Project Abstract Summary The number of admissions for heroin in Alabama increased 220% from 2014 to 2017. Yet, only 3% of physicians in Alabama have completed advanced DATA 2000 training. Thus, Alabama has a profound gap between the number of people needing Medication-assisted Treatment (MAT) service and the number of clinicians who are eligible to deliver MAT service. This project, Urgency to Implement DATA Waiver Training at The University of Alabama at Birmingham (UAB), would serve to close that gap through education of both doctor-in-training and the attending physicians that train them. The UAB Medical Center houses the largest ACGME accredited internal medicine and psychiatry residency programs in the state of Alabama. Yet, consistent with state statistics, only 8% of Internal Medicine and 20% of Psychiatry clinical faculty have completed DATA 2000 training. The focus of our proposed project is to provide training to clinical faculty in the department of psychiatry (29 faculty) and division of general internal medicine (35 faculty) at the UAB medical center. Once clinical faculty members have had initial training and exposure to MAT, we will begin to train residents in these programs. There are thirty-two residents in the psychiatry residency program with eight new trainees added each year. There are one hundred sixteen residents in the internal medicine residency program with thirty-eight new trainees added each year. Thus, in year one, we would be providing initial education to the fifty-four faculty members in both Dept of Psychiatry and division of general internal medicine who do not yet have DATA 2000 training as well as one hundred fifty residents. In years two and three, we would provide supplemental education and support to the clinical faculty. Forty-seven residents will graduate (eight from psychiatry and thirty-eight from internal medicine). One hundred three returning residents will receive re-education and support of what they learned the prior year; and forty-seven new residents will begin the training. Our overarching goal is to expand MAT access through the measureable objectives of increasing; 1) the number of trainers (clinical faculty) with DATA 2000 waivers and skilled in providing MAT, 2) the number of residents who graduate with DATA 2000 waivers, and 3) the number of educational hours addressing MAT that are integrated into the standard curriculum of these residency training programs. We aim to do this through commencing addiction focused didactic lectures and integrating clinical rotations in different settings, including UAB Beacon Addiction Treatment Center, our established MAT clinic, and inpatient addiction unit at UAB. In addition, starting in year two, we will also provide repeated on-site DATA-waiver training to decrease barriers to pursuing this training.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082550-01 UNIVERSITY OF ALABAMA AT BIRMINGHAM BIRMINGHAM AL LI LI $147,113

This application, entitled “Provider Clinical Support System-PCSS Training focused on MAT preparedness for Nurse Practitioner Students and Field Preceptor Community Health Sites to address Opioid Use Issues: Enhancing a Faith-Based SBIRT Practice Model” seeks to enhance the curriculum and training protocol of nurse practitioner (NP) students and field preceptor (FP) community sites to ensure Medication Assisted Treatment (MAT) preparedness by equipping students and sites with the necessary skills to address Opioid Use Issues, including the implementation of evidence-based strategies for identifying patients at risk for opioid use disorders (OUDs) and triaging risk (i.e., use of Screening, Brief Intervention and Referral to Treatment (SBIRT) and MAT protocols). The goal of the training grant is to expand an effective provider clinical support system for addressing OUDs within the field of NPs to address gaps in knowledge and practice that currently exist in the larger systems of care. The efficient and effective implementation of evidence based practices for addressing OUDs in community health care settings by NPs will help reduce the current and significant public health issues that are devastating local communities, including overdose, death, infectious disease transmission, crime, and other medical and mental health consequences. For sustainability, we will build upon a current web-based learning management system (LMS) that houses an effective SAMHSA-supported, faith-integrated SBIRT training currently implemented in nursing curricula and expand it to include a MAT training component that meets the required 24-hours of training under the Comprehensive Addiction and Recovery Act (CARA). In addition, this project will train FP community health sites and develop partnerships with local substance use coalitions and providers in Los Angeles County to ensure availability and linkage to the necessary substance use disorder (SUD) treatment and community recovery resources associated with MAT. This project responds to the national priority of implementing effective and sustainable system-wide efforts aimed at preventing and addressing opioid-related issues by health care professionals in local health care settings. Statements made by federal, state and local level government officials, policy makers, researchers and practitioners alike call for establishing efforts that implement collaborative, integrative approaches, and include health care systems, community resources (coalitions), educational systems, and SUD treatment programs.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082546-01 AZUSA PACIFIC UNIVERSITY AZUSA CA GONZALES CASTANEDA RACHEL $149,822

Expanding access to medications for opioid use disorder (MOUD) is critical to help address the opioid epidemic. Increasing the number of providers who prescribe MOUD such as buprenorphine is important to increase access to treatment for patients with opioid use disorder (OUD). The number of buprenorphine-prescribing providers has greatly increased in the past decade. However, many providers do not routinely prescribe buprenorphine for a variety of reasons: lack of institutional support, lack of mental health support, lack of psychosocial support, and limited real-world experience treating patients with MOUD. To address these obstacles to evidence-based OUD care, SAMHSA issued a call for proposals to develop and implement curricula for MD, NP, and PA programs with three objectives: 1) embed DATA waiver training into the student curriculum; 2) increase the number of graduating providers who obtain their DATA waiver; and 3) increase the number of graduating providers who provide MOUD to patients who need it. In response to this call, our team proposes the following 1) Develop and implement a comprehensive interprofessional clinical opioid use disorder (ICLOUD) curriculum for NP, PA, and MD students at the University of Colorado Anschutz Medical Campus that requires 8 hours of DATA 2000 waiver training as a component of the core curriculum for each program; and 2) Increase provision of MOUD in a variety of settings by a variety of practitioners through increased clinical elective offerings and interprofessional content that focuses on OUD treatment, and includes a broad approach to all substance use disorder treatment. Our focus is on enhancing the clinical availability of MOUD providers to students and trainees so those completing the degree programs have substantial exposure to MOUD experts and the treatment of OUD. We will accomplish this through adding clinical electives across the campus (and all of Colorado) and increasing awareness of the medico-legal issues surrounding addiction through interprofessional activities- including didactics, small group sessions, and book clubs. We propose to collaborate with each degree program leadership to ensure a sustained commitment to integrating the training into the curriculum. We will coordinate with each degree program clinical faculty to enhance the availability of clinical preceptors to increase clinical exposure offerings to students. We have developed a road map to implementing and measuring the success of the curriculum through training completion rates; post-graduate follow-up on obtaining the DATA waiver; and post-graduate follow-up on MOUD use. This curriculum program will help ensure Colorado graduates are able, willing, and ready to provide MOUD to those who need it, and cement the University of Colorado'status as a leader in the field of substance use disorder training.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082556-01 UNIVERSITY OF COLORADO DENVER Aurora CO COYLE DAVID $150,000

Project Name: UI-TEAM: Utilizing Interdisciplinary Training to Educate and increase Access to MAT Project Summary: UI-TEAM will advance education on opioid use disorders (OUD) for medical students, residents, and clinical faculty in the University of Illinois Health System. This will be accomplished by implementing a DATA waiver training program at the medical school, residency, and faculty levels, paired with multidisciplinary clinical training and modeling of evidence-based practices in the treatment of OUD across the UI Health System. Population(s) to be served: Between 1999 and 2016, opioid related deaths in the state of Illinois have increased from 3.9 to 15.3 deaths per 100,000 individuals with the rate of deaths in Chicago (26.8 per 100,000 individuals) robustly higher. The patients of UI Health who present with OUD mirrors the most devastated areas of Cook County with the highest rates of opioid-related deaths. This project seeks to educate providers within the UI Health System on the management of OUD, focusing on training of medical students, residents, and faculty. There are over 1,200 medical students across the University of Illinois campuses in Chicago, Rockford, and Peoria. The medical school has a high rate of placing graduates in Medically Underserved Communities such as rural practices, FQHCs, and jail clinics. Strategies/interventions: UI-TEAM will encompass a variety of different educational activities focused on OUD, including DATA waiver training, didactic training, and clinical experiences for medical students, residents, and faculty. By educating students and providers across multi-disciplinary settings, we will foster a rich and versatile educational experience, as well as build a community throughout the UI Health System that is dedicated to evidence-based screening, evaluation, and management of OUD. Project goals and measurable objectives: The primary goals of the project include: 1) Develop and implement a DATA waiver training program for medical students at the University of Illinois at Chicago, Rockford, and Peoria; by September 2022, 50% of graduating students will have completed their DATA waiver training. 2) Ensure faculty with the knowledge, training, expertise, and experience necessary to train students on DATA waiver content are secured at the University of Illinois at Chicago; by September 2022, we will show a 50% improvement in comfort and competence in OUD management, and double our DATA waiver trainers. 3) Develop and implement an OUD education program (including DATA waiver training) as part of the internal medicine, family medicine, emergency medicine, and obstetrics/gynecology departments, including both the residents and faculty; by September 2022, the training will be incorporated into the residency curriculum of the above specialties, and residents will be trained on standardized inpatient and outpatient protocols to guide the management of OUD.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082552-01 UNIVERSITY OF ILLINOIS AT CHICAGO Chicago IL MESSMER SARAH $150,000

The Maine Providers Clinical Support System-University, located in the University of New England, will Increase the supply of physicians educated in Maine who graduate with a DATA 200 waiver, and who will provide evidence-based Medication-Assisted Treatment for individuals with opioid use disorder, using learning experiences in pre-clinical and clinical education years, culminating with the online AAAP/PCSS Medical Student Waiver Course followed by in person education. Maine PCSS-U will also provide an Introduction to MAT in the pre-clinical years of UNE's College of Osteopathic Medicine and Physician Assistant Program. UNE's College of Osteopathic Medicine and the UNE Physician Assistant Program will map curricula to the Waiver Training, CARA and Healthy People 2000 topics and revise standard curricula to ensure that all graduates are not only Waiver trained but also will possess the knowledge, skills and values necessary to provide person-first, compassionate and holistic care for persons with substance use disorders.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082564-01 UNIVERSITY OF NEW ENGLAND BIDDEFORD ME VAN DEUSEN JENIFER $149,589

The University of Missouri-Kansas City (UMKC) PCSS-Universities project will implement sustainable education and training on medication-assisted treatment (MAT) in Doctor of Medicine (MD), Physician Assistant (PA), and Nurse Practitioner (NP) programs to ensure students and residents are able to fulfill DATA waiver training requirements to prescribe and thereby expand and enhance access to MAT services for persons with an opioid use disorder. The UMKC PCSS-Universities project is a collaboration between the School of Nursing and Health Studies and the School of Medicine. Project goals are to increase the number of UMKC student and faculty physicians, physician assistants, and nurse practitioners who: 1) complete training requirements for the DATA waiver; 2) obtain a DATA waiver and are eligible to prescribe buprenorphine; and, 3) prescribe buprenorphine in clinical settings. Measurable objectives and activities include: a) confirmation of a DATA waiver training plan; b) at least 46 faculty will obtain waiver training and a DATA waiver to effectively train and supervise students; c) by May 2020, DATA waiver training will be integrated and implemented as a standard part of MD, PA, and NP curricula offered to all students in didactic and clinical practice settings; d) by September 2022, 240 MD students, 60 PA students, and 230 NP students will meet DATA waiver training requirements by graduation; e) plans will be implemented to sustain inclusion of waiver training in the MD, PA, and NP program curricula past the completion of the grant project; f) MD, PA, and NP students, faculty, and residents will be informed about waiver training and steps to obtain a DATA waiver; and g) by the end of each project year, the number of students, faculty, and residents with a DATA waiver and who are actively prescribing in clinical practice will increase. A new PCSS Medical Student Waiver Course with eight hours of training will be utilized. Additional 16 hours of training required for NPs and PAs will be accessed from available online courses. A resource repository using a cloud content management platform will be established for faculty and students to easily access current training and educational resources in a central location. The project will monitor and report on performance measures, program implementation, and implement continuous quality improvement strategies.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082547-01 UNIVERSITY OF MISSOURI KANSAS CITY KANSAS CITY MO RICHARDSON DEBORAH $150,000

Investigators at Washington University will work with educational leaders at the medical school to implement a curriculum that ensures both graduating medical students and residents in Psychiatry, Emergency Medicine, and Internal Medicine have the training necessary for certification in medication-assisted treatments (MAT) for opioid use disorder. This will occur by offering comprehensive certification courses, and ultimately integrating and certifying the content into the curriculum. The goals of this project are: (1) Implement a comprehensive medical school curriculum that exposes students to the diagnosis and treatment of persons with opioid use disorder (OUD) and other substance use disorders (SUDs) during the pre-clinical and clinical years, integrated within the 4-year curriculum, ensuring that all students have completed necessary training to obtain a DATA waiver upon graduation from medical school; and (2) Ensure all graduating residents and fellows in specialties and subspecialties that treat patients with OUD, including Psychiatry, Emergency Medicine, and Internal Medicine are waivered prior to residency graduation. This will result in approximately 200 new physicians annually with completed waiver training, increasing the number of new physicians trained annually in Missouri by 68%, and over the 3-year period more than doubling the current total number of waivered physicians in Missouri (428 currently waivered physicians). Outcomes to be measured include number of medical students and resident physicians who receive waiver training, number of medical students and resident physicians who receive clinical exposure to MAT, number of hospital attending physicians who receive waivers, and the number of buprenorphine prescriptions written and filled in the BJC HealthCare hospital system (the largest provider of charity care, unreimbursed care and community benefit in Missouri).

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082566-01 WASHINGTON UNIVERSITY SAINT LOUIS MO HARTZ SARAH $147,659

Project Name: SUNY Downstate Medical Center (DMC) MAT Waiver Training Project Populations to be Served: SUNY-DMC in Central Brooklyn (CB) serves patients from one of the nation’s poorest and most challenging health care environments with respect to health status and access. This dense, urban area is populated by a low-income, predominantly (>75%) Black population (20% Latino). CB’s substance abuse hospital admissions are among the highest in NYC. In Brooklyn, overdose deaths involving any opioid (crude rate per 100,000 pop.) significantly worsened from 2015 (7.5) to 2016 (10.3). Overdose deaths involving synthetic opioids other than methadone (crude rate per 100,000 pop.) also worsened significantly from 2015 (1.4) to 2016 (4.5). Interventions: The STAR Program proposes to implement a DATA waiver training project for 3 groups of health professions students at SUNY-DMC to enable them to prescribe MAT once they become licensed professionals. The proposed project will integrate MAT waiver training (MWT) into the curricula of: 1) medical students within the College of Medicine (COM); 2) nurse practitioner (NP) students within the College of Nursing; and 3) physician assistant (PA) students in the PA Program within the College of Health Related Professions (CHRP). Project Goals: 1) Develop and implement MWT curricula to be integrated into the standard curricula of these 3 health professional student groups; 2) provide training to SUNY-DMC faculty on MWT to build internal leadership capacity and ensure project sustainability; and 3) provide the 3 trainee groups with MWT, inclusive of didactic and experiential training modalities. Measurable objectives include: composing a Curricula and Training Team; assessing current curricula; creating a plan to determine how the MWT curricula can be integrated into each group; revising curricula and material based on pilot and subsequent trainings to ensure continuity of MWT in the post-funding environment; selecting 1-2 faculty members from COM, Nursing, CHRP/PA as potential faculty MWT (minimum of 3 new faculty trainers) who will complete MWT training and integrate MAT provision into their clinical practices; providing identified MWT faculty trainers with mentorship experience; providing MWT, using a mix of in-person and distance training modalities, to medical students (8 training hrs.) and PA students (24 training hrs.) in Year 1, and NP students (24 training hrs.) in Year 2; providing experiential training (student exposure to MAT-providing clinical practices) to students who receive MWT. Experiential training will occur in Year 2, with a total of 360 clinical practice exposures/experiential training to medical students (2 cohorts of 180), 80 for PA students (2 cohorts of 40) and 30 for NP students (1 cohort of 30), for a total of 470 experiential trainings by the end of Year 3. Number of People to be Served: 170 medical students and 40 PA students will be trained by Month 12 of Year 1 and each subsequent year (3 cohorts) and 30 NP students by Month 12 of Year 2, and 80 by Year 3, for a total of 510 medical students, 120 PA students, and 110 NP students, or a grand total of 740 students over the 3 year project period.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082563-01 SUNY DOWNSTATE MEDICAL CENTER BROOKLYN NY DEHOVITZ JACK $150,000

The Provider's Clinical Support System at the Icahn School of Medicine at Mount Sinai (PCSS at ISMMS) project is designed to increase the number of physicians who will be prepared to actively and competently provide MAT, specifically buprenorphine, in the treatment of persons who use opioids (OUD), by making DATA waiver training and education a mandatory component of medical education for all MD students graduating from ISMMS (140 annually). To build up our capacity to provide complementary practica experiences for all students, we will also require this training for all residents and fellows in Psychiatry (24 per year), Consultation/Liaison and Addiction Psychiatry (8 per year), and Internal Medicine (40 per year) across three Mount Sinai Health System (MSHS) hospitals in New York City. We will also strongly encourage attendings throughout MSHS, particularly hospitalists, emergency medicine, and internal medicine attendings to participate and apply for certification. Edwin Salsitz, MD, DFASAM, Associate Clinical Professor of Psychiatry and Clinical Director of Office-Based Opioid Therapy at Mount Sinai Beth Israel, will serve as senior faculty for the didactic components of the project. He is a lead mentor for PCSS and a co-author of the PCSS DATA waiver curriculum. The training plan integrates two complementary components: the 8-hour PCSS DATA waiver curriculum (four hours online/fours live training taught by ISMMS DATA waivered faculty) and 2-4 hours of practica experience with physicians providing MAT. Primary project goals for PCSS at ISMMS are to (1) Integrate the 8-hour PCSS curriculum into the core curriculum for all first-year MD students (beginning in Project Year 2) for a total of 240 first-year MD students trained over the project lifetime (we will also offer DATA waiver training to all current 2nd to 4th year MD students); (2) Integrate DATA waiver training into the core curricula for all residents and fellows in Psychiatry, Consultation/Liaison and Addiction Psychiatry, and Internal Medicine across 3 MSHS hospitals for a total of 216 residents and fellows trained over the lifetime of the project: 3) Organize an active directory of all MSHS physicians that provide MAT for OUD who can serve as preceptors for MD student practica and supervisors for residents and fellows providing MAT for OUD; 4) Create mandatory MAT for OUD practica experiences for all third-year MD students (beginning in Project Year 2) that will occur primarily during their psychiatry clerkship or, if necessary, during their internal medicine clerkship and 5) Create a system to monitor and ensure completion of the required training (didactic and practica), as well as a process to evaluate the utility of the practica to establish best practices and continue to enhance the training. We will supplement the PCSS curriculum with a series of optional lectures offered during the mandatory clerkships, open to all MD students, residents, fellows and attendings. A minimum of 450 individuals will be trained over the lifetime of the project.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082569-01 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY SWIFT AMY $150,000

The goal of the Wright MAT project is to expand and enhance access to medication-assisted treatment (MAT) services for persons with opioid use disorder (OUD) in the southwest Ohio region, the geographic section of Ohio with the highest rates of alcohol/drug misuse and drug overdose death. Wright MAT will aim to ensure that students fulfill the training requirements needed to obtain a DATA waiver to prescribe MAT in office-based settings. This will be accomplished by providing education and training on the topics of OUD and MAT to students and residents in the medical, physician assistant, and nurse practitioner fields. Specifically, students to be trained are 4th Year medical students at the Wright State University (WSU) Boonshoft School of Medicine (BSOM), 3rd and 4th Year BSOM medical residents in Family Medicine, Internal Medicine, Psychiatry, Obstetrics/Gynecology, and Emergency Medicine, physician assistant (PA) students at Kettering College (KC) and the University of Dayton (UD), and certified nurse practitioner (CNP) students at WSU. The geographic catchment area for this project is southwest Ohio, where the population demographics are 51% female, 49% male, less than 1% transgender, 10% lesbian, 9% MSM, 5% bisexual, and 99% English-speaking. Montgomery County (OH), where WSU is located, has the highest opioid overdose death rate (56.5 per 100,000) in the state, according to the most recent (2017) Ohio Drug Overdose Report by the Ohio Department of Health. Montgomery County also has the highest rate of illicit drug use in the state, the fourth highest rate of non-medical pain reliever use in the state, the highest rate of non-alcohol drug abuse in the state, and the highest rate of unintended opioid overdose deaths in 2016 (the last year for which there are published data). According to the latest SAMHSA-published National Surveys on Drug Use and Health (NSDUH) data, Montgomery County has the highest percentage of individuals in the state of Ohio ""needing but not receiving treatment for illicit drug use in the past year."" Wright MAT project objectives are to develop a DATA waiver training plan for medical students and residents, and PA and CNP students, that will become a required component of their respective curricula and sustained beyond the funding period of the grant. For fiscal years 2021 and 2022, as well as in subsequent years, a minimum of 115 medical students, 70 medical residents, 100 PA students, and 10 CNP students will be trained annually. At least 815 students/residents will be trained over the life of the project. Information about this curricular component will be included in marketing materials for prospective students of the respective training programs included in the project. At least two BSOM faculty members will be trained and receive certification to lead DATA waiver trainings. The BSOM will also provide regularly scheduled DATA waiver training for licensed practitioners and faculty.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082548-01 WRIGHT STATE UNIVERSITY DAYTON OH HERSHBERGER PAUL $149,993

The Ohio State University College of Medicine (OSUCOM) is pleased to offer this proposal to the Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) Provider’s Clinical Support System – Universities announcement for this funding opportunity of up to 150,000 per year. Through this program, we will expand and enhance access to medication-assisted treatment (MAT) services for persons with an opioid use disorder by improving the education and training of medical students, trainees, practicing providers, and other learners. By conclusion of the three-year grant period, we anticipate that approximately 700 medical students, trainees, and other learners will complete the DATA waiver training requirements and approximately 685 medical students, trainees, practicing providers, and other learners will complete educational activities targeting addiction and MAT. Project goals and measureable objectives include the following: Undergraduate Medical Education (UME) • Incorp orate DATA waiver training as a standard component of the UME curriculum; • Develop and implement educational activities aimed at upgrading standards of professional practice involving substance use disorder assessment, prevention, and treatment for medical students; • Expose medical students to MAT implementation (e.g., working with patients receiving MAT for opioid use disorders) by shadowing physicians in various clinical settings; • Develop and disseminate the Curriculum Repository for Expertise And Teaching Excellence about Holistic Opioid and Pain Education (CREATE HOPE), which will be comprised of resources to sustain and propel our opioid education curricular innovation forward as knowledge, learning strategies, and the epidemic itself evolves; • Invite nurse practitioner and physician assistant students to participate in MAT waiver trainings; Graduate Medical Education (GME) • Provide the 8-hour DATA waiver education to OSUCOM residents in psychiatry, family medicine, and other disciplines; • Develop and implement strategies to enhance recruitment and retention of substance use disorder treatment practitioners; Continuing Medical Education (CME) • Provide addiction and MAT training to counseling staff and other community stakeholders working with patients struggling with opioid use disorder.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082551-01 OHIO STATE UNIVERSITY COLUMBUS OH NIEDERMIER JULIE $150,000

The proposed Ursuline College Breen School of Nursing Medication Assisted Treatment (MAT) Training Integration Project will integrate the full 24 hours of Drug Abuse Treatment Act (DATA) waiver training required for advanced registered practice nurses within the Master of Science in Nursing (MSN) Program. This is an application in response to Funding Opportunity Announcement (FOA) TI-19-011 from the Substance Abuse and Mental Health Services Administration (SAMHSA). The population of focus includes 230 MSN students at the Ursuline College Breen School of Nursing in Ohio, which is the applicant organization. This project is a collaboration between Ursuline College and the University of Pittsburgh School of Pharmacy-Program Evaluation and Research Unit (PERU), St. Vincent Charity Medical Center, and the American Academy of Addiction Psychiatry (AAAP). Key objectives and goals of this project are to increase the number of advanced registered practice nurses who are DATA certified to provide MAT, fully integrate a DATA waiver training curriculum and MAT clinical experience opportunity with MAT providers into the current MSN student curriculum at Ursuline College, increase access to care for OUD in underserved areas in Ohio, and improve clinical coordination and SUD/OUD management. To achieve these objectives, the project will do the following, (1) Ursuline College will integrate the AAAP 24-hour DATA waiver training course for nurses into the MSN curriculum; (2) Ursuline College will provide engaging facilitated discussion in courses so that the self-learning material can be reinforced; (3) St. Vincent will provide the opportunity for students to gain clinical MAT experience under the supervision of an experienced preceptor at specified clinical sites at St. Vincent in Ohio by providing students the opportunity to: (i) conduct patient assessments for OUD, (ii) observe the administration of pharmacotherapy with buprenorphine, naltrexone, and/or methadone, (iii) communicate with patients about their substance use and treatment progression using motivational interviewing, (iv) conduct activities with patients to address diversion and adherence (e.g., urine drug screens), and (v) manage various types of clinical cases and OUD patient populations (e.g., pregnant and postpartum women with OUD, and adults and children with OUD); (4) Ursuline College and PERU will train students in care coordination and SUD/OUD management by optimizing screening, brief intervention and referral to treatment (SBIRT) practices and education; and (5) the project team will collect qualitative and quantitative data to evaluate the outcome and impact of the program and improve the curriculum for future cohorts. This project will span September 2019 to September 2022. This training program will enhance access to high quality treatment for OUD throughout Ohio and the United States by training 230 future healthcare providers to perform buprenorphine pharmacotherapy and manage OUD.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082553-01 URSULINE COLLEGE CLEVELAND OH ZENI MARY $150,000

Physician Assistant Student Training-Medication Assisted Treatment (PAST-MAT) The Pacific University School of Physician Assistant Studies (PAS), in collaboration with Ideal Option, will incorporate into its existing curriculum new DATA-waiver training with integrated tobacco cessation, Veteran’s cultural competency content, and supervised clinical experience. All PAS students will complete the training and be prepared to provide Medication Assisted Treatment (MAT) to address the needs of patients with opioid use disorders. Up to 60 PA students will take part in the project each year (180 over three years) and, prior to graduation, will interact with a minimum of 1,440 MAT patients each year (4,320 over three years) during their clinical experiential rotations. Our three primary goals are to a) develop, b) implement, and c) evaluate a DATA-waiver training curriculum that includes didactic and experiential training. To achieve these goals, we will develop a sustainable DATA-waiver curriculum plan that includes all topics outlined in the Comprehensive Addiction and Recovery Act, is sensitive to the behavioral health and social support needs of returning Veterans and their families, integrates tobacco cessation principles, is culturally sensitive, and adapts to community needs. The training plan includes 24 hours of didactic training and a minimum of 16 hours of experiential training at substance use disorders clinics that provide MAT services. We will implement this training plan within our existing curriculum with the objective of increasing the percentage of PAS graduates completing the DATA-waiver training requirements from 0 to 50% by Year Two, and to 100% in Year Three and all subsequent years. Using RCQI principles, we will comprehensively evaluate the success of the program in preparing PAS students and will assess post-graduate practice behaviors, including MAT prescribing. Evaluation data will be carefully analyzed to determine progress achieved, barriers encountered and efforts to overcome the barriers, and impact of the project on behavioral health disparities. All data will be shared with internal and external stakeholders as appropriate and included in regular reports to SAMHSA.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082549-01 PACIFIC UNIVERSITY FOREST GROVE OR VON MARY $150,000

In response to the opioid crisis, the goal of this proposal is to expand access to the DATA-2000 waiver training in undergraduate medical education (UME), graduate medical education (GME), and continuing medical education (CME), as well as to provide additional addiction education, clinical mentorship, clinical shadowing and experiential learning opportunities in addiction medicine.This will be addressed through 6 specific aims. In the first Aim, we will integrate DATA-2000 waiver training into the existing UME curriculum at Oregon Health & Science University (OHSU) and the College of Osteopathic Medicine of the Pacific-Northwest in Lebanon, OR, while expanding the addiction curriculum at OHSU. (Year 1+). The second Aim will focus on Integrating DATA-2000 waiver training into the curriculum for the physician assistant and nurse practitioner programs at OHSU. (Year 2+). Our third Aim will be used to strengthen efforts to integrate DATA-2000 waiver trainings into GME at OHSU in internal medicine, family medicine, emergency medicine, psychiatry, obstetrics and gynecology, and anesthesia. (Year 1+). The purpose of Aim 4 will be to Integrate and support DATA-2000 waiver trainings in non-OHSU GME programs in both urban and rural Oregon, which include Providence Portland Internal Medicine and Family Medicine, Legacy Health Internal Medicine Residency, Cascade East Family Medicine residency in Klamath Falls, Roseburg Family Medicine Residency, Samaritan Family Medicine Residency in Corvallis, and Tuality Hospital Internal Medicine and Family Medicine. (Year 2+). During Aim 5 we will increase the number of DATA-2000 trainers at OHSU and within Oregon by involving addiction medicine and addiction psychiatry fellows in the waiver training process. (Year 1+). Our final and 6th Aim will be to provide ongoing mentorship and CME opportunities to newly waivered providers and encourage the use of the x-waiver by expanding the number of PCSS mentors and strengthening connections between DATA-2000 trainings and the Oregon ECHO Network. (Year 1+). A total of 150 UME students and up to 350 additional NP, PA, Residents and fellows are expected to be trained yearly.The team that we have assembled is extremely talented and has unique expertise in addiction education and mentorship from all three levels (UME, GME and CME). OHSU and the School of medicine are committed to addressing the opioid crisis. Using our strong pain management curriculum in the UME as a foundation, this proposal will build a comprehensive data waiver training across the education continuum at OHSU and in Oregon.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082545-01 OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND OR THUILLIER PHILIPPE $149,991

The proposed University of Pittsburgh School of Medicine (UPSoM) Medication-Assisted Treatment (MAT) Training Integration Project will integrate the full 8-hours of Drug Abuse Treatment Act (DATA) of 2000 waiver training required for physicians within the UPSoM curriculum. This program will focus on education about evidence-based prevention, treatment, and recovery best-practices for patients with opioid use disorder (OUD). This is an application in response to Funding Opportunity Announcement (FOA) TI-19-011 from the Substance Abuse and Mental Health Services Administration (SAMHSA). The population of focus includes 280 fourth year Medical Doctor (MD) students at the UPSoM, which is the applicant organization. This project is a collaboration between UPSoM and the University of Pittsburgh School of Pharmacy-Program Evaluation and Research Unit (PERU). Key objectives and goals of this project are to increase the number of providers who are DATA certified to provide MAT, fully integrate a DATA waiver training curriculum and MAT clinical experience opportunity with MAT providers into the current medical school curriculum at UPSoM, increase access to care for OUD in underserved areas, and improve clinical coordination and SUD/OUD management. To achieve these objectives, the project will do the following, (1) UPSoM will integrate the American Academy of Addiction Psychiatry (AAAP) 8-hour DATA waiver training course for physicians into the fourth year of the UPSoM curriculum; (2) UPSoM will provide the opportunity for students to gain clinical MAT experience under the supervision of an experienced preceptor at specified clinical sites within the University of Pittsburgh Medical Center (UPMC) Addiction Medicine Services (AMS) by providing students the opportunity to: (i) conduct patient assessments for OUD, (ii) observe the administration of pharmacotherapy with buprenorphine, naltrexone, and/or methadone, (iii) communicate with patients about their substance use and treatment progression using motivational interviewing, (iv) conduct activities with patients to address diversion and adherence (e.g., urine drug screens), and (v) manage various types of clinical cases and OUD patient populations (e.g., pregnant and postpartum women with OUD, and adults and children with OUD); (3) UPSoM and PERU will train students in care coordination and SUD/OUD management by optimizing screening, brief intervention and referral to treatment (SBIRT) practices and education via a four-hour workshop; (4) PERU will develop additional educational tools and resources, such as a pocket manual, to assist with knowledge acquisition and performance in practice based settings; and (5) the Project Team will collect qualitative and quantitative data to evaluate the outcome and impact of the program and improve the curriculum for future cohorts. This project will span September 2019 to September 2022.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082567-01 UNIVERSITY OF PITTSBURGH AT PITTSBURGH PITTSBURGH PA DOUAIHY ANTOINE $149,999

The title of this grant project is Translating Training into Practice: Enhancing Medical Student and Resident Education on Buprenorphine for the Treatment of Opioid Use Disorder (Translating-TIP). This project will implement a problem-based and experiential curriculum on opioid use disorder for medical students and internal medicine residents at the Warren Alpert Medical School of Brown University (AMS) with the ultimate goal of increasing the number of providers prescribing buprenorphine. The project will serve 450 medical students and 120 internal medicine residents over the lifetime of this grant. As the impact of the opioid epidemic has fallen disproportionately on Rhode Island, it is vital that our health professions workforce be trained in and prepared to deliver life-saving medication-based treatment. Although the number of providers waivered to prescribe buprenorphine in Rhode Island has substantially increased, the number of buprenorphine prescriptions has remained largely unchanged. This highlights the need for additional education around the clinical principles and practical nuances associated with prescribing buprenorphine to patients with opioid use disorder. By integrating into the existing AMS curriculum a pedagogical approach that fosters active learning, critical thinking, and earlier clinical experience, Translating-TIP will reach the following goals: 1) increase medical student (150 per year) and resident (40 per year) knowledge of how to initiate and maintain patients on buprenorphine by integrating case-based teaching, skills practice, and experiential learning into the curriculum; 2) work with the other 49 states to establish waiver reciprocity for AMS students who leave Rhode Island upon graduation; and 3) markedly increase the number of prescribers by lowering the barriers to current and future residents obtaining a DEA waiver. The program will measure success based on: 1) adding four hours of buprenorphine-specific problem based learning to the AMS curriculum and six hours to the Internal Medicine curriculum; 2) implementing a monthly case-based conference open to all levels of trainees and providers at AMS and its affiliated teaching hospitals to discuss complex opioid use disorder cases; 3) demonstrating competence of all students and residents in taking a history, performing a physical exam, and prescribing buprenorphine to patients with opioid use disorder; 4) establishing waiver reciprocity with at least 10 other states; and 5) demonstrating an increased number of senior residents, and ultimately graduates, with a buprenorphine waiver who prescribe buprenorphine in their practice.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082570-01 BROWN UNIVERSITY PROVIDENCE RI VANJANI RAHUL $141,724

This Increasing Access to MAT in South Dakota project will develop a pipeline of medication-assisted treatment (MAT) prescribing physicians to combat the opioid crisis in South Dakota. By integrating mandatory training for medical and physician assistant students, as well as offering opportunities to observe MAT in a clinical setting, this program will encourage more physicians to pursue and have confidence when prescribing MAT in a clinical setting. In particular, this project can serve as a model for other sparsely populated states or rural areas looking to increase access to MAT. Using existing simulation infrastructure, the project will give all students an opportunity to practice counseling and prescribing MAT in an office setting given that there are few actual opportunities to observe MAT in South Dakota; however, 12 students every year will be selected to shadow an MAT physician for two weeks and observe the prescription of MAT in a clinical setting. This shadowing experience will be based on South Dakota’s Rural Experience Healthcare Professions Students (REHPS) program which has been incredibly successful at encouraging students to practice medicine in a rural community. Furthermore, the University of South Dakota Sanford School of Medicine will host a conference for students, faculty, and physicians to engage with the latest research surrounding the treatment of opioid use disorder. The project have the following goals: 1) Increase the number of medical and physician assistant students completing training requirements for DATA waiver 2) Increase the number of individuals with a DATA waiver in South Dakota 3) Increase the number of individuals prescribing MAT. Progress toward achieving these goals will be measure by counts taken during the training as well as surveys administered immediately and a year after the training was completed. It is estimated that annually 100, or 300 over the duration of the project, medical and PA students will receive DATA waiver training. Another 50, or 150 over the duration of the project, physicians and students will be affected by the conference. The estimated total number of people impacted is 450 although many more will be indirectly affected by the work when there are more MAT prescribers in South Dakota.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082565-01 UNIVERSITY OF SOUTH DAKOTA VERMILLION SD STEINLICHT NATHANIEL $111,455

The ultimate mission of this project is to increase the number of practicing physicians that are both waivered to prescribe and actively prescribing medication assisted treatments (MAT) for opioid use disorder. We will train 144 students through participation in a rotation that includes the didactic waiver training and shadowing of experienced, waivered physicians, as well as behavioral health staff in a primary care clinic setting that treats patients with opioid use disorder (OUD). Additionally, we will provide the waiver training to at least 50 residents over the course of the project and enhance the primary care settings through which they rotate to include MAT. In order to ensure students receive high quality training that is sustained beyond the life of the program funding we are partnering with JBS International to develop a DATA waiver training using the vast network of experts JBS has in its organization. The curriculum will be a hybrid, online (four hours) asynchronous module, combined with slide decks and video case-examples for an in person, four hour, didactic module. To target our training and fill the gap in the existing knowledge regarding the lack of prescribing among waivered physicians, we will conduct a survey of physicians who have completed waiver training. We will use these findings as well as the existing research on best MAT practices to inform the development of a DATA waiver training to be delivered through Meharry Medical College (MMC). Our rotation will build on the Meharry Addiction Clinics existing infrastructure of five DATA waivered physicians, behavioral health staff and case-management staff to provide a holistic rotation experience that prepares students to deliver MAT in their practices. The clinic has been in operation for one year and currently more than 200 patients, and recruits approximately 30 new patients per month.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082544-01 MEHARRY MEDICAL COLLEGE NASHVILLE TN COOPER ROBERT $150,000

Our application aims to build a sustainable and effective MAT training approach to close the gap between getting providers the required training and having them practice what they learned. We propose to utilize online DATA training that starts early while trainees are in school coupled with an experiential office-based opioid clinic rotation and expert support to promote trainee waiver certification and treatment adoption in practice. We have assembled a team of dedicated experts in the field with years of work and collaboration in addiction treatment, education and prevention. Importantly, the team has substantial involvement in training medical students, nurse practitioner students and residents and participation in developing DATA 2000 waiver training for the state of Virginia. This application intends to leverage our faculty level of expertise, their involvement in training, and their leadership positions to create a sustainable training that is imbedded in the school curriculum and will serve many generations of providers. Specifically, this application targets medical students, Nurse practitioner students and residents who are enrolled at the University of Virginia to start their DATA waiver training before graduation and receive at least one day of clinical practice at the multidisciplinary Office Based Opioid Treatment clinic (OBOT) there to put into practice their new learned knowledge. Trainees will also receive guidance in applying for their DATA waiver and enrolled in the SAMHSA-Sponsored PCSS Mentoring program, in which they will be paired with a mentor tailored to their preference and background. We estimate to enroll 90% of medical and nursing student trainees into our program, which in average would be 135 medical students, 36 residents and 27 Nurse practitioner students annually. We will track the number of students who complete the training versus those are eligible and their DATA waiver status throughout the years. This application will help expand access to MAT services for individuals with an opioid use disorder through ensuring education, training and support of students who will become MAT prescribers.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082560-01 UNIVERSITY OF VIRGINIA CHARLOTTESVILLE VA AIT-DAOUD NASSIMA $148,556

Our proposal will focus on ensuring that the medical students at The Larner College of Medicine at The University of Vermont receive an outstanding and effective educational experience for understanding and treating substance use disorders, specifically opioid use disorder. Vermont has a unique statewide Hub and Spoke system to provide coordinated care to individuals in all stages of substance use disorder, regardless of insurance status. We have over 200 physicians with a DEA X-waiver certification to prescribe buprenorphine/naloxone for patients with opioid use disorder in an outpatient setting. Our medical students have the opportunity to work with many of these physicians and learn from them. The Larner College of Medicine is the single medical school in Vermont with 120 students enrolled each year. Our proposal is to integrate DATA Waiver 2000 into the curriculum for all 2nd year medical students before these students start their clinical clerkships. This will allow the medical students to receive timely training about both the scope of opioid use disorder and the available evidence-based treatment for this disorder. In addition to providing the DATA Waiver training by two addiction specialists, Drs. Brooklyn and Maruti, we will also provide a more comprehensive and coordinated addiction medicine curriculum throughout the clerkships and have additional elective options in addiction medicine during the 4th year of medical school. The primary goal is to provide our students with an ongoing longitudinal thread of addiction medicine training throughout medical school. Our longitudinal curricular efforts will help to improve the student knowledge, complexity and pervasive nature of substance use disorder. We will first map our existing addiction curriculum and substance use disorder curriculum to identify gaps and improve upon these noted gaps. We will survey our medical students to assess their baseline knowledge and attitudes around caring for patients with substance use disorder. After we teach the DATA waiver training, we hypothesize that students will have a better understanding of the context of substance use disorder as a chronic disease and be better equipped to understand what they see in the clinical settings as they continue their medical school education. We will have students track the patients they see with substance use disorder in their clerkships in our patient tracker system and we will monitor the number of students participating in and completing the Waiver Training. It is expected that 100% of students in the Class of 2023 will complete the training. Students will receive a certificate after completing the in-person and online modules of the Waiver Training, and these certificates will be stored electronically by study personnel. If students wish to be contacted, we will send them a reminder to apply for their X number, which is added to their DEA number, as they complete their residency program and transition from residents to attending physicians. Vermont is ahead nationally in its approach to treating the opioid crisis. Both Drs. Brooklyn and Maruti have extensive training and practice in addiction medicine and will be leading the waiver training and addiction medicine teaching to our students. Dr. Sobel has expanded DATA waiver training to internal medicine residents and has increased the number of waivered prescribers who graduate from the University of Vermont Medical Center residency program and is poised to expand her developed curriculum to the medical students. Our students will be learning from leaders in the field in addiction medicine and we hope will be better prepared to enter their residency and then the clinical practice with robust knowledge and to care for patients with substance use disorders.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082571-01 UNIVERSITY OF VERMONT & ST AGRIC COLLEGE BURLINGTON VT SOBEL HALLE $101,555