TY - JOUR
KW - Analgesics, Opioid/administration & dosage/adverse effects
KW - Clinical Competence
KW - Drug Overdose/drug therapy
KW - Health Services Accessibility
KW - Humans
KW - Naloxone/administration & dosage/supply & distribution
KW - Narcotic Antagonists/administration & dosage/supply & distribution
KW - Opioid-Related Disorders/complications/prevention & control
KW - Pain Management/methods
KW - Patient Care Team/organization & administration
KW - Pharmaceutical Services/organization & administration
KW - Pharmacists/organization & administration
KW - Practice Patterns, Physicians'
KW - United States
KW - United States Indian Health Service
AU - Hillary Duvivier
AU - Samantha Gustafson
AU - Morgan Greutman
AU - Tenzin Jangchup
AU - Ashlee Knapp Harden
AU - Aimee Reinhard
AU - Keith Warshany
A1 - 
AB - OBJECTIVE: To develop effective pharmacy-based interventions to mitigate harm from opioid use disorders. Programs include responsible opioid prescribing, expanded access to medication-assisted treatment (MAT), naloxone, and community interventions. SETTING: Clinical pharmacists practicing at Indian Health Service (IHS) locations in the Southwest, Midwest, and Great Lakes regions. These pharmacists serve culturally diverse American Indian populations throughout the United States and interface with tribal and federal programs to impact the opioid epidemic in Indian Country. PRACTICE DESCRIPTION: Pharmacists have reduced barriers to care by expanding clinical practices to include novel approaches in pain management clinics and MAT programs. PRACTICE INNOVATION: As part of a multidisciplinary team, IHS pharmacists provide comprehensive patient care while focusing on the prevention of opioid dependence and opioid overdose death. EVALUATION: Pharmacists have also expanded professional competencies to include coprescribing naloxone and training first responders on naloxone use. RESULTS: Pharmacists within IHS have proactively completed advanced training on responsible opioid prescribing, augmented services to increase access to MAT for American Indians and Alaska Natives, and increased access to naloxone for opioid overdose reversal. Pharmacists have also developed a comprehensive training program and program measurement tools for law enforcement officers serving in tribal communities. These materials were used to train 350 officers in 6 districts and conduct a mass naloxone dispensing initiative across Indian Country. Pharmacists have consequently developed successful community coalitions that are focused on saving lives. CONCLUSIONS: Pharmacist involvement in key initiatives including responsible opioid prescribing, expanded access to MAT, and expanded access to naloxone for trained first responders, coupled with an emphasis on enhanced education, illustrates pharmacists' impact with the opioid epidemic.
BT - Journal of the American Pharmacists Association : JAPhA
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 2S
CY - United States
DO - 10.1016/j.japh.2017.01.005
IS - 2S
JF - Journal of the American Pharmacists Association : JAPhA
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: To develop effective pharmacy-based interventions to mitigate harm from opioid use disorders. Programs include responsible opioid prescribing, expanded access to medication-assisted treatment (MAT), naloxone, and community interventions. SETTING: Clinical pharmacists practicing at Indian Health Service (IHS) locations in the Southwest, Midwest, and Great Lakes regions. These pharmacists serve culturally diverse American Indian populations throughout the United States and interface with tribal and federal programs to impact the opioid epidemic in Indian Country. PRACTICE DESCRIPTION: Pharmacists have reduced barriers to care by expanding clinical practices to include novel approaches in pain management clinics and MAT programs. PRACTICE INNOVATION: As part of a multidisciplinary team, IHS pharmacists provide comprehensive patient care while focusing on the prevention of opioid dependence and opioid overdose death. EVALUATION: Pharmacists have also expanded professional competencies to include coprescribing naloxone and training first responders on naloxone use. RESULTS: Pharmacists within IHS have proactively completed advanced training on responsible opioid prescribing, augmented services to increase access to MAT for American Indians and Alaska Natives, and increased access to naloxone for opioid overdose reversal. Pharmacists have also developed a comprehensive training program and program measurement tools for law enforcement officers serving in tribal communities. These materials were used to train 350 officers in 6 districts and conduct a mass naloxone dispensing initiative across Indian Country. Pharmacists have consequently developed successful community coalitions that are focused on saving lives. CONCLUSIONS: Pharmacist involvement in key initiatives including responsible opioid prescribing, expanded access to MAT, and expanded access to naloxone for trained first responders, coupled with an emphasis on enhanced education, illustrates pharmacists' impact with the opioid epidemic.
PP - United States
PY - 2017
SN - 1544-3450; 1086-5802
SP - S135
EP - S140
EP - 
T1 - Indian Health Service pharmacists engaged in opioid safety initiatives and expanding access to naloxone
T2 - Journal of the American Pharmacists Association : JAPhA
TI - Indian Health Service pharmacists engaged in opioid safety initiatives and expanding access to naloxone
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 28292501
U3 - 10.1016/j.japh.2017.01.005
VL - 57
VO - 1544-3450; 1086-5802
Y1 - 2017
Y2 - Mar - Apr
ER -