Consideration of Trauma in Treating Co-Occurring Disorders

Dr. DeDiego will discuss the considerations of trauma when treating co-occurring disorders. The discussion will include trauma and its impacts along with strategies and resources to support patients and clients with co-occurring disorders.

Amanda DeDiego, PhD, NCC, LPC, BC-TMH, University of Wyoming Associate Professor of Counseling

Meeting Invitation: Wyoming Medicaid and FQHC Collaborative Discussion
Dear FQHC Representatives,
You are cordially invited to a collaborative discussion meeting with Wyoming Medicaid to explore avenues of enhancing partnership and improving healthcare access for our communities. This meeting will serve as an essential platform for open dialogue, where we can collectively address challenges, share insights, and cultivate innovative solutions.
Date: Friday, May 3rd, 2024
Time: 9am MST
Location: https://us06web.zoom.us/j/84735235587?pwd=dUxvY2QzdTRoekhaNy9XU2ZpOFUyQT09&from=addon
Agenda:

• Welcome and Introductions

• Medicaid Reimbursement and Billing Updates

• Roundtable Discussion and Q&A

We believe that your valuable input and participation are crucial in shaping the future landscape of healthcare delivery in Wyoming. Your commitment to this endeavor is greatly appreciated, and we look forward to a productive and impactful discussion.
Sincerely,
Wyoming Primary Care Association

Case Management for Substance Use

It can be quite challenging for those with substance use disorders. Individuals with substance use disorders (SUDs) commonly have concurrent mental and physical health problems and face multiple barriers to treatment. Many individuals struggle with homelessness, job loss, lack family support, lack financial stability, and may have criminal justice involvement, in addition to the struggles of addiction.

This session will focus on the effective use of case management services for individuals with substance use disorders. Topics will include social determinates of health (SDOH) and why SDOH are important to understand and address the barriers to treatment/recovery. Additionally, the session will discuss the differences between case management and care management, the types of case management models, why case management is important to the addiction treatment and recovery, with best practices.

Pam Olier, MSW LCSW, Social Work Faculty, University of Wyoming Family Medicine Residency Program

Stimulant Use Disorders

This session will focus on strategies to address stimulant use disorders. Recent data, trends, and research regarding stimulant use will be discussed along with screening tools, assessments, and treatment options for stimulant use disorder.

Dr. Del Real, MD, University of Wyoming-Casper, Family Medicine Residency Program, Psychiatry and Addiction Medicine Specialty

Oral Health and Substance Use

This session will focus on addressing the impact of substance use on oral health and strategies for primary care and behavioral health providers to support oral health for their patients. Topics will include how to do a quick oral health assessment, strategies for discussing oral health needs, and ways to reduce stigma and bias relating to oral health and substance use.

Dr. Daniel Brody, DMD, Chief of Oral Health and Health Sciences Education, Valley Health Systems, Inc., West Virginia
Dr. Scott Wolpin, DMD, Chief Dental Officer, Eastern Shore Rural Health System Inc., Virginia

Hemp Derived Substances

The passage of the 2018 Farm Bill allowing the production of hemp products created a controversial loophole in the law which seemingly permitted businesses to sell consumable, intoxicating hemp products. As a result, the sale and recreational use of these hemp derived intoxicants increased dramatically in 2020 and continues to remain steady. Many Wyoming communities have seen the recent opening of stores and existing stores selling these products locally. While Delta-8 THC is the most common hemp derived intoxicant product, may other products exist producing intoxicating effects in consumers similar to legalized cannabis and other illicit drugs. This presentation will cover the multitude of hemp derived intoxicants currently available on the market, the psychoactive effects of these products, and the public health and safety concerns regarding these products due to a lack of federal and state regulation.

Ashley Schluck, Traffic Safety Resource Prosecutor, Wyoming Highway Safety

Strategies to Address Tobacco and Vaping Use

This session will focus on strategies to address tobacco and vaping use. Recent data, trends, and research regarding tobacco and vaping use will be discussed along with screening tools, assessments, and treatment options for tobacco and vaping use.

Dr. Keenan Kuckler, MD, Third-Year Resident, University of Wyoming Family Medicine Residency-Casper

Resources and Strategies to Support Professionals Using Substances

This session will focus on strategies to support Wyoming professionals struggling with substance use and mental health issues. The Wyoming Professional Assistance Program (WPAP) will discuss how they provide support with confidential assistance including evaluations, intervention guidance, life coaching, treatment provider referrals, and a comprehensive monitoring program. Resources and strategies will be presented to support Wyoming professionals in their personal and professional recovery.

Candice Cochran, MSPR, Executive Director, Wyoming Professional Assistance Program
John Ordiway, MS, LPC, LAT, Clinical Director, Wyoming Professional Assistance Program

A Look at Behavioral Health Integration through the Collaborative Care Management Model

As stated by CMS in the March 2021 MedLearn, “Integrating behavioral health care with primary care (behavioral health integration or BHI) is now widely considered an effective strategy for improving outcomes for millions of Americans with mental or behavioral health conditions.” Collaborative Care Management (CoCM) is a care delivery model that can enhance care for patients enrolled in Behavioral Health Integration. With the limited number of psychiatric medical providers, utilizing CoCM to obtain recommendations for these patients is an excellent solution. Join us to learn how a Wyoming Rural Health Clinic is utilizing their BHI care management program to include CoCM by partnering with a Psychiatric Nurse Practitioner to conduct weekly case reviews. Hear from the NP and the RN care coordinator as they highlight the process and share how this model has positively impacted the patients. Additionally, there will be an overview of how such a program is sustainable under the reimbursement models of Medicare and Wyoming Medicaid.

Faith Jones, MSN, RN, NEA-BC, Director, Care Coordination & Lean Consulting, HealthTech
Briane Olson, APRN, PMHNP-BC, Psychiatric Mental Health Nurse Practitioner, The Art of Telepsychiatry, PLLC
Kelli Cotton, MSN, RN, Chronic Care Management Specialist, Wellness Nurse, LLC

Building Support for Higher Acuity Patients in Outpatient Care

This session will focus on how Charlie Health, an online Intensive Outpatient Program, utilizes evidence-based practices to provide small-group intensive care for Wyoming patients who are higher acuity. They will also share strategies for Wyoming providers supporting higher acuity patients in outpatient care. Charlie Health’s Intensive Outpatient Program (IOP) combines supported groups, family therapy, and individual therapy into a series of personalized sessions multiple times per week.

Riley Bradshaw, Clinical Outreach Manager-Colorado, Charlie Health