2024 ACA Nashville Program Book_154th Congress of Correction

Paradigm Shift in Healthcare Delivery: An Innovative Approach in Texas Prisons [CE/CME/CERP] Room 209B Primary Area of Focus: Healthcare & Wellness Primary Community of Focus: Prisons & Jails Inmates are the only Americans guaranteed access to healthcare in the United States. Delivery of high quality, high value and patient-centered care to this vulnerable population requires an innovative approach and a paradigm shift in the delivery of healthcare. In May of 2022 after an escape attempt of an inmate during transportation for specialty care services, it became imperative to change our healthcare delivery model to facilitate excellent outcomes. We implemented a three-strategy approach which included “hub and spoke” approach for specialty and sub-specialty care, robust telemedicine and unit-based radiology and ancillary services. This approach has resulted in improved show rates and excellent access to high-quality care. Learning Objectives: • Emphasize the constitutional basis for offender healthcare. • Reinforce offender healthcare service to include 8 th amendment rights and deliberate indifference. • Underscore how prompt access to specialty and sub-specialty improves overall healthcare quality in the incarcerated population. Moderator: Lannette Linthicum , M.D., FACP, Director Health Services Division, Texas Department of Criminal Justice, Huntsville, Texas Speakers: Olugbenga Ojo , M.D., M.B.A., FACP, SFHM, Chief Medical Officer/Chief Physician Executive, Associate Professor of Medicine, University of Texas Medical Branch, Galveston, Texas; Marjorie Cisneros , M.B.A., Associate Vice President, University of Texas Medical Branch, Galveston, Texas

Medication for Opioid Use Disorder: Considering the Impacts of Medication on Oral Health and the Importance of Multidisciplinary Approach to Treatment [CE/CME/CERP] Room 209C Primary Area of Focus: Healthcare & Wellness/ Special Populations Primary Community of Focus: Adult Corrections/ Prisons & Jails Across the United States opioid use and overdose deaths are at epidemic proportions. In 2017, 2.1 million people in the United States had an opioid use disorder (OUD) and nearly 68% of overdose deaths involved an opioid. In response to the number of individuals with an OUD, there has been a sharp increase in the use of medications for the treatment of opioid use disorder (MOUD). Both the medical and behavioral health communities have largely embraced the use of MOUDs to reduce the symptoms and cravings of the problem opioid. One critical aspect that should be part of the medication treatment for opioid use disorder (MOUD) management conversation is the role dentists play. Oral health problems are among the most prevalent comorbidities related to substance use disorders (SUD). Drug use and misuse is associated with serious oral health problems including generalized dental caries, periodontal diseases, mucosal dysplasia, xerostomia, bruxism, tooth wear and tooth loss. Good oral health care has positive effects in recovery from drug abuse. Health care systems worldwide deliver services for persons with a diagnosed SUD, but most either lack dental programs or do not have the resources to treat all patients in need. Management of substance use disorder as a multi-organ disease requires a multidisciplinary approach. Published evidence on oral complications related to substance use and misuse emphasizes oral health care at various levels including education, prevention and treatment should be integrated into general care services for patients with a SUD.

WORKSHOPS

Thursday, Aug. 15 ▼ 4–5:30 p.m.

ACA 154 th Congress of Correction | Nashville — 99