Something for the Pain
ECHO Idaho’s Something for the Pain podcast features an overview of evidence-based insights, research updates, treatment options, resources, and other helpful information pertaining to substance use disorders (SUDs). Episodes are developed from ECHO Idaho’s past SUDs series and are presented by an interdisciplinary team of Idaho healthcare experts.
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Something for the Pain is considered an enduring material jointly by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC).
Questions? Email us at wwami-ce@uidaho.edu, or call 208-364-4072.
Season 4 – Adolescent Substance Use Disorders
Season 3 – Surveying Substance Use Disorders
Featuring: Nari Hsiu, DO, Psychiatrist and Addiction Medicine Specialist, VA Medical Center, Boise
Didactic Presentation Details
- Didactic Presenter: Nari Hsiu, DO, Psychiatrist and Addiction Medicine Specialist, VA Medical Center, Boise
- Didactic Presentation Title: “Tapering Off Benzodiazepines: The How and Why”
- Didactic Presentation Date: Nov. 11, 2021
- ECHO Idaho Series: Opioids, Pain and Substance Use Disorders
- Didactic Presentation Video
Resources and Publications Mentioned
- Chlordiazepoxide (Librium)
- National Institute of Drug Abuse
- VA Academic Detailing
- Carbamazepine
- Stevens-Johnson Syndrome
- Hydroxyzine
- Buspirone
- Gabapentin
- Pregabalin
- CBT-I: an abbreviation that’s short for Cognitive Behavioral Therapy for Insomnia
- CBT-I Coach
- PRN: abbreviation of a latin phrase “pro re nata” meaning, “as the thing is needed.”
- Doxepin
- TCA: an abbreviation for tricyclic antidepressant
- Zolpidem
- Clonazepam
- Diazepam
- Lorazepam
- Klonopin: (see Clonazepam)
- Alprazolam
- Xanax: (see alprazolam)
- Zaleplon
- DuPont, R.L. J Addict Med, 2017.11(2) Should patients with substance use disorders by prescribed benzodiazepines?
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Nari Hsiu, DO, Psychiatrist and Addiction Medicine Specialist, VA Medical Center, Boise
- Speaker: Lachelle Smith, former ECHO Idaho director
- Speaker: Neil Ragan, MD, Family Medicine Physician, Health West, Pocatello, ECHO Idaho participant
- Speaker: Jessica Bringman, NP, ECHO Idaho participant
- Speaker: Julie Wood, MD, ECHO Idaho participant
- Speaker: Jacob Harris, MD, Psychiatry and Addiction Medicine Specialist, Boise VA Medical Center
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Cathy Oliphant, PharmD, Professor of Pharmacy Practice and Administrative Sciences, Idaho State University College of Pharmacy
Didactic Presentation Details
- Didactic Presenter: Cathy Oliphant, PharmD, Professor of Pharmacy Practice and Administrative Sciences, Idaho State University College of Pharmacy
- Didactic Presentation Title: “Pharmacology of Methamphetamines and Other Stimulants”
- Didactic Presentation Date: July 14, 2022
- ECHO Idaho Series: Opioids, Pain and Substance Use Disorders
- Didactic Presentation Video
Resources and Publications Mentioned
- Combat Methamphetamine Epidemic Act of 2005 (CMEA)
- Desoxyn
- Adderall
- Mydayis
- Dexedrine
- Ritalin
- Concerta
- Catecholamine
- Rhabdomyolysis: a serious and potentially fatal medical condition in which skeletal muscle breaks down and releases harmful proteins and electrolytes into the blood.
- Erythroxylum
- Thrombus formation: a blood clot formed in an artery or vein
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Sampson Nde, former ECHO Idaho Program Manager
- Speaker: Cathy Oliphant, PharmD, Professor of Pharmacy Practice and Administrative Sciences, Idaho State University College of Pharmacy
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Natalie Gukasyan, MD, Psychiatrist and Medical Director, Johns Hopkins University Center Psychedelic and Consciousness Research, Baltimore, MD
Didactic Presentation Details
- Didactic Presenter: Natalie Gukasyan, MD, Psychiatrist and Medical Director, Johns Hopkins University Center Psychedelic and Consciousness Research, Baltimore, MD
- Didactic Presentation Title: “Psychedelic-Assisted Therapy: Overview of Treatment Model and Current Evidence for Efficacy”
- Didactic Presentation Date: June 2, 2021
- ECHO Idaho Series: Behavioral Health in Primary Care
- Didactic Presentation Video
Resources and Publications Mentioned
- Johns Hopkins Center for Psychedelic and Consciousness Research
- Usona Institute
- Humphry Osmond
- Entheogen
- LSD: lysergic acid diethylamide
- DMT: dimethyltryptamine
- MDMA: methylenedioxymethamphetamine
- Ayahuasca
- MAPS (Multidisciplinary Association for Psychedelic Studies)
- Controlled Substances Act
- Ketanserin
- Claustrum: “part of the brain that connects the pre-frontal and the sub-cortical areas”
- Albert Hofmann
- Tim Leary
- Rick Strassman
- Ham-D score: an abbreviation for the Hamilton Depression Rating Scale
- Niacin: aka vitamin B3
- Lexapro (escitalopram)
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Natalie Gukasyan, MD, Psychiatrist and Medical Director, Johns Hopkins University Center Psychedelic and Consciousness Research, Baltimore, MD
- Speaker: Lachelle Smith, former ECHO Idaho director
- Speaker: Tara Whitaker, MD, Family Medicine physician at Capital City Family Medicine, Boise
- Speaker: Nancy Chaney, RN, Moscow, and ECHO Idaho participant
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Anushka Burde, PharmD, AAHIVP, BCACP, HIV and Ambulatory Care Pharmacist, Idaho State University
Didactic Presentation Details
- Didactic Presenter: Anushka Burde, PharmD, AAHIVP, BCACP, HIV and Ambulatory Care Pharmacist, Idaho State University
- Didactic Presentation Title: “Kratom: What Clinicians Need to Know”
- Didactic Presentation Date: Dec. 7, 2022
- ECHO Idaho Series: Behavioral Health in Primary Care
- Didactic Presentation Video
Resources and Publications Mentioned
- Mitragyna speciosa
- Antipyretic: meaning, “used to prevent or reduce fever.”
- Antitussive: meaning, “used to prevent or relieve a cough.”
- Warfarin
- Dextromethorphan
- P-glycoprotein
- Clarithromycin
- Erythromycin
- The “two big organizations” that resisted the FDA’s Aug. 2016 proposal to make kratom a controlled substance included the American Kratom Association and the Botanical Education Alliance
- Madarosis: loss of the eyelashes or eyebrows as a congenital condition or the result of an infection.
- Diaphoresis: sweating to an unusual degree, usually as a side effect of a drug.
- Acetylcysteine
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Anushka Burde, PharmD, AAHIVP, BCACP, HIV and Ambulatory Care Pharmacist, Idaho State University
- Speaker: Shannon McDowell, ECHO Idaho Program Manager
- Speaker: Coire Weathers, M.D., Psychiatrist, Lost River Wellness, Boise
- Speaker: Neil Ragan, M.D., Health West, Pocatello, ECHO Participant
- Speaker: Brian Crownover, M.D., ECHO Idaho participant
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Cathy Oliphant, PharmD, Professor of Pharmacy Practice and Administrative Sciences, Idaho State University College of Pharmacy
Didactic Presentation Details
- Didactic Presenter: Cathy Oliphant, PharmD, Professor of Pharmacy Practice and Administrative Sciences, Idaho State University College of Pharmacy
- Didactic Presentation Title: “Fentanyl”
- Didactic Presentation Date: May 26, 2022
- ECHO Idaho Series: Opioids, Pain and Substance Use Disorders
- Didactic Presentation Video
Resources and Publications Mentioned
- National Fentanyl Awareness Day
- Duragesic
- Actiq
- Fentora
- Lazanda
- Subsys
- Lipophilic: meaning, “able to be combined with or stored in fat”
- CNS: An abbreviation for the central nervous system”
- REMS Program: The Risk-Evaluation and Mitigation Strategy Program
- Hypotensive: “lowering the blood pressure”
- Serotonin syndrome
- Nor-fentanyl (NF): a fentanyl metabolite
- The Federal Five: the five main drugs that are tested for in a standard federal or employer urine drug screen—namely, Amphetamines, Cocaine, Marijuana, Opiates and Phencyclidine (aka PCP).
- The Idaho Harm Reduction Project
- The Idaho Office of Drug Policy
- The Idaho Department of Health and Welfare Syringe Exchange Program
- CLIA waiver: Clinical Laboratory Improvement Amendments
- SEFRIA
- Kloxxado
- Evzio
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Cathy Oliphant, PharmD, Professor of Pharmacy Practice and Administrative Sciences, Idaho State University College of Pharmacy
- Speaker: Lachelle Smith, former ECHO Idaho director
- Speaker: Todd Palmer, MD, Family Medicine and Addiction Medicine Physician, Geriatrician at Full Circle Health, Boise
- Speaker: Randi Pedersen, Syringe Exchange Program Manager, Idaho Department of Health and Welfare
- Speaker: Amy Jeppesen, LCSW, ACADC, Social Worker and Vice President of Corporate Development, Trivium Life Services, Boise
- Speaker: Derek Hayton, DO, ECHO Idaho participant
- Speaker: Megan McCarren, MD, Saint Alphonsus Health System, ECHO Idaho participant
- Speaker: Nari Hsiu, DO, Psychiatrist, Boise VA Medical Center
- Speaker: Brenda Hoyt, NP, Nurse Practitioner, Raise the Bottom Idaho, Boise
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Alicia Carrasco, MD, MA, FASAM, Addiction Medicine and Internal Medicine, VA Medical Center, Boise
Didactic Presentation Details
- Didactic Presenter: Alicia Carrasco, MD, MA, FASAM, Addiction Medicine and Internal Medicine, VA Medical Center, Boise
- Didactic Presentation Title: “Complex Persistent Opioid Dependence”
- Didactic Presentation Date: June 9, 2022
- ECHO Idaho Series: Opioids, Pain and Substance Use Disorders
- Didactic Presentation Video
Resources and Publications Mentioned
- Invasive pneumococcal disease
- Norco
- Clonidine
- Loperamide
- Butrans Patch
- Belbuca
- Hyperalgesia: An increased sensitivity to feeling or experiencing pain.
- Clofen
- Duloxetine
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Alicia Carrasco, M.D., MA, FASAM, Addiction Medicine and Internal Medicine, VA Medical Center, Boise
- Speaker: Katy Rodgers (née Palmer), ECHO Idaho Assistant Director
- Speaker: Todd Palmer, M.D., Addiction Medicine and Family Medicine, Geriatrician, Full Circle Health, Boise
- Speaker: Amy Jeppesen, LCSW, ACADC, Social Worker and Vice President of Corporate Development at Trivium Life Services, Boise
- Speaker: Neil Ragan, M.D., Family Medicine physician at Health West in Pocatello, ECHO Idaho participant
- Speaker: Cloeie Hood, LCSW, ACADC, Social Worker, Trivium Life Services, Boise and ECHO Idaho participant
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Michelle Cullinan, PMHNP, Psychiatric Nurse Practitioner, Sage Health Care, Boise
Didactic Presentation Details
- Didactic Presenter: Michelle Cullinan, PMHNP, Psychiatric Nurse Practitioner, Sage Health Care, Boise
- Didactic Presentation Title: “What is Going on with Cannabis and CBD?”
- Didactic Presentation Date: Nov. 16, 2022
- ECHO Idaho Series: Behavioral Health in Primary Care
- Didactic Presentation Video
Resources and Publications Mentioned
- CBD : cannabidiol, a compound found in marijuana
- THC : tetrahydrocannabinol, a compound found in marijuana
- Marinol: an FDA-approved medication used to treat nausea and vomiting from chemotherapy as well as weight loss in HIV patients.
- Emetic: a substance that causes vomiting
- Sativa: the energizing strain of marijuana
- Indica: physically sedating strain of marijuana
- OLCC: Oregon Liquor and Cannabis Commission
- Zyprexa (olanzapine)
- Haldol (haloperidol)
- Antileptic carbamazepine
- Aripiprazole
- AKT-1 gene variation
- Gabapentin
- NAC: N-Acetyl Cysteine
- “Bud-tender”: a cannabis dispensary employee
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Shannon McDowell, ECHO Idaho Program Manager
- Speaker: Michelle Cullinan, PMHNP, Psychiatric Nurse Practitioner, Sage Health Care, Boise
- Speaker: Tara Whitaker, MD, Family Medicine Physician, Capital City Family Medicine, Boise
- Speaker: Rachel Root, PhD, Psychologist, Treasure Valley Psychology, Boise
- Speaker: Neil Ragan, MD, Health West, Pocatello, ECHO Idaho participant
- Speaker: Mark Worthen, PsyD, Health West, Pocatello, ECHO Idaho participant
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Elsbeth Jensen-Otsu, M.D., Hepatologist and Gastroenterologist, VA Medical Center, Boise
Didactic Presentation Details
- Didactic Presenter: Elsbeth Jensen-Otsu, M.D., Hepatologist and Gastroenterologist, VA Medical Center, Boise
- Didactic Presentation Title: “Alcohol-Related Liver Disease”
- Didactic Presentation Date: Feb. 28, 2022
- ECHO Idaho Series: Viral Hepatitis and Liver Care
- Didactic Presentation Video
Resources and Publications Mentioned
- ALD: Shorthand for “Alcohol Related Liver Disease”
- Steatosis: excessive fat in the liver
- Steatohepatitis: excessive fat in the liver with inflammation
- AUD: Alcohol Use Disorder
- BMI: Body Mass Index
- LFTs: Liver Function Tests
- AST: A blood test that measures the aspartate aminotransferase enzyme
- ALT: A blood test that measures the alanine aminotransferase enzyme
- STEMIs: ST-elevation myocardial infarction
- INR: international normalized ratio
- Tender hepatomegaly: enlarged liver
- Cholecystitis: inflammation of the gall bladder
- Spider angioma: enlarged blood vessels
- Maddrey’s Discriminant Function
- MELD: Model for End-Stage Liver Disease
- STOPAH Trial
- “Indication of liver transplantation in severe alcoholic liver cirrhosis: quantitative evaluation and optimal timing”
- “ESPEN Guidelines on Enteral Nutrition: Liver Disease”, Cabre et. Al
- ASH: alcoholic steatohepatitis
- NASH: non-alcoholic steatohepatitis
- APRI: AST to Platelet Ratio Index
Speaking Credits
- Narrator / Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Elsbeth Jensen-Otsu, M.D., Gastroenterologist and Hepatologist, VA Medical Center, Boise
- Speaker: Abby Davids, MD, MPH, AAHIVS, Associate Program Director, HIV & Viral Hepatitis Fellowship Director, Full Circle Health
- Speaker: Winslow Gerrish, PhD, Clinical Psychologist, Director of Behavioral Sciences, Research, and Grants, Full Circle Health, Boise
- Speaker: Ian Troesoyer, DNP, ECHO Idaho participant
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Season 2 – Perinatal Substance Use Disorders
Featuring: Alyson Smith, M.D., FASAM, addiction medicine physician and family medicine physician, Director of Mental Health at Delta Airlines
Didactic Presentation Details
- Didactic Presenter: Alyson Smith, M.D., addiction medicine physician and family medicine physician, Director of Mental Health at Delta Airlines
- Didactic Presentation Title: “Postpartum Consideration: SUD Treatments, Recovery and Parenting”
- Didactic Presentation Date: July 28, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- AMA
- CDC
- ACLU
- Drugpolicy.org
- Womenshealth.gov
- Planagainstpain.com
- Steven Allan Sumner, Melissa C. Mercado-Crespo, M. Bridget Spelke, Leonard Paulozzi, David E. Sugerman, Susan D. Hillis & Christina Stanley (2016) Use of Naloxone by Emergency Medical Services during Opioid Drug Overdose Resuscitation Efforts, Prehospital Emergency Care, 20:2, 220- 225, DOI: 10.3109/10903127.2015.1076096
- Haight SC, Ko JY, Tong VT, Bohm MK, Callaghan WM. Opioid Use Disorder Documented at Delivery Hospitalization — US, 1999–2014. MMWR Morb Mortal Wkly Rep 2018;67:845–849. DOI
- https://www.healthaffairs.org/do/10.1377/hblog20180426.63403/full/
- https://news.vumc.org/2019/07/15/parental-substance-use-linked-to-increase-in-infants-in-foster-care/
- Forray A, Merry B, Lin H, Ruger JP, Yonkers KA. Perinatal substance use: a prospective evaluation of abstinence and relapse. Drug Alcohol Depend. 2015;150:147-155. doi: 10.1016/j.drugalcdep.2015.02.027
- Rossen L, Mattick RP, Wilson J, et al. Mother-Infant Bonding and Emotional Availability at 12-Months of Age: The Role of Early Postnatal Bonding, Maternal Substance Use and Mental Health. Matern Child Health J. 2019;23(12):1686-1698. doi:10.1007/s10995-019-02809-1
- Holmes AP, Schmidlin HN, Kurzum EN. Breastfeeding Considerations for Mothers of Infants with Neonatal Abstinence Syndrome. Pharmacotherapy. 2017;37(7):861-869. doi:10.1002/phar.1944
- Mahoney K, Reich W, Urbanek S. Substance Abuse Disorder: Prenatal, Intrapartum and Postpartum Care. MCN Am J Matern Child Nurs. 2019;44(5):284-288. doi:10.1097/NMC.0000000000000551
- https://www.thelily.com/opioid-overdoses-among-women-have-increased-dramatically-but-treatment-centers-are-still-designed-for-men/
- “Your Words Matter – Language Showing Compassion and Care for Women, Infants, Families, and Communities Impacted by Substance Use Disorder” – Article from National Institute on Drug Abuse
- Idaho Breastfeeding Coalition
- Project Nurture
- “Trauma, ACEs and Substance Use Disorder” – ECHO Session from June 26, 2020 by Thomas Patterson, M.D
- The Deepest Well: Healing the Long-Term Effects of Childhood Adversity by Nadine Burke Harris, M.D.
- “The Rise of Methamphetamine: New Risks, Current Treatments” – ECHO session from Jan. 28, 2021 by Jacob Harris, M.D.
- Postpartum Support International
- Nurse Family Partnership
- Friends of Children and Families
- Office Based Addiction Treatment Training and Technical Assistance
Speaking Credits
- Narrator/Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Alyson Smith, MD, addiction medicine specialist, family medicine physician, director of mental health, Delta Airlines
- Speaker: Stacy Seyb, MD, maternal fetal medicine, St. Luke’s Health System, Boise
- Speaker: Rachel Root, PhD, PMH-C, Psychologist, Treasure Valley Psychology, Boise
- Speaker: Jerri Woodworth, OB Nurse, St. Luke’s Health System, Boise
- Speaker: Lachelle Smith, former ECHO Idaho Director
- Speaker: Bari Laskow, ECHO participant
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Nicole Fox, M.D., M.P.A., Psychiatry, St. Luke’s Health System
Didactic Presentation Details
- Didactic Presenter: Nicole Fox, M.D., M.P.A., Psychiatry, St. Luke’s Health System
- Didactic Presentation Title: “Marijuana Use in the Perinatal Period”
- Didactic Presentation Date: July 14, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- Fox, Hayey. “Weed and Pregnancy: How Cannabis Laws Are Hurting Mothers.” Rolling Stone Magazine. Nov. 17, 2018
- Oster, Emily. “New Evidence on Pot During Pregnancy.” The Atlantic. July 8, 2019
- CDC: “Marijuana Use and Pregnancy"
- “Surgeon General’s Advisory: Marijuana Use and the Developing Brain”
- “Marijuana”
- “The Effects of Marijuana on Fetal Development”
- Prozac
- Zoloft
- Sertraline
- Fluoxetine
- Friedrich, J., Khatib, D., Pars, K. et al. “The Grass Isn’t Always Greener: the Effects of Cannabis on Embryological Development.” BMC Pharmacoll Toxicol 17, 45 (2016)
Speaking Credits
- Narrator/Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Nicole Fox, MD, MPA, Psychiatrist, St. Luke’s Health System, Boise
- Speaker: Stacy Seyb, MD, maternal fetal medicine, St. Luke’s Health System, Boise
- Speaker: Jerri Woodworth, OB Nurse, St. Luke’s Health System, Boise
- Speaker: LaResa Janousek, NNP, Neonatal Nurse Practitioner, NICU, St. Luke’s Health System, Boise
- Speaker: Lachelle Smith, former ECHO Idaho Director
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Rachel Root, Ph.D., PMH-C, Psychologist, Treasure Valley Psychology, Boise
Didactic Presentation Details
- Didactic Presenter: Rachel Root, Ph.D., PMH-C, Psychologist, Treasure Valley Psychology, Boise
- Didactic Presentation Title: “Perinatal Anxiety Disorders”
- Didactic Presentation Date: June 9, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- PMADS, shorthand for Perinatal Mood and Anxiety Disorders
- OCD, shorthand for Obsessive Compulsive Disorder
- PTSD, shorthand for Post-Traumatic Stress Disorder
- Edinburgh Postnatal Depression Scale (EPDS)
Speaking Credits
- Narrator/Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Rachel Root, PhD, PMH-C, Psychologist, Treasure Valley Psychology, Boise
- Speaker: Jerri Woodworth, OB Nurse, St. Luke’s Health System, Boise
- Speaker: Nicole Fox, MD, MPA, Psychiatrist, St. Luke’s Health System, Boise
- Speaker: Alyson Smith, MD, addiction medicine specialist, family medicine physician, director of mental health, Delta Airlines
- Speaker: Haley Brown, ECHO participant
- Speaker: Lachelle Smith, former ECHO Idaho Director
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Nicole Fox, M.D., M.P.A., Psychiatrist, St. Luke’s Health System, Boise
Didactic Presentation Details
- Didactic Presenter: Nicole Fox, M.D., M.P.A., Psychiatrist, St. Luke’s Health System, Boise
- Didactic Presentation Title: “Perinatal Mood Disorders”
- Didactic Presentation Date: May 26, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- FDA A-B-C-D-X category system
- Edinburgh Postnatal Depression Scale
- Zoloft
- Sertraline
- Fluoxetine
- Citalopram
- Celexa
- ECT, stands for “electroconvulsive therapy”
- Paroxetine
- Paxil
- Venlafaxine
- Buproprion
- Carbamazepine
- Depakote
- Lamotrigine
- Lamictal
- Haldol
- Quetiapine
- Seroquel
- Olanzepine
- Zyprexa
- Risperidone
- Risperdal
- American Psychiatric Association: Diagnostic Statistical Manual, 5th Edition. American Psychiatric Association, Arlington, VA. 2013.
- Cohen LS, Altshuler LL, Harlow BL, Nonacs R, Newport DJ, Viguera AC, Suri R, Burt VK, Hendrick V, Reminick AM, Loughead A, Vitonis AF, Stowe ZN. Relapse of major depression during pregnancy in women who maintain or discontinue antidepressant treatment. JAMA 295(5):499-507, 2006.
- Jones I, Chandra P, Dezzan P and Howard L. Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period. Lancet 2014; 384; 1789-99.
- Miller ED, Hoxha D, Wisner KL, Gossett DR. The impact of perinatal depression on the evolution of anxiety and obsessive compulsive symptoms. Arch Womens Ment Health 2015.
- MGH Center for Women’s Health Online Reproductive Psychiatry Resource and Information Center.
- Nonacs R, Cohen LS. Depression during pregnancy: diagnosis and treatment options. J Clin Psychiatry. 2002;63. Suppl 7:24-30.
- Reefhuis J, Devine O, Friedman J et al. Specific SSRIs and birth defects; Bayesian analysis to interpret new data in the context of previous reports. BMJ 2015; 350-h3190.
- Robakis T and Williams K. Atypical Antipsychotics during pregnancy. Current Psychiatry 2013; 12 (7): 12-18
Speaking Credits
- Narrator/Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Nicole Fox, MD, MPA, Psychiatrist, St. Luke’s Health System, Boise
- Speaker: Alyson Smith, MD, addiction medicine specialist, family medicine physician, director of mental health, Delta Airlines
- Speaker: Jerry Wilmes, ECHO participant
- Speaker: Lachelle Smith, former ECHO Idaho Director
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: LaResa Janousek, Neonatal Nurse Practitioner at the NICU, St. Luke’s Health System, Boise
Didactic Presentation Details
- Didactic Presenter: LaResa Janousek, Neonatal Nurse Practitioner at the NICU, St. Luke’s Health System, Boise
- Didactic Presentation Title: “Neonatal Abstinence Syndrome: Identification and Treatment”
- Didactic Presentation Date: April 28, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- NOWS: Neonatal Opioid Withdrawal Syndrome (formerly NAS, neonatal abstinence syndrome)
- Loretta Finnegan
- American Academy of Pediatrics (AAP)
- Meconium refers to the early stool passed by a newborn soon after birth, before the baby starts to feed and digest milk or formula.
- The Center for Child Health Policy
- National Institute on Drug Abuse
- HCUP Fast Stats. Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality, Rockville, MD
- Eat, Sleep, Console (Matthew Grossman)
- St. Luke’s Neonatology Algorithms
- FNAS
Speaking Credits
- Narrator/Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: LaResa Janousek, NNP, Neonatal Nurse Practitioner, NICU, St. Luke’s Health System, Boise
- Speaker: Stacy Seyb, MD, maternal fetal medicine, St. Luke’s Health System, Boise
- Speaker: Alyson Smith, MD, addiction medicine specialist, family medicine physician, director of mental health, Delta Airlines
- Speaker: Jerri Woodworth, OB Nurse, St. Luke’s Health System, Boise
- Speaker: Lachelle Smith, former ECHO Idaho Director
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Alyson Smith, M.D., Family Medicine Physician, Addiction Medicine Specialist, Director of Mental Health, Delta Airlines
Didactic Presentation Details
- Didactic Presenter: Alyson Smith, M.D., Family Medicine Physician, Addiction Medicine Specialist, Director of Mental Health, Delta Airlines
- Didactic Presentation Title: “MAT in Pregnancy”
- Didactic Presentation Date: April 14, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- MAT stands for “Medications for Addiction Treatment”
- MOUD stands for “Medications for Opioid Use Disorder”
- MAUD stands for “Medications for Alcohol Use Disorder”
- Methadone
- Buprenorphine
- Naltrexone
- Vivtrol
- Finnegan Neonatal Abstinence Scoring Tool (FNAST)
- Drug Addiction Treatment Act of 2000 (DATA 2000)
- Promise Study (2005)
- MOTHER Trial
- Subutex
- Society for Maternal Fetal Medicine
- American College of Obstetricians and Gynecologists (ACOG)
- American Society of Addiction Medicine (ASAM)
- NOWS: abbreviation for Neonatal Opioid Withdrawal Syndrome (or NAS, Neonatal Abstinence Syndrome)
- Hendrée Jones, PhD - content from MOTHER study used with Dr. Jones’ permission
- PCSS buprenorphine waiver program
- SAMHSA
- Resource for patients
Speaking Credits
- Narrator/Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Alyson Smith, MD, addiction medicine specialist, family medicine physician, director of mental health, Delta Airlines
- Speaker: LaResa Janousek, NNP, Neonatal Nurse Practitioner, NICU, St. Luke’s Health System, Boise
- Speaker: Lachelle Smith, former ECHO Idaho Director
- Speaker: Neil Ragan, ECHO participant
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Stacy Seyb, M.D., Maternal Fetal Medicine, St. Luke’s Health System
Didactic Presentation Details
- Didactic Presenter: Stacy Seyb, M.D., Maternal Fetal Medicine, St. Luke’s Health System
- Didactic Presentation Title: “Medications and Substances in Pregnancy: Exposure and Risk”
- Didactic Presentation Date: March 24, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- James G. Wilson
- Six Rules of Teratology
- Teratogen: meaning, “structural defects”
- Phenylephrine
- FDA Pregnancy Categories
- 2014 FDA change
- 3 categories of FDA change
- Abruption: the separation of the placenta from the wall of the uterus.
- Apgar Score
- Paroxetine
- Seroquel
- Trazadone
- Ritalin
- Lamotrigine
- Topiramate
- Keppra
- Mother-to-Baby
Speaking Credits
- Narrator/Host: Sam Steffen, Digital Media/Communications Specialist, ECHO Idaho, Boise
- Speaker: Stacy Seyb, MD, maternal fetal medicine, St. Luke’s Health System, Boise
- Speaker: Nicole Fox, MD, MPA, Psychiatrist, St. Luke’s Health System, Boise
- Speaker: LaResa Janousek, NNP, Neonatal Nurse Practitioner, NICU, St. Luke’s Health System, Boise
- Speaker: Rachel Root, PhD, PMH-C, Psychologist, Treasure Valley Psychology, Boise
- Speaker: Radha Sadacharan, MD, MPH, primary care physician, MOUD provider at Centurion, Idaho Department of Corrections
- Speaker: Alyson Smith, MD, addiction medicine specialist, family medicine physician, director of mental health, Delta Airlines
- Speaker: Jerri Woodworth, OB Nurse, St. Luke’s Health System, Boise
- Speaker: Lachelle Smith, former ECHO Idaho Director
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
Featuring: Katie Gray, M.D., Family Medicine physician at Desert Sage Health Centers in Mountain Home and Jerri Woodworth, OB-Nurse and director of the SUPPORT Clinic at St. Luke’s Health System in Boise
Didactic Presentation Details
- Didactic Presenter: Jerri Woodworth, OB-Nurse at St. Luke’s Health System in Boise
- Didactic Presentation Title: “Substance Use and Mental Health in Pregnancy: Overview and Screening”
- Didactic Presentation Date: March 10, 2021
- ECHO Idaho Series: Perinatal Substance Use Disorder series
- Didactic Presentation Video
Resources and Publications Mentioned
- Desert Sage Health Centers
- A,B,C,D,X FDA Medication Scoring Rubric
- American Society of Addiction Medicine (ASAM)
- National Institutes of Drug Abuse (NIDA)
- Diagnostic Statistical Manual of Mental Disorders (DSM-5)
- Edinburgh Post-natal Depression Screen (EPDS)
- American College of OB/GYNs (ACOG)
- The “5 Ps”
- Screening, Brief, Intervention, and Referral to Treatment (SBIRT)
- Postpartum Support International (PSI)
- Idaho Quitline: 1-800-QUIT-NOW (784-8669)
- Mass General Center for Women’s Health
Speaking Credits
- Narrator/Host: Sam Steffen, Project Coordinator, ECHO Idaho
- Speaker: Katie Gray, MD, Family Medicine, Desert Sage Health Centers, Mountain Home, ID
- Speaker: Jerri Woodworth, OB Nurse, St. Luke’s Health System, Boise
- Speaker: Nicole Fox, MD, MPA, Psychiatrist, St. Luke’s Health System, Boise
- Speaker: LaResa Janousek, NNP, Neonatal Nurse Practitioner, NICU, St. Luke’s Health System, Boise
- Speaker: Rachel Root, PhD, PMH-C, Psychologist, Treasure Valley Psychology, Boise
- Speaker: Radha Sadacharan, MD, MPH, primary care physician, MOUD provider at Centurion, Idaho Department of Corrections
- Speaker: Stacy Seyb, MD, maternal fetal medicine, St. Luke’s Health System, Boise
- Speaker: Alyson Smith, MD, addiction medicine specialist, family medicine physician, director of mental health, Delta Airlines
Music Contributions
- “ECHO Idaho Theme Song” written and performed by Sam Steffen
- Guitar instrumentals also provided by Sam Steffen
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This project was supported by Grant No. 15PBJA-21-GG-04557-COAP awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Department of Justice’s Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, the Office for Victims of Crime, and the SMART Office. Points of view or opinions in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice.