04-15-2024 – Alcohol, Buprenorphine, Cannabis, and other ABCs of substance use disorder treatment w/ Dr. Orrin Ware

Program Description:
In this workshop, Dr. Orrin Ware challenges participants to contextualize the current pathology of substance use disorders through a much wider lens. He then zeroes in on approaches and resources to work therapeutically with people whose substance use disorders are impacting their functioning. He will introduce assessment tools and evidence-based practices (harm reduction, motivational interviewing, medication-assisted treatment) and offer ways to tailor treatment plans based on specific needs and circumstances of an individual.

Learning Objectives:

At the conclusion of this program, participants will be able to:

1. Name and apply at least 3 common factors in the effective assessment and treatment of substance use disorders.
2. List and explain at least 3 reasons that substance use disorders are a cultural construct.

Trainer: Orrin D. Ware, Ph.D., MPH, MSW, is an assistant professor at the UNC School of Social Work, where he teaches courses in mental health and substance use disorders to students in their specialization year. He brings an interdisciplinary lens to his work on substance use disorders, having trained as a public health researcher, including in a fellowship in behavioral pharmacology research at Johns Hopkins School of Medicine. His research examines adult substance use disorder treatment, particularly when co-occurring with mental health disorders. He has published extensively on substance use disorders, with interests across treatment modalities, as well as in reducing treatment barriers and improving post-treatment outcomes.

References:

• Anderson, A. C., Youssef, G. J., Robinson, A. H., Lubman, D. I., & Verdejo‐Garcia, A. (2021). Cognitive boosting interventions for impulsivity in addiction: A systematic review and meta‐analysis of cognitive training, remediation and pharmacological enhancement. Addiction (Abingdon, England), 116(12), 3304-3319. https://doi.org/10.1111/add.15469
• Farahmand, P., Arshed, A., & Bradley, M. V. (2020). Systemic racism and substance use disorders. Psychiatric Annals, 50(11), 494-498. https://doi.org/10.3928/00485713-20201008-01
• Goldenberg, S. M., Perry, C., Watt, S., Bingham, B., Braschel, M., & Shannon, K. (2022). Violence, policing, and systemic racism as structural barriers to substance use treatment amongst women sex workers who use drugs: Findings of a community-based cohort in Vancouver, Canada (2010–2019). Drug and Alcohol Dependence, 237, 109506-109506. https://doi.org/10.1016/j.drugalcdep.2022.109506
• Hai, A. H., Lee, C. S., Abbas, B. T., Bo, A., Morgan, H., & Delva, J. (2021). Culturally adapted evidence-based treatments for adults with substance use problems: A systematic review and meta-analysis. Drug and Alcohol Dependence, 226, 108856-108856. https://doi.org/10.1016/j.drugalcdep.2021.108856
• Huffman, M., Cloeren, M., Ware, O. D., Frey, J. J., Greenblatt, A. D., Mosby, A., Oliver, M.,Imboden, R., Bazell, A., Clement, J., & Diaz-Abad, M. (2022). Poor sleep quality and other risk factors for unemployment among patients on opioid agonist treatment. Substance Abuse: Research and Treatment.
• Imboden, R., Frey, J., Bazell, A., Mosby, A., Ware, O. D., Mitchell, C., & Cloeren, M. (2021). Workplace support for employees in recovery from opioid use: Stakeholder perspectives. New Solutions: A Journal of Environmental and Occupational Health Policy
• Kowal-Bourgonjon, E., & Jacobs, G. (2019). Does addiction belong in modernity? discursive strategies of exclusion in polish public awareness campaigns. Discourse, Context & Media, 28, 27-34. https://doi.org/10.10
• Kuss, D. J., Kristensen, A. M., & Lopez-Fernandez, O. (2021). Internet addictions outside of Europe: A systematic literature review. Computers in Human Behavior, 115, 106621. https://doi.org/10.1016/j.chb.2020.106621
• Magill, M., Martino, S., & Wampold, B. E. (2020). The process of skills training: A content analysis of evidence-based addiction therapies. Journal of Substance Abuse Treatment, 116, 108063-108063. https://doi.org/10.1016/j.jsat.2020.108063
• Merkouris, S. S., Rodda, S. N., & Dowling, N. A. (2022). Affected other interventions: A systematic review and meta-analysis across addictions. Addiction, 117(9), 2393. https://doi.org/10.1111/add.15825
• Peterson, J. C., Gubrium, A., & Fiddian-Green, A. (2019). Meth mouth, white trash, and the pseudo-racialization of methamphetamine use in the U.S. Health Communication, 34(10), 1173-1182. https://doi.org/10.1080/10410236.2018.1471333
• Van Der Linden, M. (2015). Commentary on: Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. addictions as a psychosocial and cultural construction. Journal of Behavioral Addictions, 4(3), 145-147. https://doi.org/10.1556/2006.4.2015.025
• Ware, O. D., Buresh, M. E., Irvin, N. A., Stitzer, M. L., & Sweeney, M. M. (2022). Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department. Drug and Alcohol Dependence Reports, 5, 100093. https://doi.org/10.1016/j.dadr.2022.100093
• Ware, O. D., Ellis, J. D., Dunn, K. E., Hobelmann, J. G., Finan, P., & Huhn, A. S. (2022). The association of chronic pain and opioid withdrawal in men and women with opioid use disorder. Drug and Alcohol Dependence, 240, 109631. https://doi.org/10.1016/j.drugalcdep.2022.109631
• Ware, O. D., Manuel, J. I., & Huhn, A. S. (2021). Adults with opioid and methamphetamine co-use have lower odds of completing short-term residential treatment than other opioid co-use groups: A retrospective health services study. Frontiers in Psychiatry, 12, 784229-784229. https://doi.org/10.3389/fpsyt.2021.784229
• Ware, O. D., McPherson, M. L., Barclay, J., Blackhall, L., Emmett, C. P., Hilliard, Schenker, Y., Shega, J. W., Guralnik, J., & Cagle, J. G. (2021). Recommendations for preventing medication diversion and misuse in hospice care: A modified Delphi Study. Journal of Pain and Symptom Management.
• Webster, F., Rice, K., & Sud, A. (2020). A critical content analysis of media reporting on opioids: The social construction of an epidemic. Social Science & Medicine (1982), 244, 112642-112642. https://doi.org/10.1016/j.socscimed.2019.112642 16/j.dcm.2019.01.004
• Zemore, S. E., Ware, O. D., Gilbert, P. A., & Pinedo, M. (2021). Barriers to retention in substance use treatment: Validation of a new, theory-based scale. Journal of Substance Abuse Treatment, 131, 108422-108422. https://doi.org/10.1016/j.jsat.2021.108422

UNC Chapel Hill – Clinical Lecture Series