Positive Sobriety Institute hosts and participates in continuing education events and activities on topics related to substance use disorders, dual disorders, and addicted professionals. Browse our list below for videos and transcripts of presentations.
Synthetic Cannabinoids (SCs) have become widely abused as recreational drugs, and are now known to carry a risk of severe mental and physical health effects. SCs mimic the psychoactive effects of cannabis and have been recognized as drugs of abuse since 2008. However, SCs differ structurally from cannabis, which may explain the emergence of severe psychiatric symptoms following SC ingestion. This presentation examines catatonia occurring in the context of SC use in two patients with no prior history of psychosis. Pharmacological management in the context of SC induced catatonia is also discussed, as well as long term sequelae of heavy synthetic cannabinoid use.
At a time when health care is shifting toward the prevention, identification and long-term monitoring of chronic serious illnesses, now is the time for substance use disorders to be treated like other chronic illnesses. Today all treatment for substance use disorders is episodic while addiction poses a life-long threat to health. The physician health program (PHP) system of care management takes a long-term, comprehensive approach to substance use disorders to produce the best long-term outcomes for addiction. The elements of the PHP model will be presented along with outcomes from a national study of 16 PHPs. The PHPs are a part of a New Paradigm for long-term recovery which extends beyond the population health care professionals. A conceptual model for maximizing five-year recovery rates in other addicted populations is presented.
For professionals completing treatment, meticulous and appropriate continuing care recommendations can be critical to long term successful outcomes. Care should be taken to begin planning for continuing care issues reasonably early and throughout the course of a professionals’ treatment.
In our society, a number of threats to physician well-being and a culture of safety exist and must be addressed in physician wellness programs. These include substance use disorders, mood disorders, anxiety disorders, sexual boundary violations, disruptive physicians, personality disorders, misprescribing drugs and cognitive impairment.
A growing and converging body of literature is establishing the empirical association between disruptive behavior and safety/quality. Leape and Fromme (2006) based upon a review of studies estimate the prevalence of disruptive behavior to range between 3-5%. Rosenstein and O’Daniel (2008) recommend three broad approaches to address disruptive behavior including prevention, addressing it when it occurs in real-time, and dealing with it after a particular incident or series of incidents occur. The focus of this session will be how to deal with disruptive behavior after it takes place. This focus does not dismiss the importance of prevention and other efforts. Yet, it will describe the individuals responsible for disruptive behavior and the numerous direct and indirect costs associated with their behavior.