CARE Series: The Role of Traditional, Complementary and Integrative Medicine in Substance Use Disorder Care

Thursday, December 12, 2024, 12:00 PM - Sunday, December 12, 2027, 1:00 PM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Review of:

• Traditional, complementary and integrative medicine and frameworks for application in clinical care

• Offer experience in how mindfulness meditation practice may support people living with substance use disorder including those who have also experienced racial minoritization

• Recent literature and how to talk with people about the use of acupuncture in treating substance use disorder

This webinar will serve as an introduction to the application of traditional, complementary and integrative medicine in clinical care for people experiencing substance use disorders. Specifically, we will highlight the role of mindfulness and acupuncture in treatment approaches.

Presenters

Vinny Minichiello, MD Associate Professor *

Michael Waupoose, LICSW, MBSR Teacher/Trainer *

Michael Williams, MD, Assistant Professor *

* Osher Center for Integrative Health
Department of Family Medicine & Community Health
School of Medicine and Public Health
University of Wisconsin

1. Define traditional, complementary and integrative medicine in the context of Substance Use Disorder (SUD) care.
2. Appraise evidence for Mindfulness Based Stress Reduction (MBSR) as a healing practice for impacts of SUD and experience of racial minoritization.
3. Describe the state of the evidence for acupuncture to treat SUD.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours. 

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

 

Bibliographic Sources

 

• A Curriculum that is up to the Task. Global Advances in Integrative Medicine and Health. 2023;12. doi:10.1177/27536130231162604

• Amorim D, Amado J, Brito I, Fiuza SM, Amorim N, Costeira C, Machado J. Acupuncture and electroacupuncture for anxiety disorders: A systematic review of the clinical research. Complement Ther Clin Pract. 2018 May;31:31-37. doi: 10.1016/j.ctcp.2018.01.008. Epub 2018 Jan 31. PMID: 29705474.

• Baker TE, Chang G. The use of auricular acupuncture in opioid use disorder: A systematic literature review. Am J Addict. 2016 Dec;25(8):592-602. doi: 10.1111/ajad.12453. Epub 2016 Nov 2. PMID: 28051842.

• Bowen S, Chawla N, Collins SE, et al. Mindfulness-based relapse prevention for substance use disorders: A pilot efficacy trial. Subst Abus. 2009;30(4):295-305. doi:10.1080/08897070903250084

• Bowen S, Chawla N, Marlatt GA. Mindfulness-based relapse prevention for addictive behaviors. New York: Guilford Press; 2010.

• Bowen S, Witkiewitz K, Clifasefi SL, et al. Relative Efficacy of Mindfulness-Based Relapse Prevention, Standard Relapse Prevention, and Treatment as Usual for Substance Use Disorders: A Randomized Clinical Trial. JAMA Psychiatry. 2014;71(5):547–556. doi:10.1001/jamapsychiatry.2013.4546

• Brian D. Ostafin, Neharika Chawla, Sarah Bowen, Tiara M. Dillworth, Katie Witkiewitz, G. Alan Marlatt, Intensive Mindfulness Training and the Reduction of Psychological Distress: A Preliminary Study, Cognitive and Behavioral Practice, Volume 13, Issue 3, 2006, Pages 191-197, ISSN 1077-7229, https://doi.org/10.1016/j.cbpra.2005.12.001.

• Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med. 2008 Feb;31(1):23-33. doi: 10.1007/s10865-007-9130-7. Epub 2007 Sep 25. PMID: 17899351.

• Chen B, Wang CC, Lee KH, Xia JC, Luo Z. Efficacy and safety of acupuncture for depression: A systematic review and meta-analysis. Res Nurs Health. 2023 Feb;46(1):48-67. doi: 10.1002/nur.22284. Epub 2022 Dec 12. PMID: 36509453; PMCID: PMC10108109.

• Coffey KA, Hartman M. Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress. Complementary health practice review. 2008;13(2):79-91. doi:10.1177/1533210108316307

• Crane RS, Callen-Davies R, Francis A, Francis D, Gibbs P, Mulligan B, O'Neill B, Pierce Williams NK, Waupoose M, Vallejo Z. Mindfulness-Based Stress Reduction for Our Time: A Curriculum that is up to the Task. Glob Adv Integr Med Health. 2023 Apr 6;12:27536130231162604. doi: 10.1177/27536130231162604. PMID: 37051461; PMCID: PMC10084571.

• Davidson RJ, Kabat-Zinn J, Schumacher J, Rosenkranz M, Muller D, Santorelli SF, Urbanowski F, Harrington A, Bonus K, Sheridan JF. Alterations in brain and immune function produced by mindfulness meditation. Psychosom Med. 2003 Jul-Aug;65(4):564-70. doi: 10.1097/01.psy.0000077505.67574.e3. PMID: 12883106.

• Garland EL. Mindfulness-oriented recovery enhancement for addiction, stress, and pain. Washington, DC: NASW Press; 2013.

• Garland, E.L., Howard, M.O. Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research. Addict Sci Clin Pract 13, 14 (2018). https://doi.org/10.1186/s13722-018-0115-3

• Gimelfarb Y, Goldstien E. Auricular acupuncture for sleep quality in participants with mental and behavioral disorders due to prior multiple drug use: a retrospective consecutive case series.

• Hawkins EJ, Grossbard J, Benbow J, Nacev V, Kivlahan DR. Evidence-based screening, diagnosis, and treatment of substance use disorders among veterans and military service personnel. Mil Med. 2012;177(8 Suppl):29-38

• Integrative Medicine for the Underserved  (IM4US), (2024). IM4US Statement on Cultural Misappropriation in Integrative Medicine. IM4US - Committee

• Jennings, L.J. et al., 126 Reasons for Declining Buprenorphine Induction Among Persons With Opioid Use Disorder Presenting to the Emergency Department. Annals of Emergency Medicine, Volume 84, Issue 4, S59

• Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York, NY: Delacorte Press; 1990.

• Kim SA, Lee SH, Kim JH, van den Noort M, Bosch P, Won T, Yeo S, Lim S. Efficacy of Acupuncture for Insomnia: A Systematic Review and Meta-Analysis. Am J Chin Med. 2021;49(5):1135-1150. doi: 10.1142/S0192415X21500543. Epub 2021 May 27. PMID: 34049475

• Kitzman JM, Bowman LC, Lin YC. Acupuncture in Addiction Medicine: Its History, Evidence, and Possibilities. Med Acupunct. 2023 Jun 1;35(3):111-116. doi: 10.1089/acu.2023.0021. Epub 2023 Jun 15. PMID: 37361008; PMCID: PMC10282830.

• Lee EJ. Effects of auriculotherapy on addiction: a systematic review. J Addict Dis. 2022 Jul-Sep;40(3):415-427. doi: 10.1080/10550887.2021.2016011. Epub 2022 Feb 18. PMID: 35179436.

• Lin LA, Bohnert ASB, Jannausch M, Goesling J, Ilgen MA. Use of non-pharmacological strategies for pain relief in addiction treatment patients with chronic pain. Am J Addict. 2017 Sep;26(6):564-567

• Lu L. et al. Effect of Acupuncture for Methadone Reduction : A Randomized Clinical Trial. Ann Intern Med. 2024 Aug;177(8):1039-1047.

• Segal Z, Williams JM, Teasdale JD. Mindfulness-based cognitive therapy for depression. New York: The Guilford Press; 2002

• The Academic Consortium for Integrative Medicine & Health (2024). “What is Integrative Medicine?, https://imconsortium.org/page/mission-and-vision

• US Department of Veterans Affairs. Circle of Health Overview https://www.va.gov/wholehealth/circle-of-health/index.asp

• US Department of Veterans Affairs. VA Whole Health Library “Substance Use” Overview (2019) https://www.va.gov/WHOLEHEALTHLIBRARY/tools/substance-use-disorders.asp

• World Health Organization, (2024). Health topics: Traditional, complementary and integrative medicine. https://www.who.int/health-topics/traditional-complementary-and-integrative-medicine#tab=tab_1

• Yang XY, Yang NB, Huang FF, Ren S, Li ZJ. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann Gen Psychiatry. 2021 Jan 30;20(1):9. doi: 10.1186/s12991-021-00327-5. PMID: 33516258; PMCID: PMC7847562.

• Yeungnam Med Sci. 2023 Jan;40(1):78-85. doi: 10.12701/jyms.2022.00542. Epub 2022 Nov 28. PMID: 36442501; PMCID: PMC9946917.

• You J, Li H, Xie D, Chen R, Chen M. Acupuncture for Chronic Pain-Related Depression: A Systematic Review and Meta-Analysis. Pain Res Manag. 2021 Feb 22;2021:6617075. doi: 10.1155/2021/6617075. PMID: 33680223; PMCID: PMC7925064.

 

Resources

 

• Osher Center for Integrative Health at UW-Madison: https://www.fammed.wisc.edu/integrative/

• VA Whole Health Library: https://www.va.gov/wholehealthlibrary/

• UW Health Mindfulness Program: https://www.uwhealth.org/services/mindfulness-based-stress-reduction

• MBRP Recordings: https://practicembrp.com/

• NADA Protocol: https://acudetox.com/

• UVM Comprehensive Pain Management Program: https://www.uvmhealth.org/medcenter/departments-and-programs/comprehensive-pain-program

• Vermont Acupuncture Association: https://www.vtaa.org/

 

 

 

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Provider Contact Information

For questions of the activity or regarding accreditation: 

Center for Learning and Professional Development
ACE Office
Dartmouth Hitchcock Medical Center
[email protected]

Mitigation of Relevant Financial Relationships

Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.