tion tion · change speaker and author of change does not occur in a flash. he is a noted authority...

COMBATING ADDICTION

THROUGH INNOVATION

Darrell Gordon, JDGordon Enterprises, LLC

Darrell Gordon is an international, powerful, and impactful change speaker and author of Change Does Not Occur in a Flash. He is a noted authority on the topics of character development, diversity training, leadership, and empowerment for change. He has been recognized for his great work through various channels, most recently in 2016 when awarded the highest honor in Indiana – the Sagamore of the Wabash award.

A native of Hillside, New Jersey, Darrell earned his bachelor’s degree in economics and business and master’s degree of science in administration from Notre Dame. He was a starting

outside linebacker on the 1988 National Championship Notre Dame Football Team. Darrell earned a juris doctorate from Northern Kentucky’s Chase College of Law, a certification in Fund Raising Management from Indiana University School of Philanthropy, and was chosen to participate in Harvard Business School’s Strategic Perspective in Nonprofit Management seminar. He has been a Ball State University Adjunct sports law professor and has served the NCAA in his legislative and student athlete advisory departments. Since 2001, Darrell has served as CEO of an Indiana multimillion-dollar youth organization.

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REGISTRATION REGISTRATION

EMCEEDarrell Gordon, JD


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WELCOMEDean Tamara Davis



KEYNOTEBertha Madras, Ph.D.

KEYNOTESteve Williams

WORKSHOPS • SESSION I

WORKSHOPS • SESSION II

WORKSHOPS • SESSION I

PANEL OF FAMILIES Moderated by Phillip Anderson

CLOSING Phillip Anderson

WORKSHOPS • SESSION III

KEYNOTEJim McClelland

KEYNOTEVirginia Caine, M.D.

KEYNOTEHon. Loretta Rush

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APRIL 17

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Bertha Madras, Ph.D.

Bertha Madras, Ph.D., is a Professor of Psychobiology at the Harvard Medical School and directs the Lab of Addiction Neurobiology at McLean Hospital. Her laboratory discovered key targets of therapeutic and abusable drugs in primate brains, developed novel brain imaging agents currently in clinical use, candidate therapeutics, and identified naturalistic primate models of human-based genetic disorders. Her current research focuses on comparing adolescent and adult brain adaptation elicited by cannabinoids. With collaborators, she received 19 U.S. and 27 international patents. She edited of several text books, developed the first addictions course (elective) for Harvard Medical School students (1991), created the Cell Biology of Addictions Course at Cold Spring Harbor Laboratory, a museum exhibit, CD (licensed by Disney), “Changing Your Mind: Drugs in the Brain”, and a play, with the Museum of Science, Boston. As Deputy Director for Demand Reduction in the White House Office of National Drug Control Policy, Executive Office of the President (a presidential appointment unanimously confirmed by the U.S. Senate), she catalyzed Screening, Brief Intervention and Referral to Treatment (SBIRT) services into national prominence.

In 2017, she served on President Trump’s 6-member Commission on Combating Drug Addiction and the Opioid Crisis, and marshalled the final Commission report. The World Health Organization commissioned her to write “Update of Cannabis and its Medical Use,” and she served as a panelist for the Vatican Pontifical Academy of Sciences assembly, “Narcotics: Problems and Solutions of this Global Issue.” She is recipient of an NIH MERIT award, NIDA Public Service Award, American Academy of Addiction Psychiatry Founders’ Award, CPDD Distinguished Service Award, CADCA National Leadership Award, Nils Bejerot Award, and others.

President’s Commission on Combating Drug Addiction and the Opioid CrisisProfessor of Psychobiology, Harvard Medical SchoolDirector, Laboratory of Addiction Neurobiology, Mclean HospitalPsychobiologist, Substance Use Disorders Division, Division of Basic Neuroscience, Mclean Hospital

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Jim McClellandHon. Loretta H. RushExecutive Director, Drug Prevention, Treatment, and Enforcement for the State of Indiana

Chief Justice, Indiana Supreme Court

Loretta H. Rush took the oath of office as Indiana’s 108th Supreme Court Justice in November 2012 after being appointed by then Governor Mitch Daniels. The Judicial Nominating Commission named her Chief Justice in August 2014.

As Chief Justice, she is responsible for supervising the entire judicial branch, including administration and funding of court programs across the state. A central administrative office with multiple agencies works under Rush’s direction to handle everything from caseload measures to technology updates to admission and discipline of lawyers. With more than 12 million cases already in a central system, the Court continues to use technology to improve access and efficiency. The ability to e-file documents in both the trial and appellate courts became a reality under Rush’s leadership with strong support from judicial colleagues, clerks, and bar associations.

In addition to being a member of local, state, and national bar associations, Chief Justice Rush chairs or is a member of several commissions (including the Commission on Improving the Status of Children in Indiana, the Judicial Nominating/Qualifications Commission, the Advisory Task Force on Remote Access to and Privacy of Electronic Court Records, and the Conference for Legal Education Opportunity). Chief Justice Rush serves on the Conference of Chief Justices Board of Directors and is co-chair of the National Judicial Opioid Task Force.

Prior to her appointment, Chief Justice Rush spent 15 years at a Lafayette law firm and was elected three times to serve as Tippecanoe Superior Court 3 judge. She was born in Pennsylvania and moved frequently as a child before settling in Indiana in 1972. She earned her undergraduate degree from Purdue University and her law degree from Indiana University Maurer School of Law, both with honors. She is married with four children and two grandchildren. She enjoys cooking, biking, reading, and volunteering for her church and community.

In January 2017, Governor Eric Holcomb appointed Jim McClelland to the newly-created position of Executive Director for Drug Prevention, Treatment, and Enforcement for the State of Indiana. He reports to the Governor and also chairs the Indiana Commission to Combat Drug Abuse.

Jim is charged with coordinating, aligning, and focusing the relevant work of a wide array of state agencies that affect substance abuse issues. In addition, he seeks to leverage the state’s resources with those of entities in other sectors – business, higher education, health care, philanthropic, faith-based, and other community-based organizations – to respond as effectively as possible to the current opioid crisis and to substantially reduce the likelihood of a similar crisis arising from the abuse of addictive substances in the future.

In 2015, Jim concluded a 45-year career with Goodwill Industries, the last 41 of those years as President and CEO of Goodwill Industries of Central Indiana, based in Indianapolis. He has served on the boards of numerous not-for-profit organizations at local, national, and international levels and chaired several of them. He currently serves on the Dean’s Council of the Indiana University Kelley School of Business – Indianapolis, the Advisory Board of the School of Industrial and Systems Engineering at Georgia Tech, and the Board of Directors of Building Tomorrow.

A native of Florida, Jim earned a Bachelor of Industrial Engineering degree from Georgia Tech and an MBA from the Kelley School of Business at Indiana University. He is married to Jane, and they have two grown children and two grandchildren.

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6 APRIL 17 KEYNOTES

WORKSHOPSAPRIL 17

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Peer Recovery Coaching: An Integral Component of the Continuum of CareROOM # TBD • 11:00AM – 12:15PM

Engaging Substance Using Youth with ENCOMPASSROOM # TBD • 11:00AM – 12:15PM

Second Chance Employment for People in RecoveryROOM # TBD • 11:00AM – 12:15PM

Fewer than five percent of youth with substance use disorders receive treatment for these disorders. Part of the reason for this low percentage is that few youth are motivated to cut back or stop their use and therefore see little reason to attend treatment. Effective models such as ENCOMPASS address low motivation in adolescents by incorporating such techniques as contingency management, motivational interviewing, and functional analyses for drug use. This workshop will cover best practices in the use of contingency management (e.g., which behaviors to reinforce, which prizes to use, how much does this cost), as well as modifications needed to complete functional analyses and motivational interviewing in adolescents. Finally, we will summarize how tracking both mental health symptoms and substance use, incorporating mental health assessments and using medications to treat youth, enhances outcomes for both mental health and substance use disorders.

This workshop will educate and illustrate how to use both your heart and sound business strategy to provide the best second employment opportunity for individuals in recovery. How can we best predict a workforce that will be on-time, be motivated, and achieve high quality performance even in recovery? DV8 was a subject of a New York Times article that highlighted the work of the restaurant, its owners, and their community.

Peer Recovery Coaches utilize training, certification, education, and lived experience to encourage hope and optimism, remove barriers, promote recovery and healthy living, and connect people with healthy community supports. This workshop will leave the participants with a better understanding of the peer recovery support role, how it is a vital component of the continuum of care, and why this role is necessary for a person’s sustained recovery. It will provide participants with the opportunity to connect with technical assistance for implementing and/or strengthening peer recovery support programs within their organizations or community.

Justin Beattey, CAPRC II, CHW/CRS-GA, ICPR, MATS Manager of Peer Supports,Indiana Addiction Issues Coalition/Indiana Association of Peer Recovery Support Services (IAPRSS)

Leslie Hulvershorn, M.D.Associate Professor of Psychiatry, Indiana University School of Medicine

Zachary Adams, Ph.D. Assistant Professor, Indiana University School of Medicine

Rob PerezOwner, DV8 Restaurant

WORKSHOPSAPRIL 17

Using EMS and First Responder Data to Impact Public Health Problems: The Naloxone Heat MapROOM # TBD • 11:00AM – 12:15PM

The Department of Homeland Security/Emergency Medical Services has developed an interactive heat map showing the locations of naloxone administrations throughout the entire State. This map is updated in real time within 24 hours of the event. This workshop will explain how to use the map and discuss ways that the map can be used proactively to provide community outreach and treatment services to communities and organizations.

Michael Kaufmann, M.D., FACEP, FAEMS State EMS Medical Director, Indiana Department of Homeland Security

WORKSHOPS • SESSION I APRIL 17

8APRIL 17 WORKSHOPS • SESSION I

This workshop will highlight the development and implementation of Belden’s Pathways to Employment program, a community-based solution blending drug rehabilitation with the promise of employment for those willing to lead drug-free lives. Belden will share key learnings, the benefits of addressing addiction in today’s employment landscape, and resources to help others understand how they can implement a program with a similar model in communities that face addiction challenges.

The Belden Blueprint: A Workplace Approach to Supporting Addiction RecoveryROOM # TBD • 11:00AM – 12:15PM

Trauma and Addiction

ROOM # TBD • 11:00AM – 12:15PM

Measuring Naloxone and Opioid Use in Communities Through Wastewater Sampling and Analysis: A Pilot Program in Cary, North Carolina ROOM # TBD • 11:00AM – 12:15PM

Between 80–90 percent of clients engaged in social service systems have experienced significant trauma throughout their lifetimes. The impact of trauma affects every aspect of the life of the survivor and can lead to the development of unhealthy behavior- including addiction. In this workshop, participants will understand the impact of trauma on brain development and behavior, learn about the connection between trauma and addiction, and develop skills needed to operate in a trauma-informed manner to promote recovery.

Trends in drug consumption can be measured anonymously at the population-level by analyzing drug metabolites in wastewater. Learn about the scientific basis and practical aspects of implementing a wastewater epidemiology program in cities from a pilot implementation in the Town of Cary, NC. The workshop will conclude with early findings of how to incorporate this novel data stream into local public health programming.

Ellen Drazen Corporate Communications Manager,Belden Inc.

Doug Brenneke Vice President Research & Development,Belden Inc.

Tammy Scotten, ACSW, LCSW, LMHC, LCAC Adult and Family Services Manager, Centerstone, Indiana

Rachel Halleck, LMHC, LACSenior Director, Behavioral Health Services, Volunteers of America Ohio and Indiana

Mariana Matus, Ph.D.Biobot Analytics

Nicole Raimundo Chief Information Officer,Town of Cary, North Carolina

Prenatal Substance Misuse: Understanding Stigma and Attitudes Among Medical StaffROOM # TBD • 11:00AM – 12:15PM

This workshop will identify the potential stigma and attitudes among healthcare providers working with mothers and babies affected by Neonatal Abstinence Syndrome (NAS). Additionally, the workshop will offer insight into the practice methods within the healthcare setting to help combat structural stigma. Specifically, a three-tiered protocol to improve the culture, education, and practice within the hospital setting is discussed.

Kristin Trainor, Ph.D., LCSW Indiana University School of Social Work

WORKSHOPS • SESSION IAPRIL 17

9 APRIL 17 WORKSHOPS • SESSION I

Yoga and Meditation for Recovery: The Mind, Body, and Spirit ConnectionROOM # TBD • 11:00AM – 12:15PM

Helping Clients Transition from Recovery to the Workforce: A Proven ApproachROOM # TBD • 11:00AM – 12:15PM

How a Mid-Sized City is Moving ForwardROOM # TBD • 11:00AM – 12:15PM

The Layperson Naloxone TrainingROOM # TBD • 11:00AM – 12:15PM

This workshop will provide participants with an understanding of the importance of mind, body, and spirit engagement for recovery from addictions.

Helping individuals in recovery become job ready and marketable for employment can be a difficult process. Sometimes they have many barriers to overcome, such as suspended licenses, criminal records, lack of transportation, poor work ethic, etc. This workshop will explore an approach that has proven to help many recovering individuals overcome their barriers and obtain career-type employment.

Muncie is a mid-sized city in Indiana that was hit hard by the opioid epidemic, with overdose deaths were rapidly rising. Hear from the city’s Mayor and several community agencies about how they came together to create different methods and innovative programs that are having some success. Muncie is building a collaborative infrastructure to assist people caught in the opioid epidemic and to help them foster a better future.

The Layperson Naloxone Training will teach you how to recognize the signs of an opioid overdose and how to administer the opioid overdose reversal drug Naloxone (brand name NARCAN). You will acquire a foundational understanding of the opioid public health crisis and the contributing factors and solutions.

Pre-registration is required. There is an additional fee of $45 to attend this workshop. Attendees who complete this training will receive an Opioid Rescue Kit.

Kathy Lay, Ph.D.Interim MSW Program Director, Associate Professor, Indiana University School of Social Work

Jeffrey MagadaExecutive Director, Flying High

Dennis TylerMayor, City of Muncie, Indiana

Naloxone TrainingOverdose Lifeline, Inc.

Lily’s Place: Caring for Drug-Affected NewbornsROOM # TBD • 11:00AM – 12:15PM

Lily’s Place is a non-profit organization which provides medical and therapeutic care to infants born with prenatal drug exposure while offering nonjudgmental support, education, and counseling to families.

Rebecca CrowderExecutive Director, Lily’s Place

Treating Opioid and Other Addictions Through Integrated Care in a Community Health SettingROOM # TBD • 11:00AM – 12:15PM

Integrated Care provides a unique opportunity to treat opioid and other addictions. This workshop will describe how general and behavioral health care can be coordinated in community health settings to better serve patients.

Staci Swenson, MA, MSW, LISW-S Director, Behavioral Health and Social Work



The Evidence Base of Opioid and Addictions TreatmentROOM # TBD • 11:00AM – 12:15PM

During this workshop, Dr. Saunders-Adams will review the current status of research and evidence around opioid and addiction treatment options. She will discuss which treatment interventions have the strongest evidence base and identify which treatment options are promising but need additional evidence to support their effectiveness. Dr. Saunders-Adams will provide recommendations for treatment best practices and will engage participants in thoughtful discussion about moving the opioid and addiction research and evidence base forward.

Stacey Saunders-Adams, Ph.D., MSSA, LISW-S Assistant Professor and Social Work Program Coordinator,College of Health Sciences and Professions, Ohio University Chillicothe


The Phoenix Model: Building Sober Active Community as a Form of Recovery SupportROOM # TBD • 11:00AM – 12:15PM or 1:45PM – 4:30PM

This session will provide an overview of The Phoenix, a national non-profit organization that provides free peer-based recovery support to anyone with 48-hours of continuous sobriety. Through pursuits such as CrossFit, yoga, hiking, biking, running, etc., The Phoenix leverages the undeniable power of physical activity and social connection to dramatically improve recovery outcomes and eliminate the stigma associated with substance use disorders.

Nell Hurley, MH, MNM National Director of Programs and Operations,The Phoenix

During this workshop, attendees will be introduced to innovative applications of occupational therapy in the community. Specifically, presenters will discuss their work in the VA Medical Center and Hope Academy/Fairbanks. They will describe their use of theater-based intervention, narrative medicine, and the use of meaningful activity to empower people in recovery to enhance their life participation and wellness.

Community Engaged Occupational Therapy for Substance Use DisordersROOM # TBD • 11:00AM – 12:15PM

Sally Wasmuth, Ph.D., DTR Assistant Professor,Indiana University, Department of Occupational Therapy, School of Health and Human Sciences

Victoria Wilburn, DHSC, DTR, CLT Assistant Professor,Indiana University, Department of Occupational Therapy, School of Health and Human Sciences

The Development and Ease of Use of the Web Based Screening Brief Intervention and Referral to Treatment (SBIRT) HandbookROOM # TBD • 11:00AM – 12:15PM

The SBIRT Handbook web based app is a one-stop reference for healthcare professionals who are performing SBIRT. In the app, you’ll find various screening tools that can each be scored with the push of a button, step-by-step guides for performing a brief intervention or referral to treatment, and tips for handling “sticky” situations, such as an angry patient.

Joan Carlson, Ph.D. Associate ProfessorIndiana University School of Social Work



The Truth About the Opioid Crisis in the Workplace and How the Opioid Crisis Impacts Human ResourcesROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

U.S. employers are increasingly seeking ways to reduce the abuse of prescription opioids. The National Business Group on Health (NBGH), which represents large employers, Large Employers’ 2018 Health Care Strategy and Plan Design Survey found that the vast majority of big employers (80 percent) are concerned about abuse of prescription opioids, with 53 percent stating that they are very concerned. Thirty percent have restrictions for prescription opioids, and 21 percent have programs to manage prescription opioid use. The misuse of opioids negatively impacts employee productivity, workplace costs, the availability of labor, absenteeism and disability costs, workers’ compensation claims, as well as overall medical expenses. Participants will understand the impact of addiction in the workforce, learn about the programs available to assist employees and the programs and efforts to help employers address the impact of impaired and addicted employees.

James L. Banks, Jr., JD General Counsel,Society for Human Resource Management

APRIL 17

Amy LaHood, MD, MPH, FAAFPAscension St. Vincent Family Medicine Residency Faculty

Righting the Wrong: The Safe Use of Opioids (Part 1) See Part 2 with Dr. Palmer MacKie at 3:15pm. ROOM # TBD • 1:45PM – 3:00PM

The U.S. is currently facing the worst iatrogenic epidemic of our time. Opioids now cause more deaths in the U.S. than car accidents. As the landscape of pain treatment is rapidly changing, health systems are challenged to utilize safer regimens while working to find innovative ways to maintain and improve the quality of life for patients with pain. This workshop will briefly review the origin and history of the opioid epidemic, highlight current evidence for using opioids to treat pain, and review best practices and Indiana opioid laws.

The Equivalent Treatment of African Americans in Drug Courts: Advancing the Treatment of Substance Use Disorders in Criminal Justice Settings ROOM # TBD • 1:45PM – 3:00PM

Drug courts have been an important part of the criminal justice system since they began in 1989 in Florida. In three decades, the number of drug courts has increased to 3,057 and these programs are now operating in all 50 states. This presentation will describe the key components of drug courts, explore the factors that may contribute to some African Americans graduating drug court at lower rates than their white counterparts, and highlight how human service programs can use qualitative research methods to evaluate their effectiveness.

John Gallagher, Ph.D. Associate Professor,Indiana University School of Social Work

WORKSHOPS • SESSION II and III APRIL 17

12APRIL 17 WORKSHOPS • SESSION II and III

Opioid Intervention CourtROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Transforming Substance Use Disorder Treatment Systems in CorrectionsROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Community Outreach and Advocacy Program (COAP)ROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Historically, correctional systems have viewed addiction as a character flaw, best addressed in the classroom through custodial programs that focus on changing one’s thinking. However, as substance use disorders have been proven and accepted as a disease in the field of medicine, correctional care systems have struggled to reform their approaches. Participants will be presented with a glimpse into Indiana’s statewide transformation project that aligns addiction recovery services with the medical services team, creates a medical model of care that addresses Substance Use Disorder through evidence-based clinical treatments and implements a full continuum of care based on American Society of Addiction Medicine best practices. This presentation will include discussion about the internal cultural systems that needed to engage in a change process in order for successful implementation across 17 adult facilities and three juvenile facilities.

The Community Outreach and Advocacy Program (COAP) sends out teams to visit people who have recently had an opioid overdose. The team works seamlessly to connect individuals to services not only for the person who overdosed but also for the family and friends who are often traumatized by what’s occurred to their loved ones. Working from a harm reduction model, we help them through our partnerships to provide them with a treatment bed or detox bed, peer support groups, medication-assisted treatment, or anything else which may be needed at that time. Frequent follow ups build rapport in hopes that they will be ready for treatment in the future.

The Buffalo City Court’s Opiate Intervention Court is the first of its kind in the Nation and is dedicated to first treating the needs of the people who come into contact with the law. Our court places individuals into Medication-Assisted Treatment and/or Behavioral Treatment within hours of their arrests and continues daily personal contact with the participants.

Hon. Craig Hannah, JD City Court Judge,Buffalo City Court, Opioid Intervention Court

Stephanie Anderson, MSW, LCSW Executive Director,Addiction Recovery Services, Indiana Department of Correction

Rev. David Lima Executive Minister, Inter-Church Council of Greater New Bedford

Chaplain, New Bedford Police Dept.

Pastor Jamie Casey Drug Resource Counselor, Chaplain,South Coast Community Church Positive Action Against Chemical Addiction

It’s Just Pills: Opioids in the Black CommunityROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

The opioid crisis has highlighted the strain on predominately white communities/cultures, while often diminishing or dismissing the struggle of minorities. Due to language barriers and cultural differences, opioid deaths among African Americans continue to rise at alarming rates. What are we missing? This presentation will highlight what opioid abuse looks like within the Black community and how recovery may look different for this population.

Natasha Cheatham Founder,Minority Recovery Collective, Inc. (MRCI)

WORKSHOPS • SESSION II and IIIAPRIL 17

13 APRIL 17 WORKSHOPS • SESSION II and III

Drug Policy and Harm ReductionROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Local Solutions to a National Epidemic: Building Community Coalitions That WorkROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

As the opioid epidemic ravages our country, communities are searching for answers and easy access to resources. Navigating through confusing treatment options, healthcare coverage, and figuring out how to pay for it all becomes too overwhelming for many to go through the process of recovery. The Decatur Township Drug-Free Coalition has developed a comprehensive, relationship-based recovery model that streamlines the process for those seeking treatment by training volunteers to become the experts in resources available in the community. This workshop will identify the key components of a community-based recovery assistance program while motivating you to leverage the power of your community to save and change lives!

We will examine drug policy in this country starting with its origins in the 1800s up until present. Throughout this workshop, we will identify the harm caused by placing a public health issue in the criminal justice system and the institutionalized racism that has emerged. We will learn about the history of harm reduction and how applying its principles can save lives during the current substance use epidemic and rectify many mistakes made in the past regarding how we treat substance use.

Chad Sabora, JD Executive Director/ Co-Founder,Missouri Network for Opiate Reform and Recovery

Robert Riley II Co-Founder,Missouri Network for Opiate Reform and Recovery

Chase Lyday Director, Decatur Township Drug-Free Coalition

Opioid Use and Addition Issues among Older AdultsROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

As the opioid crisis continues to sweep the nation, less attention has been given to its impact on older adults. In this session, participants will learn about the drivers of opioid use among older adults as well as practical strategies and interventions to bring about cross-disciplinary action and help older adults to manage chronic pain and reduce unnecessary pharmaceutical use.

Matthew Smith, Ph.D., MPH, CHESCo-Director and Associate Professor, Texas A&M University Center for Population Health and Aging

Connie Priddy, MA, RN, MCCN Compliance Officer/Quick Response Team Coordinator,Cabell County EMS, City of Huntington, West Virgina

Larrecsa CoxEMT-P, Quick Response Team Leader, Carbell County EMS, City of Huntington, West Virgina

Using the Quick Response Team (QRT) Model as an Innovative Approach in Huntington, West VirginiaROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

As the opioid epidemic becomes an ever increasing public health crisis, hear how Huntington, WV is carving out a successful path in addressing this epidemic using the QRT approach. The QRT model has proved to be one of those innovative ideas that is having success. For the struggling individual, the model provides hope and a personal connection that they may not have felt for many years.



This workshop will discuss the implementation of a comprehensive community opiate treatment plan. This includes the use of Pulse Point, a cellphone application, to provide earlier response to overdose patients as well as targeted naloxone delivery. Once a patient reaches the Emergency Department, use of an opiate withdrawal protocol will be discussed, as well as the transition to the Emergency Department Follow-up Clinic which serves as the focal point for entry into long-term recovery.

A Multifaceted Novel Approach to Combat the Opioid Epidemic Using Innovative Technology and Community PartnersROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Intervention: More Than a Television ShowROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

A Better Life–Brianna’s Hope: Another ChoiceROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Post Overdose Response Team (PORT) and How it WorksROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

You have seen the TV show and you have wondered if an intervention really works. Join Scott J. Watson for an entertaining and educational romp through the world of family intervention planning and preparation. The material, coupled with Scott’s speaking style and stories, will make for an unforgettable session.

Been told you can’t? We have a proven way you can. We are about meeting the substance abuser where they are and helping them get where they most want to be. We show you how to walk beside the struggler instead of ahead pulling or behind pushing. A Better Life–Brianna’s Hope cares more about the person than the addiction. In each of our 35 chapters in the Midwest, we have seen lives changed and saved, families reunited, and burnt bridges restored. We are participant driven, faith based, and compassion filled.

This workshop will inform participants about the Post Overdose Response Team (PORT) and how it was created. The workshop will also inform participants about services the PORT team offers to overdose victims and their families. Lastly, the workshop will explain how visits are performed and will bridge the gap between overdose victims and Law Enforcement.

Eric Yazel, M.D. Clark County Health Officer; Attending Physician,Clark Memorial Hospital

Scott Watson, MA, LCAC, MAC, SAP, NCCFounder and Therapist, Heartland Intervention, LLC

Pastor Randy Davis Founder/President,A Better Life - Brianna’s Hope

Captain Ronald Meyers Chillicothe Police Department

Deputy John (Dave) Weber Ross County Sheriff’s Office

Chatham Cares 4 U: A Police Response to the Opioid EpidemicROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Chatham Cares 4 U was created by Chief Volkmann in response to the need for individuals with substance abuse disorders looking for treatment. The focus switched from arresting our way out of the opioid crisis to finding treatment beds.

Chief Peter Volkmann Chief of Police,Village of Chatham, New York

WORKSHOPS • SESSION II and IIIAPRIL 17

15 APRIL 17 WORKSHOPS • SESSION II and III

How Abstinence-Based Programs Contributed to the Opioid Epidemic: Advancing the Treatment of Opioid Use Disorders through Medication-Assisted Treatment (MAT) and Other Harm Reduction Strategies ROOM # TBD • 3:15PM – 4:30PM

Ikigai: The Alchemy of Purpose and Lifestyle in Pain Management (Part 2 ) A continuation from Dr. Amy LaHood’s 1:45pm workshop.

ROOM # TBD • 3:15PM – 4:30PM

The United States is experiencing an opioid epidemic that is having devastating consequences throughout our communities. This presentation will take a candid look at how abstinence-based treatment programs have contributed to the opioid epidemic by failing to provide evidence-based treatments, such as motivational interviewing, and not providing individualized treatment. Additionally, this presentation will propose paradigm shifts in defining recovery, with a specific focus on harm reduction and medical interventions, such as using medication-assisted treatments (MATs) to treat opioid use disorders. Three MATs will be discussed, including methadone, naltrexone, and buprenorphine

Pillution, the widespread over-prescription of opioid pain medications, resulted in profound increases in morbidity and mortality while not providing durable pain relief nor improvement in function. We are all familiar. We see the consequences of this iatrogenic opioid epidemic in our offices, emergency departments, ICUs, NICUs and, in perhaps the most devastating and destructive example, Scott County, Indiana.

The American College of Lifestyle Medicine defines LSM as involving the use of evidence-based lifestyle therapeutic approaches, such as a predominantly whole food, plant-based diet, regular physical activity, adequate sleep, stress management, avoidance of risky substance use, and other non-drug modalities, to prevent, treat, and, oftentimes, reverse the lifestyle-related, chronic disease that’s all too prevalent.

This presentation will review data related to LSM and the reduction in pain and improved functioning and health.

John Gallagher, Ph.D. Associate Professor,Indiana University School of Social Work

Palmer MacKie, M.D. Director,Eskenazi Health Integrative Pain Program

Operation NatalieROOM # TBD • 1:45PM – 3:00PM or 3:15PM – 4:30PM

Operation Natalie is the Nassau County Police Department’s multi-prong approach to fighting the opioid crisis. It has resulted in a 25 percent reduction in non-fatal overdoses in its first year. This workshop will tell you the steps they took to achieve this inspiring outcome.

Commissioner Patrick Ryder Commissioner of Police,Nassau County Police Department

Christopher Ferro Inspector,Nassau County Police Department

Dean Newhouse will share information on the exciting work being done by the Indiana University Addictions Grand Challenge. She will also speak about the important role nurses play in responsible pain management for patients and describe how nurses are working in communities to improve addictions outcomes.

The Role of Nursing in the Addiction CrisisROOM # TBD • 3:15PM – 4:30PM

Dean Robin Newhouse, Ph.D., RN, NEA-BC, FAAN Science of Nursing Care,Dean’s Office,Dean and Distinguished Professor,Indiana University School of Nursing



APRIL 18

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APRIL 18Steve Williams was elected as the mayor of Huntington, West Virginia on Nov. 6, 2012, and has utilized his diverse background in finance, economic development, state government, and local government, to shepherd a renaissance in Huntington.

He commonly says his goal for Huntington is to set standards that other cities across the nation will seek to emulate.

Under Williams’ leadership, Huntington has gained recognition for establishing an Office of Drug Control Policy that has helped develop a harm reduction program, adult drug court, and a quick response team to steer individuals into treatment after they overdose. Since 2015, the City of Huntington has acquired $4.8 million in state, federal, and philanthropic grants to combat the opioid epidemic.

Williams served on a joint task force of the National League of Cities and National Association of Counties to address the opioid epidemic and participated in roundtable discussions at the White House with the National Office of Drug Control Policy in 2016. This year, the City of Huntington was one of 10 cities to participate in the Mayors’ Institute on Opioids, hosted by the National League of Cities in Boston and launched a holistic program to help first responders deal with compassion fatigue.

These holistic efforts have resulted in a 41 percent decline in overdoses in Huntington during the first seven months of 2018 compared to the same time period last year.

Steve WilliamsMayor, Huntington, West Virginia

KEYNOTES APRIL 18

18APRIL 18 KEYNOTES

Virginia A. Caine, M.D., is Director of the Marion County Public Health Department. She is an Associate Professor of Medicine at Indiana University School of Medicine Infectious Diseases Division. She served as the President for American Public Health Association, the nation’s oldest and largest public health organization. She received the BioCrossroads “2017 August M. Watanabe Life Sciences Champion of the Year” Award.

Dr. Caine works tirelessly to promote and advance public health through innovative programs and unprecedented collaborations. Her boundless energy, vision, and drive to serve people, especially in disadvantaged areas, has led Dr. Caine’s fingerprints on numerous projects.

In 2018, Dr. Caine launched a Safe Syringe Access and Support Program in an effort to save lives by reducing the transmission of hepatitis C and HIV. Dr. Caine declared a public health emergency as a first step under state law to be able to establish a syringe exchange program. The second step was to get approval from the City-County Council. As a result, the City-County Council unanimously approved the proposal to create Marion County’s first syringe exchange program. Upon its passage, Marion County became the largest county in Indiana to adopt a syringe exchange program.

She is Chairman of the Board of Trustees for the National Medical Association and current Chair of the Infectious Diseases Section. She is a board member of the CDC Morbidity and Mortality Weekly Report (MMWR) Editorial Board. She is Chair of the Managed Emergency Surge of Healthcare (MESH) Coalition, a nonprofit public-private partnership addressing emergency preparedness in Marion County, Indiana, and, the Indiana University Simon Cancer Center Community Advisory Committee. She is a member of the National Biodefense Science Board, which provides expert advice and guidance to the Secretary of the U.S. Department of Health and Human Services and the Assistant Secretary of Preparedness. She is also Co-Chair, Jump In for Healthy Kids Advisory Committee; Founding member, Indiana Health Information Exchange; and Board member, Indiana Latino Institute.

Dr. Caine earned her medical degree at New York Upstate Medical Center in Syracuse. She completed her Internal Medicine residency at the University of Cincinnati College of Medicine. She received her Infectious Diseases fellowship training at the University of Washington in Seattle.

Virginia Caine, M.D.Director, Marion County Health Department

KEYNOTESAPRIL 18

19 APRIL 18 KEYNOTES

WORKSHOPSAPRIL 18

20

Going to Scale: A Statewide Approach to Building and Sustaining SystemsROOM # TBD • 10:30AM – 11:45AM

In this workshop, we will highlight inter-connectivity of philosophy, data, program builds, and financial sustainability to combat the opioid epidemic and future substance use crises in Indiana.

Jennifer Walthall, M.D., MPHSecretary, Family and Social Service Administration and Indiana University School of Medicine

Opioid use disorders are increasing in prevalence and severity. Many of these patients are being seen in primary care settings and may engage more effectively in treatment with a familiar provider and place. Integrating clinicians (e.g. MSW and LCSW) who are trained in addictions into primary care settings, allows for increased access to high quality treatment for these patients. Training primary care providers to prescribe buprenorphine and naltrexone will allow for more patients to access treatment. This presentation will discuss the trainings necessary for providers, the skills needed by the therapist, and how to work as a team to treat these complicated patients.

Integrating Medication-Assisted Treatment for Opioid Use Disorders into Primary CareROOM # TBD • 10:30AM – 11:45AM

Opioid Crisis: Employers Are Part of the Solution!ROOM # TBD • 10:30AM – 11:45AM

Addressing the Opioid Epidemic in Rural Indiana Through Care CoordinationROOM # TBD • 10:30AM – 11:45AM

The Indiana Workforce Recovery initiative was developed to help employers address challenges relating to Substance Use Disorder (SUD) in the workplace, including opioid use and misuse. The goal is to provide employers an understanding of how the opioid crisis is impacting their workplaces and offer insights to how they can be a part of the solution.

Choices will present detailed information regarding the developing practice of providing two distinctively different coordination responses to the opioid crisis in the rural communities of southeastern Indiana. This presentation will demonstrate the value of using the foundational approach of wraparound philosophies and practices to increase the likelihood of long term recovery. Choices will share information regarding Safety PIN, a program that offers longer care coordination for pregnant women who are experiencing a substance use disorder or mental health concerns that may impact the well-being of baby and mother. Choices will also discuss an emergency response that includes short-term care coordination that is designed to increase consumer engagement into recovery supports and decrease the risk for overdose death. Choices will share the challenges of implementation, as well as the successes and stories of consumers.

Emily Zarse, M.D. Medical Doctor,Community Health Network

Mike ThibideauProgram Director, Indiana Workforce Recovery

Michael Goldberg CEO, Choices Coordinated Care Solutions

Jennifer Tackitt, LCSW Executive Director, Choices Coordinated Care Solutions



START is a child protection services intervention method for parental substance use disorders. START’s strategies include quick identification of substance use treatment needs, quick access to strong substance use treatment, and the support and partnership with peer mentors who have been in recovery. The success hinges on the strong partnership between the local community health center and the local child protective agency.

Sobriety, Treatment and Recovery Teams (START)ROOM # TBD • 10:30AM – 11:45AM

Innovation, Data, and Policy: Best Practices and Cautionary TalesROOM # TBD • 10:30AM – 11:45AM

Extension for Community Healthcare Outcomes (ECHO) as a Tool for Continuing Education on OpioidsROOM # TBD • 10:30AM – 11:45AM

Through an interactive workshop, we will engage the audience in understanding the current landscape of the opioid crisis, shifting paradigms, and innovative data-driven approaches to address issues of program, policy, and politics.

Extension for Community Healthcare Outcomes (ECHO) is a learning and guided practice model for workforce development. Experts all across the world have used the ECHO model to support training on a variety of healthcare topics - most recently, opioids. Indiana recently began offering an Opioid ECHO program for clinical providers, behavioral health specialists, and community health workers. This session introduces the concept of an ‘ECHO’ and describes how workshop attendees can get involved in Indiana’s Opioid ECHO learning community.

Harmony Gist Assistant Deputy Director,Juvenile Justice Division Indiana Department Child Services

Iwona Morretino Regional Child Welfare Service Coordinator,Indiana Department of Child Services

Rahul Gupta, M.D., MPH, MBAChief Medical and Health Officer, Senior Vice President, March of Dimes

Dr. Jon Agley, Ph.D., MPHDeputy Director/Assistant Scientist, Institute for Research on Addictive Behavior/ Indiana Prevention Resource Center, Indiana University/Richard M. Fairbanks School of Public Health

APRIL 18 WORKSHOPS • SESSION I

What We Wish We Had Known: Implementing a Program for Managing Opioid Use Disorder in PregnancyROOM # TBD • 10:30AM – 11:45AM

Pregnant women with Opioid Use Disorder are the most motivated for recovery as compared to other populations. Prioritizing their care has the potential for a substantial impact on generational addiction and the opioid epidemic in Indiana. In this session, presenters will allow a platform for those in the trenches caring for pregnant women to share ideas, mentorship, and knowledge that will urge medication-assisted treatment practitioners not currently managing pregnant women to consider doing so. An experienced high-risk pregnancy provider will describe the lessons learned while developing and instituting a medication-assisted program for pregnant women. The presenter will demonstrate the response to barriers incurred including:

— Protocol development — Ancillary service procurement and collaboration — Education attainment and dispersal — Peripartum management

Brandi Brinkerhoff, MSN, RN, WHNP-BC, Nurse Practitioner, Neonatal - Perinatal Medicine, IU Health



Opioid Recovery Response in Montgomery County, IndianaROOM # TBD • 10:30AM – 11:45AM

This panel will describe the opioid response project in Montgomery County, Indiana. This response includes a Drug Court program, transitional housing, rapid response team for an opioid overdose, drug take back, a naloxone education, and jail chemical addiction program. The intervention involves certified community workers and peer recovery coaches.

Cynthia Stone, DrPH, MSN, RN Professor, Indiana University/ Richard M. Fairbanks School of Public Health

Hon. Heather Barajas Judge, Montgomery County Superior Court 1

Samantha Cravens Health Educator, Montgomery County Health Department

Brandon George Director, Indiana Addiction Issues Coalition

Jeff Johnson President, Pam’s Promise Transitional Housing

Amber Reed Administrator, Montgomery County Health Department

Paul Miller Division Chief of EMS, Crawfordsville Fire Department

Overdose Fatality Review Teams: Collaboration to Build Community Capacity, Response, and Resilience ROOM # TBD • 10:30AM – 11:45AM

Overdose deaths from drugs and alcohol are the highest causes of accidental deaths in Indiana. Several states have implemented state and/or local Overdose Fatality Review (OFR) programs to facilitate systems-based examinations of the circumstances leading to individual overdose-related deaths. Indiana is currently piloting such an effort. This presentation will discuss the development, implementation, sustainability, and impact of OFR programs as part of a holistic community response to substance use-related mortality.

Ross Silverman, JD, MPH Professor of Health Policy and Management, Indiana University/Richard M. Fairbanks School of Public Health

Addiction Education, Opioid Addiction, and MAT: Experiences and Views from Internal Medicine ResidentsROOM # TBD • 10:30AM – 11:45AM

There is limited addiction education in medical schools and residency programs. Mr. Bartholomew will share a qualitative study that explored the views and lived educational experiences of internal medicine interns (first-year residents) on opioid addiction, opioid treatment modalities, including MAT, and investigated their perceived educational needs to address and treat opioid addiction. The research study was developed to aid medical schools and internal medicine residency programs in further designing addiction education curricula and training based on the information from research participants.

Joseph Bartholomew, MSW, LCSW, LCAC, MATS Doctoral Student, Indiana University School of Social Work



Scott Taylor, M.D. Henry Community Hospital

Rakesh Patel, M.D., MSC, FAAPMR Henry Community Hospital

Addressing Addictions from a Pain Management Perspective Through Innovations in Interventional Pain Management and Opioid Best Prescribing Practices ROOM # TBD • 10:30AM – 11:45AM

Leveraging Community-Academic Partnerships to Address Substance Use Disorder in a Justice-Involved Population ROOM # TBD • 10:30AM – 11:45AM

The treatment of chronic pain presents many challenges including the risk of addiction. An interdisciplinary treatment plan is a recommended method of identifying risk stratification when formulating appropriate treatment guidelines. Appropriate resources which play a critical role in the continuum of care for the addicted patient will be discussed.

Substance Use Programming for Person-Oriented Recovery Treatment (SUPPORT) is a community-driven, recovery-oriented approach to substance abuse care that aims to address the current lack of such services for returning inmates. SUPPORT is the product of a community-academic partnership. This presentation will discuss the background leading up to this project, how our community-academic partnership developed, the unique perspectives, resources, and skills each partner brings to the table, and how we have worked together to develop SUPPORT.

Rhianna Edwards Executive Director, Public Advocates in Community Re-Entry (PACE)

Dennis Watson, Ph.D. Associate Professor, Center for Dissemination and Implementation Science, Department of Medicine, University of Illinois at Chicago

Brad Ray, Ph.D. Associate Professor, Indiana University Center for Health and Justice Research

The Layperson Naloxone TrainingROOM # TBD • 10:30AM – 11:45AM

The Layperson Naloxone Training will teach you how to recognize the signs of an opioid overdose and how to administer the opioid overdose reversal drug Naloxone (brand name NARCAN). You will acquire a foundational understanding of the opioid public health crisis and the contributing factors and solutions.

Pre-registration is required. There is an additional fee of $45 to attend this workshop. Attendees who complete this training will receive an Opioid Rescue Kit.

Naloxone TrainingOverdose Lifeline, Inc.

BoilerWoRx: A University Community Engagement Program ROOM # TBD • 10:30AM – 11:45AM

BoilerWoRx is a response to Indiana’s public health crisis stemming from the opioid epidemic. The program is a smart mobile health initiative that will bring vital services to communities across Indiana. BoilerWoRx plans to utilize the best available data to guide our teams of health care professionals and students as they work to make an impact in the areas hardest hit by this crisis.

Eric L. Barker, Ph.D. Dean, College of Pharmacy, Purdue University



A State-Wide (Ohio) Approach to the Opioid CrisisROOM # TBD • 10:30AM – 11:45AM

The opioid epidemic, a complex public health crisis, affects individuals, communities, and states from physical, provider, and fiscal perspectives. Attacking this crisis requires a global approach that is effective at the community level – and all communities are not alike. This workshop provides one state’s perspective (Ohio) and describes processes that have been developed there to combat the epidemic.

Lyn Hardy, Ph.D., RN, FAAN Associate Professor, Director,Data Science and Discovery, The Ohio State University

Youth Prevention Education to Address Opioid Misuse and Substance MisuseROOM # TBD • 10:30AM – 11:45AM

In this session, participants will learn about the Overdose Lifeline Inc. (ODL), a socio-ecological approach to prevention of substance (opioids) misuse amongst adolescents. Overdose Lifeline acknowledges the entanglement of personal, interpersonal, institutional, and community relationships and how that impacts finding solutions to the addiction public health crisis. Overdose Lifeline’s socio-ecological approach provides services to navigate these complexities. ODL’s approach facilitates the opportunity to create equal understanding of the issues faced with substance misuse across various individuals, organizations, and community stakeholders so that understanding can fuel honest and candid conversations to reduce stigma and barriers and facilitate opportunities for recovery. Participants will learn how to implement the ODL approach and about the research and evidence behind the program’s effectiveness. The ODL Program provides education, programming, tools, and resources to three levels: Individual – Youth Level, School Staff/Organizational, and Parents/Caregivers.

Justin Phillips Executive Director, Overdose Lifeline, Inc.

The Hidden Epidemic of Maternal Opioid Use: The Importance of Family Centered Approaches in Recovery and Healing ROOM # TBD • 10:30AM – 11:45AM

Women of childbearing age now represent the majority of patients entering opioid abuse treatment programs. Children in substance abusing families are at increased risk for neglect, abuse, and foster placement. In Indiana, more than half of all child removals from home are attributed to parental substance abuse. Effective approaches to reducing the effects of the opioid crisis on children must focus on the family and include the broader context of their lives. In this session, we will characterize the maternal opioid epidemic, its impact on children and families, and discuss family centered approaches to prevention of and recovery from maternal opioid use.

Terry Petrenchik, Ph.D, OTRL Associate Professor and Chair, Indiana University, Department of Occupational Therapy, School of Health and Human Sciences Department of Occupational Therapy



Becky SavageCo-Founder and President, 525 Foundation

Phil AndersonModerator of Panel Discussion

Heather RodriguezManager, Indiana Addictions Issues Coalition

Justin K. PhillipsExecutive Director, Overdose Lifeline, Inc.

Eric L. Davis, Ph.D., LCSW, LCAC, ICGC-IICo-Founder, Co-Executive Director, Life Recovery Center

Becky Savage has been on a mission for more than two years, to talk to students and others about the hazards of opioid misuse, despite her unbelievable agony. For her it’s a personal issue. On June 14, 2015, she lost two sons to overdoses of alcohol and a prescription opioid. She says her boys, Nick, 19, and Jack, 18, loved playing hockey and late-night hangouts. The Co-founder of the 525 foundation, she is very active in furthering overdose awareness and prevention strategies. She is involved with opioid task forces, state initiatives on prevention, and community drug take-back events. She continues her advocacy because she believes her story can make a bigger impact than mere lectures and statistics.

Phil Anderson is a dynamic speaker and consultant drawing upon more than 23 years experience as the chief staff officer for four different non-profit organizations, service on numerous boards, and six years consulting organizations of all shapes and sizes. Anderson is a consulting partner with the Robert Greenleaf Center for Servant Leadership presenting 1-hour to 3-day training programs across the country. He is also the Chief ReThinker at ReThink!, his consulting practice through which he helps people in organizations to start Doing Outside the Box.

Heather Rodriguez, BSW, is the Manager of Recovery Community Development and Project Manager of the Indiana Recovery Network (IRN) with Indiana Addictions Issues Coalition (IAIC). Heather engages with individuals and organizations in communities throughout the state of Indiana while assisting in the development of Recovery Community Organizations (RCO). RCO’s seek to bridge the gap between professional treatment and building healthy, successful lives for individuals in recovery through educating the public about the realities of recovery, advocating for policies that have a positive impact on the recovery community, and by offering peer-led supports and services. The IRN is an electronic network that seeks to connect individuals and organizations which provide recovery supports and services within the state of Indiana to align services, provide supports, and fill in the recovery service gaps. Heather is a mother and person in long-term recovery from SUD.

A lifelong resident of Indianapolis, Justin Phillips, M.A., is a mother of three children, Bryan, Aaron, and Audrey Sims. She is the Founder and Executive Director of Overdose Lifeline, Inc. is an Indianapolis-based non-profit founded in 2014, serving the state of Indiana and dedicated to preventing opioid deaths and reducing the stigma of addiction. ODL has quickly become a leading voice for Indiana families, individuals, and communities affected by addiction, acting efficiently and effectively with statewide programming and legislation. In an extremely short period of time, ODL has touched the lives of thousands.

Eric L. Davis is the Co-Founder and Co-Executive Director of Life Recovery Center and faculty member of the Phylis Lan Lin Department of Social Work at the University of Indianapolis. He also teaches addiction-related courses regularly for the Indiana University School of Social Work at IUPUI and Marian University. He is the President of the Indiana Credentialing Association on Addiction and Drug Abuse and serves on the board of directors of the Indiana Coalition Against Domestic Violence, Mental Health America of Indiana, the Indiana Counseling Association, and the Indiana Council on Problem Gambling.

26PANEL OF FAMILIES

PANEL OF FAMILIES APRIL 18

tion tion · change speaker and author of change does not occur in a flash. he is a noted authority...

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