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Effectively Engaging and Treating Individuals with Opioid Use Disorders - Day 2 - Shared screen with speaker view
Ive Vintimilla
46:23
Welcome everyone, post your questions for Dr. O'Brien and she will address as many as possible after her presentation
Kaitlyn Martinez
58:51
I have had clients who have abused their buprenorphrine/Subutex. How can we prevent this? Or are pill counts the only way?
Beth Yegelwel
01:00:36
I’m not sure what type of setting you work in, but I work in a residential treatment setting and we have our clients on Suboxone turn it into the medication room and have it administered so that they don’t keep it in their rooms and potentially abuse it.
cindy sterne
01:10:29
Please define "treatment on demand"
Kaitlyn Martinez
01:11:18
Im a child protective investigator through DCF.
MIchael Osborn
01:18:30
regarding benzos and MAT - how do you monitor sedation in an outpatient OUD treatment program since they are only on site for a short period of time?
Daniel Oria
01:29:52
You mentioned that FFS is not effective and neither are case rates. What would you say is a more effective reimbursement method? Can you discuss risk-adjusted reimbursement?
David Braughton
01:33:33
At our detox facility, we induce all OUD patients with Suboxone, however the number who transition into MAT are very few. How do we increase this number, knowing that if we don't folks chance of recovery is very low and their risk of OD very high?
Ive Vintimilla
01:49:11
Join the conversation:
Ive Vintimilla
01:49:15
• What are the biggest impediments you find to retention in treatment?• How have you addressed the challenges you face in keeping people in treatment?• Are there aspects of what you heard today that might be doable in your organization?
Beth Vickery
01:55:56
I am in a breakout room but can not unmute
Danis Salgado
01:56:30
Dame
Danis Salgado
01:56:34
Same
Danis Salgado
02:04:54
Apparently, my computer's mic doesn't work. So I'll just listen to every one.
Ive Vintimilla
02:15:57
Welcome back everyone. Share any questions or comments for Ute regarding retention efforts in Florida
Faith Gamblain
02:19:32
How are we able to meet people where they're at when we must meet the requirements of the funding source?
cindy sterne
02:21:45
Good question Faith. Oversight is important, but client care needs to be prioritized over "checking the box"
cindy sterne
02:27:19
Those that are the hardest to love need the love the most
Faith Gamblain
02:27:29
Agreed
Daniel Oria
02:29:55
In OP you have 4 days to do the GPRA Intake
MIchael Osborn
02:31:03
therapeutic relationship. how well are we doing at matching the individual needs of the patient with the primary counselor specializing in that area? For example, if a patient has a history of trauma, are we considering this when we assign them a counselor? Do the patients have a choice in their counselor?
Ive Vintimilla
02:32:22
thanks you for your questions and comments.
Ive Vintimilla
02:33:27
As we listen to Dr. Rawson, let me know if you have any questions. He will address as many as time allows today.
Melissa.Klemkosky@centerstone.org
02:34:28
Yesterday, the presenters spoke about using SOR dollars to pay for MH meds in addition to the OUD meds. Is that something that may be approved in FL? We are able to get them stabilized on OUD meds, but there are limited resources for MH meds.
Denise Sanfilippo
02:51:12
that would be helpful, I just had a client in my office earlier today that we could have helped more if that were possible
Beth Yegelwel
02:53:37
Agreed about SOR funds being used for MAT and psych meds in Florida!
Faith Gamblain
03:00:04
frozen
Iris De Hoyos
03:00:09
frozen
Raul Soto-Yulfo
03:00:15
Frozen as well
FADAA Staff: Marc Weeks
03:00:19
Same.
Daphney Torres
03:00:23
same
Daniel Oria
03:00:32
Frozen II
Christopher Glymph
03:00:41
Now he's moving, but no sound
Raul Soto-Yulfo
03:00:58
Not Frozen now but not able to get audio
Sherlley Campos
03:01:16
No sound
cindy sterne
03:01:28
no sound black screen
Beth Yegelwel
03:01:35
No sound or video
Iris De Hoyos
03:01:38
No video on my side nor sound
Ive Vintimilla
03:01:43
Give us a minute, we are working through the issue
FADAA STAFF: Cynthia Berg
03:01:50
Video and sound are both gone?
Daphney Torres
03:01:57
yes
cindy sterne
03:01:58
yes
Joanna Reid
03:02:01
No Sound
David Braughton
03:02:08
yes
Ive Vintimilla
03:02:10
Give us a minute, we are working through the issue
cindy sterne
03:02:14
thank you
Dr. Katina Matthews-Ferrari
03:02:22
thank you
Tosin Olaknye
03:06:01
the netwok is badf
Marc Weeks
03:06:34
We're working to remedy the problem please stand by.
FADAA Staff-Corina
03:07:46
Thanks for your patience!
FADAA STAFF: Cynthia Berg
03:09:10
Now would be a good time to ask any questions you might have!
FADAA STAFF: Cynthia Berg
03:09:43
Regarding any of the topics from today or yesterday!
David Braughton
03:09:48
Do Stimulant Use Disorder clients need a separate group from those with OUD or other SUDs
Ive Vintimilla
03:10:33
Great question David
FADAA STAFF: Cynthia Berg
03:10:59
I will collect the questions and send them into Mark Fontaine to get answered!
Ive Vintimilla
03:11:21
We still have Dr. Rawson on and are trying to identify what is happening with Zoom. Thanks for your patience
Jennifer T
03:11:27
Yesterday it was stated that we could use the SOR funding for Stimulant Use Disorder (SUD) and MAT. Does this mean we have approved medications for SUD?
Ive Vintimilla
03:11:45
Jen,
Marion Putman
03:12:26
Incentives have not been allowed. Is that changing with the new SOR grant?
Ive Vintimilla
03:12:30
Jen, I am keeping that question for Ute if we are able to Join again
Denise Sanfilippo
03:13:57
is it fixed and can anyone else see anything
Daphney Torres
03:14:20
cant see anything
Patty DESIMONE
03:14:28
me either
Tosin Olaknye
03:14:37
not fixed
Ive Vintimilla
03:14:43
It is not fixed yet but I think we will be back on shortly
Denise Sanfilippo
03:14:44
thanks just checking
FADAA STAFF: Cynthia Berg
03:14:45
Still working on technical difficulties
Beth Yegelwel
03:15:47
Screen is back but no sound
Desiree Meaton-Francisco
03:16:15
no sound
David Braughton
03:16:16
Can't hear you
Daphney Torres
03:16:18
no sound
Linda Kane
03:16:23
no sound
FADAA STAFF: Cynthia Berg
03:16:24
t no sound
Yve Lopes
03:16:24
no sound
FADAA STAFF: Cynthia Berg
03:16:34
YEAH!
Linda Kane
03:16:36
yes
Daphney Torres
03:16:38
fixed!
Beth Yegelwel
03:16:43
Back!
Christopher Glymph
03:16:45
Back on track
Daniel Oria
03:17:00
I wonder if he knows that there was an interruption?
Ive Vintimilla
03:18:13
Yes, Dr. Rawson knows. We did not miss anything. Sorry for the inconvenience.
Daniel Oria
03:26:37
So, as it stands with the $75 limit SAMHSA has, implementing CM to fidelity according to the research is not possible without funding from other sources from providers or changes on SAMHSA's part?
Faith Gamblain
03:29:07
what about using the community to receive donations for CM? Is that even an option?
Iris De Hoyos
03:30:35
I was thinking that...about the community.im sure some stores would donate cards and nonprofits (Prevention awareness)
Faith Gamblain
03:30:51
yes!
Raul Soto-Yulfo
03:31:12
Thank you ! great Summit
David Braughton
03:31:23
ditto
Beth Yegelwel
03:31:25
Thank you, this summit was great!
meredith carlson
03:31:31
thank you!
Faith Gamblain
03:31:37
Thank you all!
Iris De Hoyos
03:31:39
Excellent! Thank you!
Jennifer T
03:31:39
thank you so much for everything!
Gerlande Felix
03:31:42
thank you
Kaitlyn Martinez
03:31:42
Thank you!
Brandi Basquit
03:31:45
thank you!! great info!