Adolescents & Young Adults ECHO: Expand Access to MOUD/SUD Treatment

The Co-Occurring Collaborative Serving Maine in partnership with the Maine Department of Health and Human Services is launching Project ECHO: Increase Access to Medication for Addiction Treatment (MAT) for Adolescents. This Project ECHO is funded through the ME Substance Use Disorder Learning Community by the Maine Department of Health and Human Services. The purpose of the ME SUD Learning Community is to support Prescribing Clinicians and their Teams to provide evidence-based treatment to individuals and their families affected by Substance Use Disorders and Opioid Use Disorder (SUD/OUD) to increase access to treatment and reduce drug overdose deaths. The Statewide SUD Learning Community offers an array of education and support modalities for Prescribers and their entire Practice Teams, including this Project ECHO Program.

This six-month Project ECHO brings together Prescribers and their Teams who may be in various phases of MAT implementation to learn, teach and support each other in their efforts to increase access to MAT for adolescents.

Project ECHO:

Project ECHO® (Extension for Community Healthcare Outcomes) is a guided practice model developed by the University of New Mexico’s Health Sciences Center to increase knowledge and skills. This approach involves case-based learning across expert faculty and participants through regularly scheduled meetings via video conferencing.

Intended Audience:

Prescribers, including X-waivered primary care and specialty care MOUD and SUD prescribers treating adolescents, those who are interested in offering MOUD services, and their team members from practices located in Maine who seek support to develop, implement, improve, and sustain OUD/SUD treatment for adolescents and young adults.

Learning objectives:

• Bolster skills to respond to adolescent and young adult LBGTQ+ populations;
• Build competencies to deliver trauma-informed SUD/MOUD care;
• Work within family systems of care;
• Build basic knowledge on induction of buprenorphine with adolescents and young adults;
• Expand treatment of youth and young adult cannabis use disorder with n-acetylcysteine for those with and without OUD

Faculty:

• Adrienne Carmack, MD, Maine OCFS
• Jon Fanburg, MD, MaineHealth
• Ben Strick, LCSW, Spurwink
• Eric Haram, LADC
• Amy West, FNP
• ORN SME: Miriam Schizer, MD, MPH, Boston Children’s Hospital
• ORN SME: Kevin Gray, MD, Medical University of South Caroline
• ORN SME: Emily Nields, DO, Boston Children’s Hospital

Commitment:
• Participate in six (6) one-hour monthly case-based learning sessions using a virtual meeting platform (Zoom)
• Each Practice Care Team to present at least one de-identified patient case presentation
• Complete a post-assessment and CME evaluation at the end of the program; and
• Participants can receive one hour of Category 1 AMA CME credit or one contact hour for each virtual learning session attended.

Program Schedule:
Each session will include a brief didactic presentation from an ECHO faculty member on a pre-determined topic, followed by a case presentation from a Practice Care Team member and/or Prescriber. An orientation will be scheduled and recorded for those who are unable to attend.
• Wednesday, November 16, 12 Noon – 1 PM
• Wednesday, December 21, 12 Noon – 1 PM
• Wednesday, January 18, 12 Noon – 1 PM
• Wednesday, February 15, 12 Noon – 1 PM
• Wednesday, March 15, 12 Noon – 1 PM
• Wednesday, April 19, 12 Noon – 1 PM

Topics:
• LBTQ+ youth & diversity with SUD/OUD treatment
• Trauma-informed approaches and SUDs
• Stimulant use (prescription & other) and other concurrent substance use
• Induction and stabilization of buprenorphine in adolescents
• Treating youth within family systems
• How youth differ from adults
• Cannabis treatment with n-acetylcysteine with and without opioids

Continuing Medical Education
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and CCSME. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

• 1 contact hour for social workers, licensed clinical professional counselors, and behavioral health professionals
• 1 Category I contact hour for psychologists are provided. CCSME is a pre-approved sponsor and provider of Professional Education Activities for Psychologists.
• 1 contact hour CHES. CCSME is a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc.
• 1 contact hour pending for alcohol and drug counselors from the board of alcohol and drug counselors