Supports for Primary Care
The Primary Health Care Opioid Response Initiative (PHC ORI) is a grant funded partnership between the ACFP, Alberta Medical Association (AMA), Alberta Health Services (AHS) and Primary Care Networks (PCNs) enabling primary care’s response to the opioid crisis in Alberta.
If you ask Katie, someone who struggled to receive care when she was dependent on opioids, she would say it starts with compassion and understanding. Katie’s experiences highlight the importance of an open door and a helpful hand. Today, Katie is happy, healthy and free of opiod dependency. She has a great relationship with her family doctor and the health care system, but this was not always the case. When she was using opioids and seeking help, her experiences were far less than ideal. The opioid crisis exists in every community across Alberta. Is your door open for patients using opioids?
- If any of your patients have been prescribed opioids, could you or your clinic team identify those that are at risk of opioid dependency?
- Are you comfortable/confident having an opioid dependency discussion with your patient?
- Are you prescribing OATs?
- Is your clinic open to receiving patients who are looking for help with their opioid use?
- Have you made connections with local ODT clinics to take on stable patients?
Katie’s experience is not an isolated one. Support is available in your area so that you and your team can answer YES to all of the above.
Education and Training
- monthly sessions available (choose the most relevant to you)
- livestream available for sessions (registration not required)
- slides available in advance
- contact email@example.com
- sessions will be recorded and available via YouTube
- 7 interactive learning modules
- For non-accredited modules and resource content ahs.ca/PACES
- For CME accredited modules http://ecme.ucalgary.ca/
- Free of charge
Pre-recorded ODT Training
- AHS Concurrent Disorders Learning Series YouTube Channel
- includes 9 webinars from the Feb/March ODT Learning Sessions
- CME credits may be available
Tools and Resources
Using the best available evidence, this guideline provides a simplified, shared decision-making approach to common questions experienced by primary care clinicians and their patients with opioid use disorder. For a full list of related tools and resources click here.
- Opioid Use Disorder Primary Care Pathway and Buprenorphine/Naloxone Induction Flow Diagram
- Prescription Opioid Misuse Index (POMI)
Tools for Practice
- Location, Location, Location: Treating patients with opioid disorder in primary care
- Does this patient taking prescription opioids have opioid use disorder?
- Buprenorphine-Naloxone for Pharmaceutical Opioid Use Disorder
- What is the Incidence of Iatrogenic Opioid Use Disorder?
- Spread the Word: Widespread Distribution of Naloxone to Decrease Opioid-Related Deaths
Tools for Assessing Withdrawal
The Harm Reduction Module for Primary Care includes:
- Evidence based strategies for supporting a harm reduction approach within primary care settings,
- Recommended practices for reducing the experience of bias and stigma faced by People Who Use Drugs, their families and other individuals with lived experience of opioid use
The Section of General Practice has put together a list of common codes that can be used for the management and treatment of patients with substance use disorders including opioid use disorder. There may be other codes that are relevant depending on the situation but this list will cover the majority of activities.
Best Science (BS) Medicine Podcasts
- Episode 404: Does your patient have an opioid use disorder?
- Episode 405: Buprenorphine-naloxone for pharmaceutical opioid use disorder
- Episode 406: How well is opioid agonist therapy managed in primary care?
CFPC Best Advice Guide on Recovery-Oriented Mental Health and Addictions Care in Patient’s Medical Home
- Proactive approach that enables patients with complex needs to manage their care
- Builds on existing panel and screening work underway
Contacts and Supports
- Provides an environment to establish long term, trusted professional relationships
- Mentors and mentees will meet informally by phone or email or online forum, and formally through small group, geographic based meetings, provincial conferences, and online meetings coordinated by the CMN
- Now recruiting mentors and mentees
- for physicians and teams seeking advice prescribing opioid agonist therapy (OAT) such as buprenorphine/naloxone and methadone
- from 8-5 p.m. daily
- NORTH of Red Deer – call 1-800-282-9911 or 1-780-735-0811
- SOUTH of Red Deer – call 1-800-661-1700 or 403-944-4486
- Medication Management, Addiction Counseling and more via Telehealth
- Toll Free: 1-844-383-7688
- Addiction, Medicine, and Mental Health – Opioid Agonist Therapy
- Non-urgent, physician to physician advice (response within 5 days)
Local Supports for Zone PCNs
PHC ORI funded opioid response supports and activities are underway in each Zone PCN. Contact your Zone PCNs to find out what is available locally: