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Improving the Continuum of Care in Alcohol Dependence: Latest Evidence for Counselors and Clinicians

neuroscienceCME Grand Rounds

Premiere Date: Monday, November 5, 2007
Grand Rounds Dates: November - December, 2007

This activity offers CE credit for:

1. Physicians (ACCME/AMA PRA Category 1)
2. Nurses (CNE)
3. Pharmacists (ACPE)
4. Psychologists (APA)
5. Social Workers (NASW)
6. Certified Case Managers (CCMC)
7. Addiction Professionals (NAADAC)

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Faculty

Raymond Anton, MD; Michael W. Carlton, MD;
Robert R. Conley, MD; Jim Corrington, Jr., MSW, LCSW; Richard Drandoff, MA;
Thomas G. Durham, PhD; Christiane Farentinos, MD, MPH, CADC II; Patrick W. Gibbons, DO, LMSW;
Ben Gottschalk, MD; Larry Hanselka, PhD; Gail Kaempf, MSN, CRNP;
Kyle M. Kampman, MD; Paul Nagy, LPC, LCAS, CCS; Cardwell C. Nuckols, MA, PhD;
Ashwin A. Patkar, MD; Mark Publicker, MD, FASAM; Gerald Shulman, MA, MAC, FACATA;
Christopher W. Shea, MA, CRAT, CAC-AD; Stephen Strobbe, MS, RN, NP, APRN-BC, CARN;
Harold C. Urschel III, MD, MMA; Lewis Randolph Waid, PhD

Statement of Need

According to a survey by the National Epidemiologic Survey on Alcohol and Related Conditions, approximately 8 million individuals in the United States are alcohol dependent. It is estimated that only 2.4 million individuals received treatment in 2004 for alcohol dependence, and of those in treatment, less than 20% received a medication to assist their quit attempt.(1) Clinicians and counselors continue to struggle with the need to close the gap between the number of people who are alcohol dependent and those who actually receive treatment.(2)

In a study by Anton and colleagues, it was demonstrated that patients who were given a combination of pharmacotherapy and psychosocial treatment were less likely to relapse. Those who did relapse experienced a longer time between relapses.(3) This study demonstrates the underlying impact that neurobiology can have on recovery. Overall, psychosocial interventions target the cortex, the center for decision-making; whereas, pharmacotherapy targets the limbic region, associated with brain reward pathways.

In this evidence-based, interactive format, faculty will explore the integration of pharmacotherapy into current treatment models to optimize patient outcomes. Faculty will also utilize patient case studies as examples to guide counselors and clinicians in the development of individualized treatment strategies.

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1. Williams SH. Medications for treating alcohol dependence. Am Fam Physician 2005;72:1775-1780.
2. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Substance Dependence, Abuse and Treatment Tables; 2004. Available at: http://oas.samhsa.gov/nsduh/2k4tabs/Sect5peTabs1to99.htm#tab5.49a. Accessed August 28, 2007.
3. Anton RF, et al. Naltrexone combined with either cognitive behavioral or motivational enhancement therapy for alcohol dependence. J Clin Psychopharmacol 2005;25:349-357.

Activity Goal

To examine the importance of neurobiology in addiction and to identify evidence-based psychosocial intervention and pharmacotherapy management strategies to improve outcomes for patients with alcohol dependence.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Recognize the importance of neurobiology in addiction.
• Review the evidence for various psychosocial interventions in patients with alcohol dependence.
• Discuss the FDA-approved pharmacotherapies for patients with alcohol dependence.
• Evaluate the evidence for the efficacy of combination pharmacotherapy and psychosocial interventions in patients with alcohol dependence.

Financial Support

CME Outfitters, LLC, gratefully acknowledges an independent educational grant from Cephalon, Inc., and Alkermes, Inc., in support of this CE activity.

Target Audience

Physicians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, addiction professionals, and other healthcare professionals with an interest in managing alcohol dependence.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit (Nurses):
CME Outfitters, LLC, is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned code 6WASUP-PRV-0617. 1.0 contact hours will be awarded upon successful completion.
Note to Nurse Practitioners: The content of this CNE activity pertains to Pharmacology.

CEP Credit (Psychologists):
CME Outfitters is approved by the American Psychological Association to sponsor continuing education for psychologists. CME Outfitters maintains responsibility for this program and its content. (1.0 CE credits)

NASW Credit (Social Workers):
This program was approved by the National Association of Social Workers (provider #886407722) for 1 continuing education contact hour.

CCMC Credit (Certified Case Managers):
This program has been approved for 1 hour by the Commission for Case Manager Certification (CCMC).

NAADAC Credit (Addiction Professionals):
CME Outfitters, LLC, is an approved education provider by NAADAC, the Association for Addiction Professionals. Provider Number 633. This activity is designated for 1.0 contact hour.

CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Program Number: 376-000-07-019-L01-P

Participants should fully complete and return both the credit request form and activity evaluation located within the course guide for this activity to the registration desk. A certificate or statement of credit will be mailed within 4-6 weeks to all who successfully complete these requirements.

Disclosure Declaration

All faculty participating in CME Outfitters continuing education activities are required to disclose any conflict(s) of interest related to the content of their presentation(s) as defined by the ACCME's Standards for Commercial Support, and other accrediting and regulatory bodies. Full disclosure of faculty relationships will be made on this website and within the activity course materials prior to the premiere date of this activity.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).