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Taking Care of Veterans With Opioid Use Disorders: Early Identification and Comprehensive Treatment Services
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Taking Care of Veterans With Opioid Use Disorders: Early Identification and Comprehensive Treatment Services


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Print Publication Print Publication
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.


Maximum Credits:
Print Publication Print Publication
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.


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Overview: This publication explores strategies for identifying opioid use disorders among veterans and military personnel and reviews available and emerging treatments for patients with this condition within the Veterans Health Administration system.

CME Information:

Thomas Kosten, MD
JH Waggoner Chair and Professor of Psychiatry
Co-Director, Dan L. Duncan Institute for Clinical and Translational Research (ICTR)
Baylor College of Medicine
Michael E. DeBakey VA Medical Center
Houston, TX

Activity Planners
Julie Blum, PhD
Senior Clinical Content Manager
Baltimore, MD

Laura Rafferty, ELS
Managing Editor
Baltimore, MD

Samantha Gordon
CME Specialist
Baltimore, MD

Kathryn Schaefer, MSN, RN
Lead Nurse Planner
East Lansing, MI
Katherine Kahn
Holyoke, MA
Learning Objectives
Upon completion, participants should be able to:

  • Describe factors driving opioid use disorders among veterans
  • Describe strategies to screen appropriate patients for opioid use disorders
  • Incorporate evidence-based resources provided by the VHA system and recent clinical data on emerging agents into the care of veterans with opioid use disorders

Target Audience
This activity is intended for physicians, nurses, pharmacists, and other clinicians in the federal healthcare system.
Series Overview/Statement of Need
Opioid abuse and misuse is one of the nation’s most pressing drug problems. Indeed, nearly one-half of all opioid overdose–related deaths are due to prescription opioids. Opioid use disorder (OUD) affects approximately 2 million adults in the United States, and as many as 1 in 4 persons receiving prescription opioids for chronic noncancer pain have developed an addiction. Mirroring trends in the general population, the use and abuse of opioids has also risen dramatically among the veteran population. OUD is a significant problem with substantial negative consequences on veterans’ physical and mental health, work performance, housing status, and social functioning. Alarmingly, veterans have twice the risk of unintentional opioid-related deaths compared with civilians. Thus, clinicians in the federal healthcare system must be familiar with factors driving opioid use among veterans, strategies to screen patients for OUD, and methods for incorporating evidence-based resources and recent clinical data into the care of veterans with this condition.
Providership Statement
Provided by Med-IQ.

Accreditation/Designation Statements
Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Med-IQ designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Med-IQ is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This nursing activity has been approved for up to 1.0 contact hour.

acpe logoMed-IQ is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hour (0.1 CEU) of credit for pharmacists. ACPE #0476-0000-17-004-H01-P. This knowledge-based activity is designed for all pharmacists.
Other healthcare professionals who successfully complete the activity will receive a Statement of Participation indicating the maximum credits available.

Medium/Method of Participation
This CME/CE/CPE activity consists of a 1.0-credit publication. To receive credit, read the introductory CME/CE/CPE material, read the publication, and complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.

Initial Release Date: December 19, 2017
Expiration Date: December 18, 2018
Estimated Time to Complete This Activity: 1 hour

Disclosure Policy
Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.
Disclosure Statement
The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation.
Thomas Kosten, MD
Consulting fees/advisory boards: Alkermes, Indivior Inc., Neurocrine Biosciences, Novartis Pharmaceuticals Corporation, Opiant Pharmaceuticals, Inc., Purdue Pharma L.P., US WorldMeds
Contracted research: Alkermes
Ownership interest (stocks/stock options – excluding mutual funds): Kadvax

The writer, peer reviewers, and activity planners have no financial relationships to disclose.

Statement of Evidence-Based Content
Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.
Med-IQ is not liable for any decision made or action taken in reliance upon the information provided through this activity.

Contact Information       
For CME-related questions or comments about this activity, please contact Med-IQ.
Call (toll-free) 866 858 7434 or email info@med-iq.com.
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ADA Statement
Med-IQ fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact Med-IQ at 443 543 5200.
The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

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Acknowledgment of Commercial Support
This activity is supported by an educational grant from Indivior, Inc.

© 2017 Med-IQ, LLC


Unless otherwise indicated, photographed subjects who appear within the content of this activity or on artwork associated with this activity are models; they are not actual patients or doctors.

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