Opioid Stewardship — Academic Detailing
Academic detailing is borrowed from a pharmaceutical industry marketing approach of using brief in-person visits to share "details" about the benefits of a drug or device. In academic detailing, health care professionals visit one-on-one with prescribers and dispensers in the convenience of their own offices to share the latest scientific evidence, using well-produced materials and setting accountable behavioral changes with the goal of improving outcomes.
If you are interested in learning more, please email the Prescription Drug Overdose Prevention (PDOP) program at PDOP@cdph.ca.gov.
The Medical Board of California (MBC) released Guidelines for Prescribing Controlled Substances for Pain (PDF) in November of 2014. The Centers for Disease Control and Prevention (CDC) released its Prescribing Guidelines in March of 2016. CDPH created a guidelines crosswalk (PDF) to help providers understand the similarities and differences between the MBC and CDC guidelines.
Patients who are physically dependent on opioids should not abruptly discontinue using opioids, and long-term opioid dependent patients should not be tapered rapidly. Safe tapers may take months to years to accomplish. The CDC developed the Pocket Guide: Tapering Opioids for Chronic Pain (PDF) as a reference guide for when and how to taper, and important considerations for safe and effective care, which includes ensuring that tapering plans are individualized and minimize symptoms of opioid withdrawal.
Medication Assisted Treatment (MAT) & X Waiver
For patients experiencing opioid use disorder, the use of some Medication Assisted Treatment (MAT), such as buprenorphine, has been shown to be safe and highly-effective in lowering overdose risk, decreasing HIV and hepatitis C occurrences, and increasing retention in treatment. If you are interested in learning more or want to obtain your X-waiver certification so you can treat patients with substance use disorder, visit the Substance Abuse and Mental Health Services Administration page.
For a list of MAT providers in your area, please visit the Medication Assisted Treatment (MAT) page.
The California Department of Public Health (CDPH) has three different public education campaigns to increase awareness around the dangers of prescription opioids, treatment options, and how to talk with your doctor about other pain management options. These campaigns target the general population, older adults and their care takers, and pregnant women. Additionally, the California Department of Health Care Services created the Choose MAT campaign to reduce stigma around opioid use disorder and treatment and connect Californians to treatment resources.