater treatment engagement and duration, fewer avoidable hospital admissions, and fewer instances of inappropriate use of emergency services. There was a significant Group x Time interaction for clinical outcomes related to diabetes, hypertension, and depression (p=.0001), with a significant improvement only among GRACE patients. Conclusions: Substance use disorders in older adults are most effectively addressed within the context of a patient-centered, team-based, primary care–centered model that is proactive, tailored to the unique strengths and needs of the older population, and employs a coordinated team of personnel with specific roles and special training. As a potential limitation, transition from in-person to telehealth delivery models during the COVID-19 public health emergency may have impacted GRACE patient outcomes, since the age-matched historical controls preceded the COVID-19 pandemic. Cost-benefit analysis and larger more diverse samples should be considered for future research.

36. The experiences of people who smoke with type 2 diabetes: A qualitative interview study using the COM-B model

Jennifer Jackson

Friday, 10/28/2022, 9:35am – 10:05am, Imperial 6

Few targeted interventions are available to support smoking cessation for people living with type 2 diabetes (T2DM). This gap is problematic, as people with T2DM face unique challenges when they try to stop smoking. The purpose of this study was to a) understand patients needs and challenges in relation to smoking cessation with T2DM and b) assess the acceptability of a text message intervention to support smoking cessation in this population. People who smoke and have T2DM in the United States and the United Kingdom were recruited to participate in semi-structured interviews (n=20), guided by the COM-B (Capability, Opportunity, Motivation, and Behaviour) model. A combination of inductive and deductive approaches with Framework Analysis was used to analyse these data. Results indicated that the participants experiences related to the constructs of the COM-B model and the categories of mental health and diabetes distress were notable parts of their experiences suggesting that an intervention focusing on addressing diabetes distress in the context of smoking cessation may be a valuable approach. A text message intervention was acceptable to participants and could include material on general T2DM management as well as smoking cessation.

37. Experiences of healthcare professionals working in Alberta, Canada harm reduction programs: A qualitative interview study

Farida Gadimova

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Injectable opioid agonist treatment (iOAT) programs are increasing as a harm reduction method of treatment for opioid use disorder. These programs are relatively new and provide an alternative to oral agonist treatments. There have been a limited number studies exploring the experiences of healthcare providers working in harm reduction programs such as iOAT. The aim of this study is to understand the experiences and perspectives of healthcare providers working in iOAT programs and make workforce recommendations that could benefit the programs in the future. A secondary, thematic analysis was conducted on qualitative interview transcripts with healthcare professionals, working in iOAT programs. The research was conducted in an iOAT program with two locations in the province of Alberta, Canada. Transcripts from 16 participants were included in this study. These participants are healthcare professionals who work in the iOAT programs. Interviews were conducted by a program evaluation professional, with a standardized interview guide. The researchers were given access to the transcripts of these interviews and conducted a thematic analysis on the text. The interviews were examined for a variety of themes, which were then arranged to establish an understanding of healthcare providers experiences and perspectives working in a harm reduction service. Participants reported building trusting relationships with iOAT users to be key to the clients success. Working in iOAT was rewarding for participants, as they could help clients move from chaos to stability. The approach of the healthcare professionals varied, which shaped their interactions with clients. Supportive working conditions could help foster the relationships that are essential for client success in iOAT programs.

40. Nursing Led Contingency Management in a Perinatal Substance Exposure Clinic

Anna Gerhardt

Pre-recorded

Although the overall rate of substance use disorders in the United States has remained stable since 2016, the rates of opioid use and stimulant use have continued to increase. Unlike medication for opioid use disorder (MOUD), there is currently no pharmacological treatment option for stimulant use disorder. Contingency management (CM), a behavioral health intervention based on operant conditioning, is one of the few efficacious treatment options for stimulant use. In order to provide an evidence-based treatment option for stimulant use, the Lead Nurse at Project CARA implemented a CM program in 2020. Project CARA is a perinatal substance exposure clinic in Western North Carolina that services 16 + counties and over 250 unduplicated patients per year. Project CARAs CM program is patient-centered, and was created using a co-design approach. CARAs CM program targets appointment attendance, not expected urine drug screen results, and patient incentives are tailored to parents and newborns. This presentation will review the tools needed to create and sustain the CM program in the clinical space, preliminary findings from the first 2 years of implementation, the nurses role in educating staff about using CM, as well as the clinical and patient experience since the implementation of CM.

41. Nursing Clinical Reasoning in Addictions

Chris Loth

Pre-recorded

In this presentation we show with help of real patient cases how to use the nursing clinical reasoning to make clear how strong or weak the capacity for changing life is in patients. We discuss how traumatic live events, how emotional developmental problems, how selfregulationproblems, how physical problems influence this capacity in patients. The reasoning is based on DD perspectives. NANDA, NIC and NOC but also on ICN.

43. Integrating Life Skills in A Tailored Support Group for Mothers in Early Recovery from Addictive Substances

D’Arion Johnston

Pre-recorded

Mothers experience many challenges when trying to maintain their recovery from drug use while parenting young children. Mothers often feel insecurity with their parenting because they lack certain parenting skills. Mothers in early recovery yearn to learn more skills on how to manage their emotions like frustration and impatience when parenting. In addition, mothers can feel guilt and shame because of prior drug use and its effect on their child. In situations where the child has special needs related to physical and emotional development, these mothers may feel even less prepared to parent effectively. This presentation will explore the idea of integrating a support group for mothers in recovery that includes psychoeducation, life skills, and coping strategies for the mothers to use in their communities to reduce their chances of returning to drug use. It discusses previous research that emphasizes the mothers eagerness to feel ready and confident when they are introduced back into the real world.

44. Instructional Scaffolding to Build Confidence, Competence, and Readiness to Provide Substance Use Treatment Among Nurse Practitioner, Social Work and Pharmacy Students

Kathleen Schachman

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Problem: As morbidity and mortality due to substance use disorder (SUD) are increasing, it is imperative to equip healthcare professionals with skills to identify SUD and initiate treatment. The lack of formal education surrounding addiction has left many healthcare professionals inadequately prepared to provide addictions care. Innovative curricular enhancements are needed to prepare practice-ready healthcare professionals who possess the requisite knowledge and skills to confidently interview, assess, diagnose, and treat patients with SUD. Evidence: As an educational approach, instructional scaffolding is used to move students progressively toward stronger understanding and, ultimately, greater independence. Scaffolding reduces the negative emotions and self-perceptions that students may experience when they get frustrated, intimidated, or discouraged when attempting a difficult task. Virtual and live” simulation training allows students to practice skills without patient risk, and when coupled with didactic instruction, has been shown to be more effective than traditional teaching methods. This presentation reports on instructional scaffolding strategies to deliver educational content on Medication for Addiction Treatment (MAT) and recovery support services through didactic lessons, followed by virtual and live” simulations. Implementation: Nurse practitioner, social work, and pharmacy students participated in this scaffolded training event, which consisted of 4-hours of online didactic MAT content, followed by virtual simulations that allowed students to role-play techniques for discussing substance use, facilitated by a virtual coach. Finally, students engaged in Objective Structured Clinical Examinations (OSCEs), a form of performance-based testing used to measure students clinical competence. During these day-long addictions-focused OSCEs, students were observed and evaluated as they engaged with standardized patients who presented to a simulated primary care setting with an unrecognized SUD. Interprofessional teams of students were expected to assess, diagnose, and treat substance use disorders (including MAT if appropriate), using motivational interviewing to engage patients. To infuse the OSCEs with contextual realism, volunteers from a peer recovery alliance assisted with the development of the simulated scenarios, acted as the standardized patient, and contributed to student evaluation. Results: Forty-two health professions students participated in this scaffolded training event and completed surveys at baseline and immediately following the OSCE simulation. When subjected to paired t-test data analysis, there was a statistically significant improvement over baseline in students confidence, competence, and readiness to provide SUD treatment. Knowledge and attitudes about substance use, which were already very positive at baseline, did not change following the OSCE simulation. Lessons Learned: An instructional scaffolding approach allowed for building of complex skills through didactic, virtual, and live” simulations. The use of OSCEs in educating health professions students enabled them to practice MAT and recovery support skills in a non-threatening environment that fostered professional growth, confidence and competence. By challenging students to improve their substance use assessment and intervention skills, future health professionals may be better prepared to assist patients with unhealthy and risky substance use behaviors and ultimately improve health outcomes.

45. Chemsex Treatment in Rotterdam: An Integrated Mental Health Program for problematic sexualized drug use

Jennifer Krans

Thursday, 10/27/2022, 10:05am – 10:35am, Imperial 8

Introduction Chemsex is sex under the influence of drugs that decrease inhibitions and intensify feelings of lust and connection. Problem Though many who engage in Chemsex do not experience serious mental or physical health problems, there is a growing number of people in dire need of care. Chemsex is poorly understood by most providers of addiction care who in turn cannot adequately meet the needs of those with problematic use. There is no evidenced based protocol proven widely effective for these clients. Evidence Antes gathered information through their own practical experience and research, literature reviews and multidisciplinary international network of colleagues. The conclusion was that traditional cognitive behavioral therapy neglected to treat many key comorbidities such as trauma, personality disorders, low self-esteem en sexual dysfunction. Several other therapies were examined to see which combination could best suit the needs of the population including dialectical behavioral therapy (DBT). This is an evidence base treatment that has been proven effective for people with personality disorder and has been researched in the context of addiction. Implementation The multidisciplinary treatment team customized a DBT treatment specifically for this population. The team began a pilot treatment with a group of patients in January 2022. It included group skills training and individual therapy and weekly team meetings. Evaluation Validated surveys to assess addiction, self-esteem, existing post-traumatic stress and sexual health were completed by all participating patients before and after treatment. Feedback from patients and documentation of successes and challenges were examined and the program was evaluated.

47. Pain Management and Risks Associated With Substance Use: Practice Recommendations

Stephen Strobbe

Wednesday, 10/26/2022, 2:05pm – 2:35pm, Imperial 4

Assessing and managing pain while evaluating risks associated with substance use and substance use disorders continues to be a challenge faced by health care clinicians. The American Society for Pain Management Nursing and the International Nurses Society on Addictions uphold the principle that all persons with co-occurring pain and substance use or substance use disorders have the right to be treated with dignity and respect, and receive evidence-based, high quality assessment, and management for both conditions. The American Society for Pain Management Nursing and International Nurses Society on Addictions have updated their 2012 position statement on this topic supporting an integrated, holistic, multidimensional approach, which includes non-opioid and non-pharmacological modalities. This presentation will examine both the formation and workflow process of the taskforce authoring the position paper as well as position paper content. This includes an overview of the need for the update based on national and healthcare issues, the decision making process of the taskforce, a summary of major changes from 2012 to 2022, current recommendations and plans for the next revision.

48. Scoping review of strategies for addressing needle debris in municipalities

Megan Tung

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Intro: Needle debris in the community poses a safety risk for the public. Needle debris is defined as discarded needles or syringes that often, but not exclusively, related to injection drug use. The topic of needle debris is mired in the stigma associated with vulnerable populations, particularly people who use drugs. Nurses have a role in harm reduction but the ability to implement programs is hampered by stigma. Strategies currently used by municipalities in response to needle debris tend to be labor-intensive, time-consuming, and reactive rather than preventative. Thus our objective was to develop a comprehensive framework outlining the different strategies that have been used to address needle debris that has been implemented in municipalities through a scoping review. Method: A protocol for the scoping review was established. We searched the databases of Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycInfo, Social Science Abstracts, and EMBASE. The Canadian Agency for Drugs and Technologies in Health approach was searched for grey literature. Both published and unpublished literature were included. We identified papers, guidelines, and studies that addressed needle debris in the community from a civic policy perspective and community member efforts. A screening process, involving the two authors confirmed criteria were met for inclusion of each article. The primary author extracted these data and was confirmed by the second author. Qualitative analysis of these data was conducted. Results: A scarcity of documented and evidence-based interventions was found. Data were analyzed through NVivo, with various themes emerging. Interventions aimed at controlling needle debris through needle exchange programs and safe consumption sites did not add to the needle debris in the community. Few interventions were found to address the debris discarded on the ground. The Not in My Backyard phenomenon further hampered those interventions. At the time of the presentation, we will report the results in full. Conclusion: The results from this scoping review will provide an overview of interventions that have been implemented to address needle debris. This overview could inform policy and practice changes in municipalities, and nursing practice for people experiencing social vulnerability.

49. Risk perceptions and recovery threats for clients with a history of methadone maintenance therapy dropout

Jordan Sherstobitoff

Thursday, 10/27/2022, 10:05am – 10:35am, Imperial 6

Background: Methadone treatment is one of the opioid substitution therapies (OSTs) used to manage opioid use disorder (OUD). Clients on methadone treatment experience a high attrition rate from OST programs. Barriers commonly experienced by participants include limited options in rural communities, treatment modality, transportation, and stigma. Methods: The aim of this project is to explore the experiences and perspectives of clients on methadone treatment who had previously dropped out of an OST program. We used a explorative qualitative design to interview 22 participants currently receiving methadone at a clinic in a small city western Canada. Results: Four phases designated as critical moments in their lives were identified from their narratives: 1) pre-addiction phase 2) early substance use, 3) first methadone treatment, and 4) methadone treatment failure and reenrollment. Conclusion: Understanding the lived experiences of clients with OUD who have received OST therapy is important when creating interventions that improve retention and participant health. Experiences on OST treatment and presenting them temporarily on a prevention rehabilitation continuum expands possibilities for community-based interventions focusing on the individuals, their family, and the community on substance use prevention, harm reduction activities and supported treatment and recovery.

50. Smartphone addiction and coping strategies in the Portuguese population: A cross-sectional study

Paulo Seabra

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Problem The growing number of smartphone users in different age groups and with the most diverse uses is known worldwide. At the national level, the existence of different levels of risk for the use of these devices and of triggering and protective factors for their use are unknown. Objective To analyze the association between smartphone use and coping strategies in the Portuguese population. Methods Cross-sectional, descriptive and correlational study carried out in 2021. Convenience sample, consisting of 388 participants. Data collection instruments: Sociodemographic questionnaire; Smartphone Addiction Scale and Brief Resilient Coping Scale. Results Participants with a mean age of 37.37 (SD=13.76), mostly female (72.4%), married or living in a partnership (46.6%) and graduates (42.5%). 27.6% use the smartphone 40 times a day and 11.9% are dependent on the smartphone. 42% of participants have low resilience and 27.3% have strong resilience. Negative correlations with statistically significance (p=0.01) were found between age and the number of times the smartphone was consulted (r=-0.26), and smartphone dependence (r=-0.31). There is positive correlations between the number of times to consult the smartphone and its dependence (p= 0.32). Conclusions The youngest participants are the ones who are more dependent on the smartphone. Interventions performed at early ages are necessary for teaching strategies to control smartphone use behavior and to promote resilient coping. This research can help to now protective factors that must be supported.

51. Educational sessions and changes in injection practices in the Mobile Drug Consumption Room in Lisbon: some case study examples

Joana Pires

Wednesday, 10/26/2022, 10:05am – 10:35am, Imperial 4

The Mobile Drug Consumption Room (MDCR) is a health response that provides a safer and sanitized space for drug use, access to consumption material, supervision and assistance during injection, being effective in reducing the number of overdoses deaths. MDCRs team provides educational sessions (ES) on safer injection and consumption practices. This intervention helps manage various risks and make people who inject drugs (PWID) to adopt lessons learned even outside the MDCR. A case study methodology was used, with the analysis of 6 PWID who used the MDCR more consistently during 2021. Data from the records of each consumption and the respective ES held were analyzed. All participants improved or maintained their injection practices in terms of puncture site and needle gauge adequacy throughout the year. At least in 75% of consumptions, ES were held and the most discussed topics were hand washing and compression of the puncture site. In people with poor hygiene care, there was the need to reinforce the teaching of injection site disinfection, for vein maintenance. There were less teachings present during consumption, when people needed assisted puncture, resulting from the help of nurses, and more ES during consumption in people with autonomous puncture. Also frequent during the ES was the negotiation of the dose, especially among the most vulnerable PWID. Supervised consumption and tailored education on safer injection allows us to better understand and address the main difficulties of users, by promoting safer consumption practices, and reducing health complications associated with unsafe injection.

52. Sharp Points on a Map: Understanding the Impact of Urban Needle Debris Using GIS Mapping

Alexandra Ewanyshyn

Friday, 10/28/2022, 9:35am – 10:05am, Imperial 8

Needle debris has been identified by provincial and municipal governments as a significant risky outcome of street-level substance use. For the purpose of our study, needle debris encompasses discarded syringes alongside other types of paraphernalia that are often (but not exclusively) associated with substance use. While needle debris has been identified as a significant harmful risk for urban communities, there is a lack of policy and research that seeks to address the issue from an interdisciplinary perspective. The current gap in knowledge limits understanding of how to mitigate needle debris while supporting people who use drugs, and is reactive as opposed to preventive in response to needle debris. We aim to understand how needle debris accumulates in urban hotspots from the perspective of a ‘local-knowledge narrative, which encompasses outreach workers and people with lived experiences interactions at the ground level of our community. Collection of needle debris will then be translated into categories of different ‘types of debris in an effort to understand the pattern of use of different substances in the urban built environment. We will be collecting data about needle debris with embedded GIS mapping technology in worn cameras, while also scoping the built environment in which the needles are found. Cameras will be used to record conversations with stakeholders walking alongside the researcher. We will triangulate the data their knowledge provides alongside GPS mapping to inform targeted nursing interventions in urban spaces. While we are currently collecting data, this presentation will allow us to share our findings about how the social and physical environment of a community can impact needle debris. This will result in an understanding of current patterns of substance use within the City of Calgary, and how this translates into recommendations for nurses who work with people who use drugs and other vulnerable populations.

53. An Interdisciplinary Approach to Promote Self-Care and Wellness for Undergraduate Nursing Students

Linda Garner

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

PURPOSE: While most nurses acknowledge that self-care is an important factor that contributes to their overall health status, studies suggest that nurses and nursing students are seldom encouraged to assess their own health status and purposively care for themselves. Some students report that they stop practicing self-care behaviors due to the intensity of the curriculum and the extensive clinical requirements. While most students recognize the importance of self-care, they find it difficult to balance demanding academic schedules with consistent self-care behaviors. Nursing education programs tend to focus on academic performance and acquisition of skills, often at the expense of emphasizing the essential aspects of health promotion and self-care. Excessive screen time, poor sleep hygiene, unhealthy food and beverage choices, excessive stress, limited physical activity, and ineffective coping methods predispose nursing students to jeopardized health status and inability to care for themselves and others, including their patients. METHODS: A mixed methods study was designed to determine the effectiveness of an interdisciplinary wellness program for a senior-level cohort of nursing students. The wellness program focused on the domains of physical activity, sleep, diet, stress management, and safety. Faculty from the disciplines of nursing, health promotion, and dietetics developed the program modules. Graduate students were hired to aid in program implementation. Over a 12-week period, educational sessions were provided every two weeks and provided content and hands-on learning opportunities related to the five domains. Additional wellness activities were offered twice weekly. Pre- and post-test evaluation of wellness data were collected and analyzed. Physiologic measures included assessment of BMI, BP, waist and hip circumference, body fat composition, 1-minute push up and sit up tests, and one-mile run. Weekly reflective journals were also collected from each student. RESULTS: Over the 12-week timeframe, physiologic metrics did not demonstrate significant changes; however, the qualitative themes identified in the weekly journals revealed several important themes. Students reported increased motivation for healthier lifestyle choices, and increased awareness of health promotion techniques that aligned with their lived experience as a student. Students indicated that they could improve their self-care behaviors when provided with the knowledge, skills, time, and motivation. CONCLUSIONS: Nursing programs should integrate opportunities for self-care and wellness into the program design. By allocating time to self-care, students feel supported to make changes in their health behavior and can overcome one of the biggest perceived barriers to self-care. Interdisciplinary education can spark student motivation, generate enthusiasm, and increase awareness of interventions aimed at promotion of wellness despite hectic schedules and academic demands. The well-being of nurses is essential to the health of our nation; therefore, wellness should be emphasized and promoted in nursing education. This approach offers the potential to positively impact the future nursing workforce.

54. Early discharges from an inpatient withdrawal management service: Findings from a qualitative descriptive study.

Sara Ling

Friday, 10/28/2022, 10:45am – 11:15am, Imperial 4

Early discharges, also known as against medical advice” (AMA) discharges, commonly occur in inpatient withdrawal management services. Early discharges are associated with negative clinical outcomes and are costly for the healthcare system. The literature examining early discharges from inpatient withdrawal management settings contains limited information about patient perspectives on this issue. A qualitative descriptive study was conducted to explore the reasons for and experiences of AMA discharges, as described by patients. This study involved semi-structured interviews with people who recently left an inpatient withdrawal management service early. Thirteen participants were interviewed over a 7-month period. Interviews were analyzed using a conventional content analysis approach. Contributors to early discharges included factors related to the treatment experience, as well as circumstances outside of the hospital. Challenges related to COVID-19 restrictions and protocols negatively influenced patient engagement in withdrawal management. Participant experiences of the early discharge process varied, but many reported dissatisfaction and negative emotions. This was the first qualitative study exploring the issue of early discharges from an inpatient withdrawal management service. As such, the findings from this study offer important insights about client experiences and point to opportunities for further research and quality improvement.

55. Implementing an innovative service to support transitions in care for people with substance use disorders: Lessons learned and preliminary evaluation

Sara Ling

Thursday, 10/27/2022, 10:55am – 11:25am, Imperial 6

Patients are at high risk of relapse and overdose during the days and weeks immediately following withdrawal management. For this reason, it is recommended that patients transition directly from withdrawal management to ongoing addictions treatment. However, patients often face long wait times for treatment and may have limited supports during the period between withdrawal management and treatment. This presentation will describe the Intensive Recovery Discharge Team (IRDT), an interdisciplinary service providing support to patients who have been discharged from the Medical Withdrawal Service, the Emergency Department and other Acute Care units at the Centre for Addiction and Mental Health in Toronto, Ontario, Canada. The IRDT works together to provide two weeks of intensive outpatient relapse prevention support and assists patients to make connections with longer-term addictions treatment and follow-up. This presentation will describe the service and share preliminary results of an evaluation of the service, including feedback from patients and clinicians.

56. Exploring the Effects of Off-Label Use of Paliperidone on Mood Disturbance and Suicidal Ideation in Individuals with Severe Alcohol Use Disorder and Borderline Personality Disorder

Kelly Kokus

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

The Brant Haldimand Norfolk Rapid Access Addiction Medicine clinics are a hub and spoke model of addiction clinics located in Southwestern Ontario, Canada. The clinics treat individuals with concurrent disorders, with a primary focus on addictions support. This case presentation will explore the use of off-label Paliperidone as an adjunctive treatment for low mood and chronic suicidal ideation in the context of borderline personality disorder (BPD). With obtained consent, the cases of two individuals, identifying as males, aged 50-60 years, both presenting with chronic suicidal ideation and low mood and diagnosed with severe alcohol use disorder, post-traumatic stress disorder, and BPD will be examined. After years of unsuccessful trials of first-line anti-craving medications and psychotherapy, a trial of oral paliperidone, followed by loading and maintenance doses of intramuscular Paliperidone were offered and administered. To further support the pharmaceutical treatment offered, both individuals were also offered referrals to dialectical behavioural therapy programs, however, due to lengthy waitlists, were not able to attend immediately. After receiving their first maintenance injections, both individuals reported a significant improvement in their mood and a decrease in their suicidal ideation. Both individuals have also reported a significant decrease in their alcohol use and have demonstrated an improvement in treatment retention for their substance use disorder including anti-craving medications and counselling. Ongoing monitoring for side effects is completed monthly. While these medications have significant potential side effects and are off-label for this indication, in certain situations when other interventions have failed, long-acting mood-stabilizing medications may merit consideration. References Bozzatello, P., Rocca, P., De Rosa, M. L., & Bellino, S. (2019). Current and emerging medications for borderline personality disorder: is pharmacotherapy alone enough? Expert Opinion on Pharmacotherapy, 21(1), 47-61. https://doi.org/10.1080/14656566.2019.1686482 Riffer, F., Farkas, M., Streibl, L., Kaiser, E., & Sprung, M. (2019). Psychopharmacological treatment of patients with borderline personality disorder: comparing data from routine clinical care with recommended guidelines. International Journal of Psychiatry in Clinical Practice, 23(3), 178–188. https://doiorg.dyc.idm.oclc.org/10.1080/13651501.2019.1576904

57. Learning to say yes: merging novel harm reduction strategies at the Calgary ODP utilizing a mobile outreach model

Cristina Zaganelli

Wednesday, 10/26/2022, 11:30am – 12:00pm, Imperial 6

The Calgary Injectable Opioid Agonist Therapy (iOAT) and Opioid Dependency (ODP) programs faced an onslaught of challenges starting in 2020. From the COVID-19 pandemic to a mandated merging of services by government funders, the programs faced a rapid transition to virtual care and other social distancing measures amid mounting opioid overdoses. The beginning of the pandemic saw the creation of a Mobile Opioid Agonist Therapy (MOAT) team to address the needs of the most vulnerable clients. By spring 2021 iOAT and ODP merged, bringing a full spectrum of new harm reduction strategies and treatment programs together within one service. Methods: Prior to the merge, the 2 programs had different approaches with ODP providing only long acting approved opioid agonist therapy (OAT) medications while iOAT provided both long and short acting opioids. The pandemic resulted in the need to develop more novel harm reduction strategies requiring program adjustments. Most significantly it was noted that the need for mobile outreach services continued to grow even during the re-opening phases of the pandemic. Changes to the use of opioids other than the usual OAT medications had to be made while incorporating an enhanced psychosocial support as well as treatment for bloodborne infections like hepatitis C and HIV. Results: The MOAT program was a catalyst for change at ODP, allowing improved access to OAT as well as ‘one-stop services such as hepatitis C treatment, episodic primary care, and mental health supports. Many creative strategies were employed to engage with the most vulnerable clients who were at greatest risk of harm related to the current toxic drug supply. Conclusions: Harm reduction and treatment programs can effectively blend services and adapt approaches, in the face of opposing ideological views. ODP developed flexible services that met clients in their communities, reduced barriers to care, and increased access to effective treatment strategies for opioid use and its complications.

58. OPTIONS-DC: A new standard in serious infection discharge planning for those with Substance Use Disorders

Kathleen Young

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Abstract: Problem Patients with co-occurring Substance Use Disorder (SUD) and serious infections requiring long term intravenous (IV) antibiotics are often offered limited options for treatment, especially in outpatient settings. From a 2017 survey, 70% of ID providers rarely” or never” consider Outpatient Parenteral Antibiotic Therapy (OPAT) for patients with demonstrated stability on medication-assisted therapy (MAT) for opioid use disorder and this perspective only decreases to 65% with clear evidence of sobriety (1). Consequently, patients who cannot tolerate lengthy inpatient stays of 6-8 weeks are at risk for leaving against medical advice (AMA) (2), potentially without antibiotics. We wanted to improve care for patients with SUD by creating a structured, multidisciplinary conference tool that incorporates harm reduction, focuses on the importance of language and allows for patient preference in treatment planning with a goal to increase antibiotic completion rates. We aimed to construct a tool that provided a structured approach to these difficult conversations while challenging personal perceptions and stigma among participants and ourselves. Evidence appraisal and synthesis Hospitalizations for serious infections related to injection drug use have dramatically increased in Oregon, highlighting the need for harm reduction services to improve outcomes (3). OPAT completion rates of persons who inject drugs is comparable to the completion rates of patients who do not inject drugs (4). Provider stigma toward patients with SUD negatively affects health care treatment and outcomes (5). OHSU ID, OPAT and Addiction Medicine collaborated to develop a model in response to the current evidence that would address and challenge the existing ideals and processes within the hospital system. Thus, the OPTIONS-DC discharge planning model was born. Implementation strategies for practice change The structured multidisciplinary tool establishes guidelines with clear instructions and ethical themes to consider. Inclusion criteria encompasses patients with recommended long-term IV antibiotics and substance use or SUD. The RN facilitator prompts discussion of specific topics so medical needs are clear and participants can identify protective vs risk factors and later weigh these against one another. Informed discussion occurs and consensus is reached which often includes multiple options incorporating patients stated desires. OPTIONS-DC stakeholders continue to assess and enhance OPTIONS-DC by meeting quarterly. Evaluation To date, 225 OPTIONS-DC Meetings have been completed with an average meeting length of 28 minutes. Preliminary data shows 93% (210/225) of patients were actively using substances at time of admission. 78% (117/150) of OPTIONS-DC patients completed their antibiotic course. 61% (53/86) of patients completed antibiotics in the outpatient setting, and of those, 53% (25/53) of patients completed an IV antibiotic course. MAT induction during hospitalization occurred in 64% (141/221) of cases. Lessons Learned The OPTIONS-DC care conference is a ground-breaking tool that can be adopted by many institutions as an aid to start and continue healthy, collaborative conversations addressing these complex, nuanced and stigmatized patients. This model requires implementation of harm reduction strategies and serves as a platform for demonstration of such practice. OPTIONS-DC can be applied for the same patient population within other clinical departments or at other institutions.

59. The Consequences of Stigma on Youth Exposed to a Parent’s Addiction

Agnes Chen

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Over the past 30 years, the scientific community has made incredible progress in understanding the impact of toxic stress on a childs developing brain and body, underscoring the connection between childhood adversity and risk for a substance use disorder (SUD) later in life. Informed by this research, international recommendations have been made in childrens mental health, substance use, and addictions aimed at decreasing stigma, promoting health, and reducing health inequities by addressing the social determinants of health. However, children who are currently exposed to the stress and discrimination related to a parents unaddressed trauma and substance use disorder (SUD) are not directly included in this work, and the stigma of addictions continues to marginalize families. In Canada, approximately one in six children are exposed to the stress of a parents substance use disorder, along with the stigma society imposes on such families. This stigma has devastating consequences on families, not only influencing a parents capacity for nurturing parenting practices and healthier substance use, but also impacting their childs mental health and well-being. This family and community environment places impacted children at up to double or even triple the risk for addiction, mental illness, and suicide. Despite this risk, no health promoting or healing supports exist within current systems of care known to interact with impacted families, and the harmful effects of stigma remain prevalent. Nurses are uniquely positioned to dismantle the stigma of addictions and have an important responsibility to support a familys healing. This presentation will expose the gaps in current systems of care as well as how stigma impacts the intergenerational transmission of stress and substance use in families exposed to parental substance use disorder.

61. Opioids, Chronic pain and Addiction; Does suicide have to be the solution?

Susanne Fogger

Wednesday, 10/26/2022, 11:30am – 12:00pm, Imperial 4

As opioid related deaths reached new heights, those with chronic non-cancerous pain have been required to comply with ever tightening state and federal policies that make getting refills on medication difficult. Some pharmacies have stopped filling any narcotics adding to the burden of individuals living in chronic pain and dependent on opioids to function. Patients on chronic opioid treatment for pain are able to maintain their quality of life as medication allows them to participate in daily activities and carry on with daily life. When the last opioid guidelines were issued in 2016, the opioid epidemic was partially fueled by prescription opioids misuse. Today, more than half the opioid related deaths are fentanyl related and prescriptions for opioid have dropped. Many providers will not prescribing opioids to manage pain. Patients on chronic opioid treatment may have difficulty finding a provider who will prescribe their medication. Others are accused of being addicts and are turned away. This year, the CDC is preparing for a new guideline, which hopes to clarify issues raised with the 2016 version. Chronic non-cancerous pain treatment goals have evolved into get the patient off opioids” and begin a taper with consent or not. The patient may feel powerless and unheard when their provider plans an opioid taper without their consent. Despite the patients desire, the system is deaf to patient choice and quality of life issues. While opioids are not the first choice for therapy, many patient are currently stable on opioids for years. Their quality of life is productive yet many dealing with the uncertainty of providers determined to get them off an opioid. It is possible the risk will be worse as the concept of having their opioids withdrawn is terrifying. In the past few years, the number of patients who would rather choose suicide rather than live in unrelieved pain has been increasing.

62. Challenges for Nurse Anesthetists Re-Entering Practice Following Substance Use Disorder Treatment

T’Anya Carter

Thursday, 10/27/2022, 10:55am – 11:25am, Imperial 8

Substance use disorder (SUD) is a persistent, relapsing condition that is present in approximately 10% of anesthesia providers, who, compared to other healthcare providers, face a greater risk of developing an SUD by virtue of constant access to medications. The ability of Certified Registered Nurse Anesthetists (CRNAs) to obtain employment or maintain employment after treatment for SUD treatment is not well documented. CRNAs in recovery from SUD in the United States experience challenges when attempting to return to work following treatment for SUD for reasons yet to be identified. The purpose of this qualitative multiple-case study is to explore the challenges encountered by nurse anesthetists in recovery as they attempt to re-enter practice following SUD treatment. The phenomenon will be explored through multiple-case study, using qualitative semi-structured interviews with participants in four cases: CRNAs in recovery, CRNA colleagues, CRNA employers, and professional health program employees. Multiple-case study research provided 36 participants an opportunity to convey their perspectives about the challenges CRNAs in recovery face upon re-entry into practice following SUD treatment. The Worker Well-Being conceptual model, introduced by NIOSH, was used to guide this study. The conceptual model includes the safety and health of the worker in the workplace and circumstances that positively or negatively impact the well-being of the worker beyond the workplace. The study revealed that participants described stigma as the most significant barrier for CRNAs in recovery. Stigma persists as a considerable barrier in many facets of SUD, contributing to an increase in shame associated with having the disease. All cases agreed that more SUD education is a key facilitator for more CRNAs in recovery to re-enter the workplace. Across all participant groups, risk of relapse was a major concern, though most participants believed that CRNAs in recovery should have an opportunity to re-enter practice under the right circumstances. More research is needed to create uniform standards of care, including re-entry guidelines, departmental policies, and continuing education that facilitate re-entry into practice following SUD treatment.

63. Exploring the role of the nurse in opioid use disorder treatment: A focused ethnographic study

Amie Kerber

Friday, 10/28/2022, 10:45am – 11:15am, Imperial 6

Opioid use disorder (OUD) affects people across the continuum of life, in all geographic locations, irrespective of gender, age, nationality and socioeconomic status. From January to March 2021, 1792 opioid toxicity deaths occurred in Canada. As front-line healthcare professionals, nurses make substantial contributions toward prevention, treatment and management of OUD. However, little research has been conducted regarding the role and impact of the nurses working in these unique practice settings. Using focused ethnography, the purpose of this qualitative study was to explore the understanding of the role, and impact of the nurse, working in OUD treatment. Individual in-depth interviews were conducted with ten registered nurses who worked across the spectrum of OUD treatment, including supervised consumption services, inpatient addiction consult services, and community opioid agonist therapy clinics. Analysis of the qualitative data revealed six primary themes to better understand the role and impact of the nurse: (a) the art of addiction nursing, (b) direct patient care, (c) indirect patient care, (d) the shared experience of stigma, (e) perceived barriers, and (f) looking to the (uncertain) future. The findings from this study can provide a more comprehensive look at how nurses can be utilized to their full scope of practice across a variety of OUD treatment settings. Key learning outcomes include an understanding of the complexity of care required by clients experiencing OUD, how harm reduction principles permeate all aspects of the nurse role, and the importance of expansion of services for OUD treatment.

64. Catch me IF you can, The Impaired Provider

Rodrigo Garcia

Pre-recorded

Catch me if you Can, the impaired provider is a riveting account of Rodrigo and Claudias personal journey through diversion, substance use disorder, treatment, and professional reentry as an impaired health care provider. The program will discuss diversion from the workplace by the addicted professional along with personal experiences working within a healthcare setting, the result of a dependency on prescription medications following a surgery. As an anesthesia provider, Rodrigo was exposed to some of the worlds most potent medications. He will share his story of addiction and recovery, personal consequences, family and social implications, and the irresistible and irrational pull to continue the maladaptive behaviors. Claudia will share insight and perspectives from her role as a charge nurse, loving partner, patient advocate, and as an employer. Together, they will also share data points and statistics on the thousands of health care providers (and employers) they have treated at their treatment center. The presentation will conclude with proposed solutions, thoughts on the future of addiction, and some thoughts on hope and affirmation. Join us as they walk us through their experience of chemical dependency that nearly took Rigos life, the steps they took to overcome it, and their newfound passion to help others. Catch me if you can, the impaired provider has been presented 50+ times across the country and continues to be a highly sought-after program utilized for continuing education, training, access to treatment, investigation and intervention training, and most importantly, to promote contrastive discussion surround the impaired health care provider. All information discussed and data presented will be evidenced based and extrapolated from peer reviewed materials. The presentation depicts the journey of the addicted provider and the interacting forces in place to identify him. The presentation also highlights the insanity of the addiction, the extreme measures used to obtain the medications, the interventions that are successful (such as monitoring, treatment, interventions, alternative to discipline programs, UDS, etc) and stimulates conversation on other areas less effective (such as poor policy, inadequate interventions, and inconsistent reporting requirements). The presentation is designed to stimulate conversation and identify shared experiences.

65. Substance Use Disorders and Type 2 Diabetes Mellitus: Integration of Evidence-Based Diabetes Prevention Program to Promote Quality Health Outcomes in Clients Undergoing SUD Treatments

Oluremi Adejumo

Thursday, 10/27/2022, 4:45pm – 5:15pm, Poster (foyer)

Diabetes is a serious chronic health condition (ADA, 2019). Type 2 diabetes Mellitus (T2DM) accounts for 90% to 95% of all diagnosed cases, while Type 1 and gestational diabetes account for roughly 5-10% (CDC, 2019; CDC, 2020a/b). Mental health conditions can increase an individuals risk of developing diabetes and vice versa. Although variations in prevalence of risk exist for different psychiatric disorders, prevalence of diabetes is 2 to 3 times higher in individuals with severe mental illness (AADE, 2018; CDC, 2018; Holt, 2019; Lindekilde, 2019). For example, 82% of individuals with high-risk diabetes have existing SUDs and/or mental health disorders, while those with anxiety disorders are 1.3 times at risk of developing T2DM (Wu et al., 2018). Additionally, clients with depression face a 60% increased risk for T2DM, and a bi-directional relationship exists between depression and diabetes (e.g., 21.3% of people with depression have Type 1 diabetes; 27% of individuals with depression have Type 2 diabetes). Diabetes can increase the risk of anxiety by up to 48% (AADE, 2018; Amiri & Behnezhad, 2019; CDC, 2018; Holt, 2019), and individuals with psychotic disorders have two time the risk of T2DM; trauma-related disorders (post-traumatic stress disorders [PTSD] can increase the risk by 1.5-fold, and prevalence of diabetes among individuals with bulimia is 6.4% (AADE, 2018; CDC, 2018;Esmeilinasab et al., 2016; Foley et al., 2018; Holt, 2019; Izadpanah et al., 2018; Lindekilde, 2019; SAMHSA, 2013; van Dooren, 2016; Wu et al., 2018). Therefore, people with mental illness, substance use disorders (SUDs), and those on psychotropic medications should be screened for diabetes because they have a higher risk for this chronic metabolic disease (Balhara, 2011; CDC, 2018; Chang et al., 2015; SAMHSA, 2013). What can nurses do to encourage optimal care in clients at risk for T2DM? Effective nurse communication skills and strategies revolve around clients holistic needs, such as physical, social, psychological, and spiritual (Nikitara et al., 2019; Royal College of Nursing [RCN], 2020). Diabetes Prevention Program [DPP] promotes healthy lifestyle changes, such as controlling caloric intake (e.g., reducing the portion size of meals and replacing sugar-sweetened beverages [SSB]), participating in regular physical activity of 150-minutes or more per week, and reducing or halting the use of substances such as alcohol and tobacco. Failure to prevent T2DM in this population will propagate poorer health outcomes, but the integration of DPP will reduce the effects of co-morbid conditions, and numerous studies have shown that DPPs are adaptable to different communities (Balhara, 2011; CDC, 2018; Chang et al., 2015; SAMHSA, 2013). Nurses should screen their clients to prevent T2DM, or provide early detection of T2DM (Pippitt, Li, & Gurgle, 2016; SAMHSA, 2013), as this is an evidence-based practice to improve the health outcomes of individuals with diabetes risk factors and undergoing treatments for mental health conditions and SUDs (Gruss et al., 2019).

91. Strategically Advancing Addictions Nursing Locally to Globally

Michelle Acorn

Tuesday, 10/25/2022, 4:30pm – 5:30pm, Imperial 8

Leveraging your competence, confidence, connections and compassion to advance addictions population health is paramount. Navigational acumen from the bedside, boardroom, classroom and beyond can catapult our collective value-added contributions. Key global strategic resource awareness will raise your policy literacy and strengthen collaborations. Health workforce systems priorities from the lens of addiction nurse clinicians, educators, leaders, researchers and quality improvers can optimize integration, drive investments, and strengthen access and service delivery.

92. What the #$%! Just Happened? Sharing Insights of Healing

Jennifer Bishop

Friday, 10/28/2022, 11:30am – 12:30pm, Imperial 8

My journey is not a new one. As we all are, I am emersed in learning the most poignant lessons through the school of life where I can share my learnings about divorce, tragic loss, addiction, suicide, trauma, mental health, personal COVID impacts, recovery, personal transformation and seeking a path to a new season of life.

93. Addiction Nursing Skills and Practices in Europe: Challenges in These Times of Change

Paulo Seabra

Thursday, 10/27/2022, 3:30pm – 4:00pm, Imperial 8

Context: Substance use, and non-substance related behaviors is increasing in Europe. Nurses in Europe are characterized by non-uniform training and competence frameworks, and also, there are many differences on the national health policies and legal policy’s. Objective: To reflect on practices in addiction nursing in Europe, in a harm reduction paradigm. Topics for reflection: Training frameworks and necessary competencies; Nursing role; Competency certification; Nurse lead programs; Nursing Knowledge on Addictions; Future and present shortage of nurses; Increasing Health needs related to aging population; Harm reduction; Palliative care. Conclusion: Nurses must interconnect to strengthen the global workforce for the future.

94. A Call to Action for Mitigating the Social Determinants of Health: Implications for Addictions Nursing

Vincent Guilamo-Ramos

Wednesday, 10/26/2022, 9:00am – 10:00am, Imperial 8

108. Translating Research into Practice to Increase the Drug Treatment Workforce

Charlotte Sisson

Thursday, 10/27/2022, 4:05pm – 4:35pm, Imperial 8

Over the past decade, the U.S. Department of State has supported the development of over 121 prevention, treatment, and recovery courses for the addiction field to promote evidence-based best practices to reduce the worldwide demand for illicit drugs. In the past few years many of these courses have become available online. The U.S. also supports several programs to strengthen networks through the International Consortium of Universities for Drug Demand Reduction (ICUDDR) and the International Society of Substance Use Professionals (ISSUP). Learn how to access these free programs and more.

95. Strengthening Resilience in Times of Adversity

Nancy Manix

Wednesday, 10/26/2022, 12:00pm – 2:00pm, Imperial 8

A growing body of science suggests that resilience is critical for leading a healthy, thriving life. Nancy Mannix and the Alberta Family Wellness Initiative have recently published a research study on “Early Learnings About Uses for the Resilience Scale Metaphor in Practice.” The Resilience Scale metaphor is a powerful tool to demonstrate how negative experiences and adversity can be counterbalanced by positive experiences and improving skills and abilities. Join Nancy as she shares the resilience scale framework – how it has been designed and can be applied to make a quantifiable difference in peoples’ lives.

96. Preventing Maternal Overdose: What can be done?

Meaghan Thumath

Thursday, 10/27/2022, 9:00am – 10:00am, Imperial 8

Preventing Maternal overdose and Interventions to reduce maternal mortality for women who use substances

101. FIAAN Position Paper: The Necessity of Treatment of Co-occurring Disorders: i.e. Mental Health/psychiatric Disorders and Substance Use Disorders

Dana Murphy-Parker

Wednesday, 10/26/2022, 2:05pm – 3:10pm, Imperial 8

Thirty-five million people globally suffer from substance use disorders while only five million receive treatment (World Drug Report, 2019). One out of eight persons around the world suffer mental health disorders with depression and anxiety the leading diagnoses (WHO, 2019). The National Survey on Drug Use and Health in the USA (2020) documented that seventeen million people, ages eighteen or older, have both a substance use disorder and a psychiatric disorder. Untreated co-occurring disorders lead to premature morbidity and mortality (Lauritzen & Nordfjærn, 2018) and half the population seeking SUD treatment drops out of programs prematurely, often related to a co-occurring psychiatric diagnosis (Butwicka et al., 2017). This workshop will present information and knowledge sharing that people with substance use disorders must be evaluated for psychiatric disorders and treated, if appropriate, for their co-occurring mental health disorder. Concepts such as social determinants of health, stigma related to the language and terminology used towards those with substance use and mental health disorders, barriers to care, integrated care, and efficacy of traditional and alternative treatments will be discussed. The last half of this presentation will invite audience feedback, comments and experiences with this position that will help to shape the developing position paper for FIAANs and IntNSA.

102. Harm Reduction Associated with Substance Use Disorders in a Post Pandemic World: A Global Perspective

Dana Murphy-Parker

Wednesday, 10/26/2022, 3:30pm – 4:30pm, Imperial 8

According to the United Nations Office on Drugs and Crimes (2018) the scope of drugs and drug markets are increasing and spreading globally as never before. These findings make it clear that the international community needs to step up its responses to cope with these challenges. In an effort to examine the pandemic concerns of substances that have raised the alarm of addiction, also called substance use disorders, members of The International Nurses Society on Addictions (IntNSA), representing Australia, England, Portugal, and the United States, collaborated to address similarities and differences among countries that have impacted successes and/or failures related to treating substance use disorders. The Mission of IntNSA is “To advance excellence in nursing care for the prevention and treatment of addictions for diverse populations across all practice settings through advocacy, collaboration, education, research and policy development.” The Vision of IntNSA is “To be a global leader in addictions nursing.” This presentation will focus on harm reduction approaches following the impact of COVID 19 on substance use disorders.

103. Interdisciplinary Teams: Integrating Addiction Treatment into Whole Person Care

Dr. Brian Hurley

Thursday, 10/27/2022, 2:10pm – 3:10pm, Imperial 8

Approximately 5% of people with substance disorders obtain treatment for these conditions. Integrated care models, including the collaborative care model, have the potential to bring addiction treatment to the 95% of people who don’t seek it. Effective implementation of integrated care will require increasingly interdisciplinary teams explicitly inclusive of nurses, and these teams will need to directly address co-occurring mental health and addiction conditions. This session will describe a future of addiction treatment where addiction managed as a chronic disease largely in non-specialty settings by interdisciplinary teams, inclusive of nursing, who maintain integrated whole person care competencies.

104. Intergenerational Trauma: Our Community’s Opportunity to Heal a Families Inherited Stigma

Agnes Chen

Wednesday, 10/26/2022, 4:40pm – 5:40pm, Imperial 8

Evidence informs us that children impacted by the stress of a parent’s substance use are up to double to triple the risk for mental illness, substance use disoder, and suicide. Despite this prevalence and risk, minimal early intervention efforts exist, and stigma continues to be a barrier for both children and their parents. Nurses are uniquely positioned within the healthcare system to dismantle substance use stigma and to support a family’s healing. This interactive workshop will expose the impact substance use stigma can have on the intergenerational risk for trauma and SUD in families, while informing the nursing community of tangible ways to mitigate this risk.

105. Predictors of alcohol and tobacco use in the CONEMO trials participants

Heloisa Garcia Claro

Wednesday, 10/26/2022, 11:30am – 12:00pm, Imperial 8

We aimed to examine the predictors of alcohol and tobacco use as secondary data analyses using data from a community cluster randomized trial in São Paulo, Brazil, and an individually randomized trial in Lima, Peru. Twenty primary care units in São Paulo and seven ambulatory treatment clinics in Lima. A total of 880 people with depressive symptoms (Patient Health Questionnaire-9 (PHQ-9) score ≥10) were recruited in São Paulo and 432 in Lima. Using multiple regression analysis, we used both the AUDIT-C score and the dichotomous variable smoker yes/no as dependent variables. We explored the effects of severity of depression, suicidal ideation, race/color, age, gender, income, and comorbidity – diabetes/hypertension. Trial registration number NCT02846662 (São Paulo – Brazil – SP), NCT03026426 (Lima, Peru – LI). Funded by the National Institute of Mental Health – USA (Grant U19 MH 098780).

106. S.A.V.E Training (60 minutes)

Shanea Clancy

Pre-recorded

Over 45,000 Americans died by suicide in 2017, including 6,139 Veterans. In 2017, the suicide rate for Veterans was 1.5 times the rate for non-Veteran adults. Younger Veterans, Women Veterans, Veterans in a period of transition, Veterans with exposure to suicide and Veterans with access to lethal means are at highest risk of suicidality, as well as those identified with a substance use disorder, homelessness, and/or military sexual trauma (MST). This educational and informative workshop will go over facts about suicide, common myths vs. realities, the steps of S.A.V.E., S.A.V.E. training, and resources and references.

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