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thank you to our sponsors May 29 - 31, 2019 the riverhouse | bend, Oregon exhibitors: Alleva Health, LifeLine Connections, Oregon Department of Consumer Services, Oregon Recovers, Oregon Recovery and Treatment Centers, Serenity Lane Health Services, Lines for Life linesforlife.org | oregonpainguidance.org | #OPAT2019 #OPAT2019
THANK YOU TO OUR CONFERENCE SPONSORS AND PLANNING TEAM Building Resilience in The Oregon Conference on Opioids, Pain and Addiction Treatment is hosted by Lines for Life and funded through Oregon Health Authority. In addition, it would not have been possible without the support of our generous donors. This event was supported by the Oregon Health Authority Cooperative Agreement 6 NU17 CE 002751-03-04, funded by the Centers for Disease Control Chronic Pain and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services. This event is a joint providership between St. Charles Health System and Lines for Life. St. Charles Health System is accredited by the Oregon Medical Association to provide continuing medical education for physicians. We would like to extend a special thank you to: A Free Community Forum & Resource Fair Wednesday, May 29th 2019 at 4:30pm Planning Advisory team MaCayla Arsenault, Central Oregon Health Council, Mary Borges, Oregon Health Authority Public Health Division, Greg Brigham, PhD, ADAPT, Laura Chisholm, PhD, MPH, MCHES, Oregon Health Authority Public Health Division, David Hart, Department of Justice, Laura Heesacker, MSW, LCSW, Synergy Health Consulting/Jackson Care Connect, Apryl Herron, MPH, Clackamas County Public Health Division, Dwight Holton, Lines for Life, Jessica Jacks, MPH, CPS, Deschutes County Health Services, Heather Jefferis, MA, Oregon Council for Behavioral Health, Deschutes County Fairgrounds - Middle Sister Building Safina Koreishi, MD, MPH, CPCCO, David Labby, MD, PhD, Health Share of Oregon, Michelle Marikos, PSS, Moving Through Chronic Pain, LLC, Dennis McCarty, PhD, OHSU-PSU School of Public Health, Undersheriff Jeff Mori, Washington County Sheriff’s Office, Irma Murauskas, Oregon Primary Care Association, Jim Shames, MD, Jackson County/Synergy Health Consulting, Free informational event offering community resources and support for those affected by chronic pain. Lisa Shields, Oregon Health Authority Public Health Division, Danielle Sobel, MPH, Oregon Primary Care Association, Erin Solomon, Central Oregon Health Council, Nora Stern, PT, MS PT, Providence Health, Andrew Swanson, Oregon Recovers, Kim Swanson, PhD, Mosaic Medical, Mary Wells, Mosaic Medical, Haven Wheelock, Outside In, Lucy Zammarelli, M.A. CADCIII, NCACII, Trillium Behavioral Health/Lane County, Elizabeth White, MPA, Lines for Life KeyNote Speakers Launette Rieb MD, MSc, CCFP, FCFP, DABAM, FASAM 45,000 David Sheff, Dana Hargunani, MD, MPH INVITED GUEST Oregon Attorney General Ellen Rosenblum Additional Speakers David Otto, DC, Chiropractor people are living with Presenters Jim Porter, Bend Police Chief chronic pain in our John Hummel, JD, District Attorney region. Stacie Andoniadis Kate Frame Gillian Leichtling Jonathan Robbins, MD Carol Murphy Arne Tim Gallagher, MD Jane Lincoln, LCSW Bryan Schwartz, MD Kim Swanson, PhD, Clinical Jane Ballantyne, MD Captain Rich Geist Sara Love, ND Amit Shah, MD Lydia Bartholow, DNP, PMHNP, CARN-AP Lisa Greenfield CRM, PSS Michelle Marikos, PSS Jim Shames, MD Psychologist Roger Best Jessica Gregg, MD, PhD Dennis McCarty, PhD Samantha Slaughter-Mason Laura Bremner, MA Nancy Campbell Hanks Andrew Mendenhall, MD Anna Steeves-Reece, MPH Melissa Brewster, PharmD, BCPS Dan Hall, NRP Alice Mollo-Christensen, CADCII Nora Stern, PT, MS PT RSVP Catriona Buist, PsyD Marian Hammond John Muench, MD Sloan Storie, MA Billie L. Cartwright MHS, DBH, PSYQ, PA-C Laura Heesacker, MSW, LCSW Riley Nelson Andrew Suchocki, MD, MPH • Resource Fair for chronic pain management Paul Coelho, MD Apryl Herron, MPH Kevin Novak, MS Kim Swanson, PhD Amy Jo Cook Misty Hull Simon Parker-Shames, MPH Andrew Swanson http://bit.ly/bricp2019 • Naloxone training and distribution Zachary Corbett, LAc Sean Jones, MD Pam Pearce Lisa Taylor, FNP Lydia Cortez, PRC,CRM Julie Johnson Julia Pinsky Ann Thomas, MD, MPH Caroline Cruz Kevin Cuccaro, DO Chelsea Keating, MPH Erik Kilgore Justine Pope, MPH Sharna Prasad, PT, TPS, MBSR Joshua Thompson Tony Vezina or call 541.382.1816 • Free dinner for all attendees Eric Davis, MSW, LCSW, BCD, CADCIII, MAC Safina Koreishi, MD, MPH Nadejda Razi Robertson, LCSW, PhD Bill Walter, ND Jalien Dorris, DO Kristen Lacijan-Drew, MS, MPH Katherine Reese, PharmD Mary Wells Joyce Dukes, RN Paul Lewis, MD, MPH Sheriff Michael Reese Talie Wenick, CADCl, QMHA David Eisen, MSW, OMD (am) Jude Leahy Babette Reeves, MA, MSW Haven Wheelock Julia Fetzer Conference Support Karen Kruger, Donna Libemday, Asa Wright, Rebecca Wood, Carys Fritz, Melanie Altaras, Bailey Simpson, Georgette Taluy, Lell Gillette, Andrea Bickel, Rachel, Koch, Jean McGowan, Laura LaLonde and Savannah Santarpio. For more information email respond@classactevents.net or call 541.382.1816 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment | 25
Session Locations + map Welcome TO THE 2019 OREGON CONFERENCE ON OPIOIDS + OTHER DRUGS, PAIN + ADDICTION TREATMENT Oregon has made important progress in addressing opioids, pain and addiction treatment. We have successfully reduced the flood of prescribed opioids that inundated our communities. Opioid prescribing is down for all age groups since January 2016 and drug overdose hospitalizations and drug overdose deaths due to prescription opioids are declining. We have gone from ranking first in the non-medical use of opioids in the nation in 2010-2011 to sixth (2013-2014), however, we still have work to do. Lo We are witnessing an alarming rise in the deaths of despair nationwide. The number of suicides, overdoses, and byb De Roo diseases caused by substance use disorder is devastating families and communities. According to the Centers for sc ms Disease Control, life expectancy for Americans dropped once again in 2017, as the rates of fatal opioid overdoses hu US Busines and suicides continued to climb. tes The Riverhouse These deaths of despair are not a singular crisis but a syndemic. To tackle this problem, we must address the social context of substance use disorder, pain and suffering as well as advancing evidence-based guidelines and treatment. The current spotlight on the opioid crisis presents an opportunity to work across the multiple systems that touch the s 97 lives of those impacted by pain and substance use disorder and improve the effectiveness and quality of care. Dr ive Patio overlooking deschutes river ton ashing We are set to take the next step to create a healthier Oregon, moving communities and systems to action with a NW Mt w simple but direct mission: We can do this! Rippling River ct Our aim is to bring together large health systems, community, law enforcement, community advocates and the treatment and recovery community to chart a clear and direct path for making lasting change. We hope to expand Convention Cascade Cascade Cascade Cascade access to treatment for substance use disorder and harm reduction services, improve pain treatment, and build Center C D E f safer care and supports for people struggling with pain and substance use disorder. With help from lots of folks, last year’s inaugural conference was a tremendous success. We convened over 450 committed people from across Oregon –across the complex landscape of our crisis of opioids and other drugs — to share and develop innovative ideas for making change in Oregon. Cascade Cascade This year’s conference features dynamic national and local speakers, including a keynote address from David Sheff, B G author of the bestselling novel and movie, “Beautiful Boy”. In his novel, Mr. Sheff shares his son Nic and the Sheff family’s struggle with substance use disorder. David’s family experience sets the tone and explores the urgent need for making changes that better serve our communities. The conference will feature tribal workshops, launch a training on the Art of Compassionate Tapering, and law enforcement efforts to work with health systems to introduce Medication Assisted Therapies in jails and prisons. Sponsorship Cascade Pavilion We’d like to thank everyone involved in planning this year’s conference – it was truly a team effort. First, we’d like to Cascade A/J/I H thank the 2019 OPAT Conference Planning Committee. Our planning team represents behavioral health, health care, public health, law enforcement, the treatment and recovery community and others. We also extend our appreciation and gratitude to our local partners including the Central Oregon Health Council, St. Charles Health System, Deschutes County Public Health, and Mosaic Medical. We’d like to recognize and thank Oregon Health Authority and Oregon Pain Guidance for their leadership and continued support of Lines for Life’s efforts to reduce substance abuse statewide. Lastly, we acknowledge our friend and colleague Lauren Miller. Lauren was a smart, fierce, and incredibly talented event Lobby coordinator at Lines for Life. She was instrumental to the success of last year’s conference. Before she unexpectedly passed away in March, Lauren spent months working tirelessly to set us up for another successful event. Thank you, Lauren. We thank you for joining us today. Together, we will move Oregon from crisis to recovery. CEO, OrCRM Project Manager, Lines for Life Lines for LIfe 24 | 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment |1
Notes _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ overview _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ The Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment begins _____________________________________________________________________________________________________________ with preconference workshops on Wednesday, May 29, 2019 (pg 7-8). These workshops provide clinicians _____________________________________________________________________________________________________________ an opportunity for skill building and experiential learning. This includes learning to use buprenorphine to _____________________________________________________________________________________________________________ treat both Opioid Use Disorder and CPOD Chronic Persistent Opioid Dependency, applying compassionate motivational tools and strategies for guiding patient behaviors, gaining a better understanding of how to treat _____________________________________________________________________________________________________________ Mental Health disorders co-occurring with pain and many other skills essential to delivering best practice _____________________________________________________________________________________________________________ care for pain and substance use disorder. _____________________________________________________________________________________________________________ We begin the conference on Wednesday afternoon, May 29, 2019 after the conclusion of the preconference _____________________________________________________________________________________________________________ workshops. The conference continues with a keynote address from David Sheff on Thursday, May 30, 2019 _____________________________________________________________________________________________________________ and ends the morning of Friday, May 31, 2019. _____________________________________________________________________________________________________________ We kick things off by exploring the scope of the problem, our successes and challenges and what lies ahead. _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ General sessions include riveting speakers and didactic discussions on areas of disagreement to foster _____________________________________________________________________________________________________________ learning and dynamic conversation. _____________________________________________________________________________________________________________ Breakout session presentations were selected from submissions generated through a call for proposals _____________________________________________________________________________________________________________ process and organized by concepts instead of tracks (e.g.; healthcare, law enforcement, etc.). _____________________________________________________________________________________________________________ This year’s agenda aspires to foster collaboration and break down silos that create fragmentation and _____________________________________________________________________________________________________________ impede communication across systems. Tracks drive participants to choose a session based on scope of _____________________________________________________________________________________________________________ practice and discourage collaborative discussion between different groups. _____________________________________________________________________________________________________________ Breakout session speakers will provide dynamic, thought-providing presentations based on the concepts _____________________________________________________________________________________________________________ rooted in current best practice, emerging evidence and Oregon’s comprehensive approach to reduce harms _____________________________________________________________________________________________________________ from opioids and other drugs including: _____________________________________________________________________________________________________________ • We Can Do This! Celebrating success and leaning into opportunities _____________________________________________________________________________________________________________ •S ustaining Communities: Embracing the full spectrum of healing: from harm reduction _____________________________________________________________________________________________________________ to treatment and long-term recovery _____________________________________________________________________________________________________________ • Promoting Prevention: Elevating upstream investments to help Oregon thrive _____________________________________________________________________________________________________________ We end with a call to action to create partnerships for success. _____________________________________________________________________________________________________________ Together, we will move Oregon from crisis to recovery. _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 2 | 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment | 23
SLOAN STORIE, MA Sloan Storie, MA is a doctoral candidate in the Department of Special Education and Clinical KIMBERLY SWANSON, PHD Kimberly Swanson is a Licensed Clinical Psychologist working full time as the Director JOSHUA THOMPSON Joshua moved back to Oregon in June of 2017 after living in Atlanta, Georgia for the better part of MARY WELLS, LCSW Mary Wells LCSW, has a passion to empower and support those living in pain. She has created an General information Sciences at the University of Oregon. She received for Behavioral Health at Mosaic Medical where 15 years. He has lived with chronic pain since the intensive multidisciplinary treatment program for her undergraduate and master’s degrees at West she oversees both the Primary Care Integrated age of 20, but no longer allows it to dictate his life. Medicaid patients, and later developed Quality Virginia University and is a licensed early childhood Behavioral Health team and embedded Substance He loves to laugh and make others laugh, and to of Life, a paced and sequenced program that special educator from birth - Kindergarten. Use Team. With over 20 years combined be of service to others. His two dogs, Lily and Bella, is delivered in a group or individually at Mosaic LAND ACKNOWLEDGEMENT BOOK SIGNING: David Sheff Her research interests focus on: (1) building experience in medicine, more than a decade of are his partners in crime. Medical, a Federally Qualified Health Center with community capacity, (2) dissemination and clinical research and direct clinical experience 5 clinics in Central Oregon. Mary regularly trains Lines for Life would like to acknowledge that the land we are meeting on David Sheff will be available on Thursday, May 30, 2019 from 11:30 a.m. implementation of evidence-based practices, and in integrated healthcare settings, and multiple TONY VEZINA behavioral health professionals at Mosaic to treat today is the occupied homelands of the Warm Springs, Wasco and Paiute – 1:00 p.m. in the SPONSOR PAVILION for a book signing. Come and get (3) personnel preparation of EI/ECSE teachers. publications and presentations in chronic pain Tony Vezina is a person in long-term recovery persistent pain while providing care coordination bands/tribes. We acknowledge the painful history of genocide and forced a signed copy of Beautiful Boy. Other titles will be available for purchase. and behavioral medicine, her curriculum vita and the proud father of two young girls, Ava and with the medical team. Her goal is to train Mental ANDREW SUCHOCKI, MD, MPH reads like a roadmap to embedded behavioral Isabella. He is the co-founder and current Executive Health professionals to be active in the pain removal form this territory, and we honor and respect the many diverse Andrew Suchocki is currently the medical director health care. She was appointed by former Director of the 4th Dimension Recovery Center, a treatment team in both medical and outpatient Indigenous peoples still connected to this land on which we gather. POSTERS at Clackamas Health Centers (CHC). He did his Governor Kitzhaber to the Prescription Drug Recovery Community Organization providing a settings to positively impact outcomes for their medical school at Ohio State and Family Medicine Abuse Academy in 2011. Dr. Swanson completed variety of recovery support services to over 600 patients suffering with pain. She has an ongoing Posters will be available for viewing during conference hours and the residency at the University of Cincinnati. After a yearlong leadership fellowship 2015-2016 in young people in Multnomah County. Additionally, curiosity and commitment to stay on the cutting FUNCTION LOCATIONS evening reception. Located in the SPONSOR PAVILION, these posters several years of working in integrated FQHC/ health care transformation through the Oregon Tony is a community organizer and social justice edge of neuroscience and apply this knowledge for highlight innovative work across the state. Please check them out during Community mental health agencies, he completed Health Authority. Dr. Swanson presently chairs the advocate who developed his civic skills during behavioral treatments for pain. The Oregon Conference on Opioids + Other Drugs, Pain + Addiction a Preventive Medicine residency and MPH at regional Pain Standards Task Force (PSTF) for the his tenure as Student Body President of Portland Treatment REGISTRATION is located in the lobby of the Riverhouse breaks and don’t miss the opportunity to learn more about these projects Johns Hopkins University. Andrew focused on Central Oregon Health Council. She was awarded Community College. He now carries his passion TALIE WENICK, CADC L, QMHA, conference center. All sessions will be held in the conference center. from the poster presenters themselves on Thursday, May 30th from health disparities, including significant work in the 2017 Deschutes County Health Hero award for for justice into Oregon’s fight for substance use CRM sub-Saharan and East Africa, transitioning to a the positive public health impact of PSTF. recovery by volunteering on various boards and Talie has been in the addiction field for over 10 General sessions will be held downstairs in the Cascade Exhibit Hall. 4:30pm – 6:30 pm. domestic focus after residency. His regional work commissions, including Oregon Recovers, the years, serving in many positions at BestCare Preconference workshops and breakout sessions will be held on the has included advisory roles for Family Care, Care LISA TAYLOR, FNP Oregon Recovery High School Initiative, and the Treatment Services in Bend, including, Recovery main floor. A plated lunch will be served before the opening session on Oregon, and Health Share. He participates on the Born and raised in South Dakota, Lisa Taylor Mental Health and Addictions Certification Board Mentor, SUD Clinician, Treatment Liaison for Drug PARKING Oregon Opioid Prescribing Guidelines Task Force, Graduated with her BSN from South Dakota state of Oregon. Court, Aftercare Specialist, and currently Addiction Wednesday, May 29th, 2019 beginning at 12:00 p.m. The program will Parking is located at the conference center. Signage will be provided. co-chairing the county-wide Clackamas Pain University in 1984. She moved to Wenatchee Specialist for the Hospital SUD Team. Talie is very begin at 12:30 p.m. A plated breakfast will be served on Thursday, May Collaborative. He serves as the clinical investigator Washington where to became nurse manager BILL WALTER, ND passionate about her work and looks forward 30th, 2019 from 7:00 and ending at 7:45 a.m. to ensure a prompt start for the OHSU family medicine/OCHIN research of the pediatric ward. She relocated to Portland Bill Walter, ND is a naturopathic physician to a long career in the field. She is a person in time of our featured keynote speaker, David Sheff. EVALUATIONS group and is on the board of the Oregon Primary Oregon and worked at Doernbecher Children’s practicing at the Community Health Centers of long term recovery from substance abuse, which Care Association (OPCA). Hospital from 1987 through 1999. She specialized Lane County, serving a primarily Medicaid and has given her a lived experience, which facilitates Your feedback is important in planning future conferences and providing in pediatric intensive care unit and was part of uninsured population. He currently serves as connecting with her clients who are struggling with An EVENING RECEPTION will be held on Thursday, May 30th, 2019 information on enhancements that could be made with regard to the ANDREW SWANSON the pediatric transport team. Received a Master Chair of the Scientific Affairs Committee for the addiction. She is a devoted mother to her 15-year- types of workshops and training sessions. You will be asked to complete Andrew grew up in San Diego, where he began of Science in nursing, family nurse practitioner- American Association of Naturopathic Physicians old boy, and in her free time she loves to travel. from 4:30 – 6:30 p.m. Come enjoy appetizers and a no-host bar while his first career in motorsports at age 12. By age certified in June 1999 from OHSU. Graduated with and is also the AANP liaison to the Integrative Talie serves as a board member for The Bend networking with your peers. an evaluation using the Attendify App. Paper copies of the evaluation 16 he moved to Europe to drive for an Italian honors. Moved to Siletz Oregon to start work as Pain Care Policy Congress. He works with Trillium Sister City Foundation, which serves the people of forms will be available at REGISTRATION. factory in the Italian Open. After over a decade in a new nurse practitioner in 1999 She has been on their Clinical Advisory Panel as well as their Condega, Nicaragua. motorsports, he hung up his helmet and pursued with the clinic for 20 years and served as medical Peer Review and Credentialing Committee and SPONSOR PAVILION (see below) a career in the music industry. By age 32, Andrew director for 12 years. Became data waved certified was past Chair of their chronic non-malignant pain HAVEN WHEELOCK Visit the SPONSOR PAVILION located in Cascade A/J/I. It will be open TARGET AUDIENCE was struggling to maintain his professional career, in 2017. Opioid addiction and its treatment has management committee. Dr. Walter has lectured Haven Wheelock has been advocating for the while simultaneously battling addiction to IV been a passion of Lisa’s for over a decade. She is nationwide about how to use natural medicine health and safety of people who use drugs since during the entire conference, including the reception on May 30th. Please Clinicians (physicians, dentists, pharmacists, nurses, nurse practitioners, heroin and methamphetamine. After years of hard married to a Santee Sioux native gentleman, has approaches when treating patients with chronic 2002. Currently she is the Drug Users Health take time to visit the tables and meet the organization representatives. naturopaths, physician assistants, medical assistants, mental health work and support, Andrew was able to change his four daughters and two grandbabies on their way pain. He graduated from Bastyr University in Services Program Coordinator at Outside In in treatment providers, substance use disorder treatment providers, life and has since become a tireless advocate this year. 2009 and completed his residency at the Bastyr Portland Oregon. She provides direct service to for the recovery community in Portland where Center for Natural Health. Dr. Walter earned his people who use drugs and has also been involved case managers, others), administrators, public health, tribal health he’s the Program Manager for Oregon Recovers. ANN THOMAS, MD, MPH Bachelor’s degree in Cultural Anthropology from in creating policy that improves health in Oregon. practitioners, law enforcement, community members, others. In addition to his work with Oregon Recovers, Dr. Thomas received her bachelor’s degree at UC Santa Cruz. Dr. Walter lives with his wife and She is an MPH Fellow as part of the Johns Hopkins Andrew is pursuing a bachelor’s degree in Social Stanford University and her MD from Columbia their 11-year-old daughter, and they enjoy hiking, Bloomberg American Health Initiative focusing on Sciences at Portland State University and plans to University. After a pediatric residency at Children’s their pets, and table-top Euro-games. Overdose and Addiction Policy. LEARNING OBJECTIVES graduate this summer. In his free time, you’ll find Hospital of Los Angeles, she was in private practice • Demonstrate a deeper understanding of the biopsychosocial aspects him exploring the trails of the Pacific Northwest for three years. She then joined the CDC’s Epidemic with his dog and his girlfriend or snowboarding on Intelligence Service and served for two years with of pain and how emotional suffering and trauma history shape the pain Mt. Hood. the Measles Elimination Activity in the National experience in primary care Immunization Program. Afterwards, she completed • Describe the successes and unintended consequences of broader a preventive medicine residency at CDC, which included getting her MPH from Emory University. implementation of opioid prescribing guidelines She is currently a public health physician with the • Describe how emotions are integral to the conceptualization, assessment Emerging Infections Program of the Oregon Public and management of persistent pain and apply this information into Health Division and serves as principal investigator clinical practice to improve function, quality of life and ease suffering on several CDC-funded projects. Sponsor Pavilion • Apply prevention strategies that build the capacity of communities to Cascade A/J/I reduce the burden of opioids and other drugs • Explain how to build better clinical pathways across systems of care for managing persistent pain, address suffering and treat substance use disorder • Describe heath system, clinical and community strategies that employ a full continuum of care to reduce the harms from opioids & other drugs • Demonstrate innovative approaches that improve outcomes through investment in community-based, culturally appropriate programs 22 | 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment |3
CE CREDITS PAM PEARCE Pam Pearce serves as the Executive Director of Community Living Above in West Linn, Oregon. She NADEJDA RAZI-ROBERTSON, LCSW, PHD Nadejda Razi-Robertson is the Managing Director BABETTE REEVES, MA, MSW Babette Reeves, MA, MSW, is a Behavioral Health Specialist at South River Community Health JIM SHAMES, MD Dr. Jim Shames has lived and practiced in Southern Oregon since 1973. He is Board certified serves on the advisory board for CLEAR Alliance, of Synergy Health Consulting, as well as Synergy’s Center, a FQHC integrated primary care clinic in in Family Medicine as well as Addiction Medicine. a statewide coalition, which focuses on reducing Project Lead for the Oregon Health Authority’s rural Oregon, where she specializes in work with He was the founding physician and Medical and preventing youth substance abuse and Prescription Drug Overdose Prevention Project. patients with trauma history and chronic pain. Director of the Siskiyou Community Health Center MHACBO CERTIFIED NURSE MIDWIFE impaired driving through fact-based education in Nadejda is a practice facilitator within health She is passionate about how undiagnosed, and in Josephine County, and worked for La Clinica All conference sessions are MHACBO approved. See below for The American College of Nurse Midwives has granted reciprocity status Oregon. Pam’s leadership has also taken her to the systems around the State of Oregon and provides therefore untreated, trauma has lifelong, negative in Jackson County during its founding years. He national level, where she is part of Facing Addiction technical assistance to clinics that are focusing effects on people. She is equally passionate served as the Medical Director of Allied Health credit hours. for AMA PRA Category 1 Credit ™ issued by providers accredited by with NCADD’s action and affiliate networks. Most QI efforts around safe opiate prescribing, MAT about how treatable trauma is and how resilient Services, providing Medication Assisted Therapy the ACCME and relevant to midwifery. recently, Pam has co-founded two organizations: program development, and behavioral health people are when barriers to healing are removed. from 1990-2017. He has been the Medical the Oregon Recovery High School Initiative, and integration. Over the past twelve years, she Her training includes completion of Level I Director and Health Officer for Jackson County CONTINUING MEDICAL EDUCATION CREDIT LICENSED SOCIAL WORKERS Family Inspired Recovery (FIR) an Alternative Peer has worked in private practice, as a behavioral trauma specific Sensorimotor Psychotherapy. since 2002. Dr. Shames has been instrumental in Group (APG) model. Pam feels these organizations health provider in two Federally Qualified Health She has worked in medical education, emergency the formation of Oregon Pain Guidance. In 2012 This activity has been planned and implemented in accordance with The Oregon Board of Licensed Social Workers accepts AMA PRA are her highest recovery calling thus far. Centers in Oregon, and as a consultant with departments, hospice, addiction services, Dr. Shames was awarded the Doctor–Citizen of the the accreditation requirements and policies of the Accreditation Council Category 1 Credit ™ for continuing education requirements. Oregon’s coordinated care organizations and private doctor’s offices, and intermediate care Year Award by the Oregon Medical Association for for Continuing Medical Education through the joint providership of St. JULIA PINKSY the Oregon Health Authority supporting efforts in facilities. She earned her MSW from University this work. Currently Dr. Shames is a consultant for Many other disciplines such as researchers, PharmD’s, occupational Julia Pinsky founded Max’s Mission in 2016 after addressing the opioid epidemic throughout the of North Dakota, MA in Education from Princeton OHA and the Oregon Medical Board and is Health Charles Health System and Lines for Life. St. Charles Health System therapists, physical therapists and anes-techs request credit memos the opioid overdose death of her son Max in state. Nadejda offers technical assistance and Theological Seminary, and BA in Psychology from Officer for Jackson County. In his spare time, Dr. is accredited by the Oregon Medical Association to provide continuing for re-licensure or recertification if applicable. Many societies and 2013. “I needed to do something,” says Julia, not practice facilitation to clinics developing clinical Queens University. Oregon is the eighth state that Shames enjoys traveling the world, photography, medical education for physicians. St. Charles Health System designates only as therapy but to face the increasing news pathways for addressing long-term opioid use, she has called home, but her accent remains from gardening, and spending time with his family. credentialing bodies accept the AMA PRA Category 1 Credit ™ as about overdose deaths in Southern Oregon. Her pain management, and integrated behavioral her growing up years in metro Atlanta. this Live Activity for a maximum of 16 AMA PRA Category 1 Credits ™. an equivalent, as long as the topic is relevant to the applicant’s field research led her to discover naloxone which was health programs within primary care. Her doctoral SAMANTHA SLAUGHTER- Physicians should claim only the credit commensurate with the extent of or discipline. not readily available in Southern Oregon and out research focused on understanding the barriers JONATHAN ROBBINS, MD, MS MASON, MPH their participation in the activity. of that quest connected with Dr. Jim Shames and to implementing changes in opioid prescribing Jonathan Robbins MD MS is an Assistant Professor Ms. Slaughter-Mason graduated from the the naloxone support group part of Oregon Pain practices. in the Division of General Internal Medicine and University of Southern California with a degree in If you have doubts whether an activity will qualify for CE, contact your Guidance. Since then Julia and Max’s Mission have Geriatrics at OHSU. In addition to managing a psychology and minor in health communication, professional board prior to registering for the course. become recognized as a community leader in free KATHERINE R. REESE, PHARMD primary care panel, he coordinates the Chronic then received her Master’s in Public Health naloxone distribution, training and information Katie Reese earned her PharmD at Oregon State Pain and Opioid ECHO and teaches widely within from Oregon State University, with an emphasis and have been key to naloxone awareness University in 2007 and is a Board-Certified OHSU and around the state on pain, addiction, in international health. Ms. Slaughter-Mason is throughout Southern Oregon. Over the last 3 Geriatric Pharmacist. Since 2009 Katie has been and opioid management in primary care. currently a PhD student in Health Systems and Wednesday, May 29, 2019 years Max’s Mission’s meetings have trained over in her current role as a clinical pharmacy specialist Policy at the Oregon Health & Science University- 2000 participants and have distributed over 2500 at Kaiser Permanente Northwest (KPNW). At BRYAN SCHWARTZ, MD Portland State University School of Public Health. PRECONFERENCE free doses of naloxone to friends and families at KPNW, Katie’s primary role is as Pharmacist Bryan Schwartz, MD is Board certified in Internal Her research focuses on state medical cannabis MDS & DOS • Learning Lab: The Art of Compassionate Tapering; risk as well as agencies, community groups, law in Charge to the pain management pharmacy Medicine and Addiction Medicine. He was born policy and the implications for health care. In Oregon, physicians must earn 60 hours of CME over the course of • Understanding How to Explain Pain enforcement and emergency responders. specialists on the STORM (Support Team Onsite and raised in Oregon and did his medical training two years (OAR 847-008-0070) AMA PRA Category 1 Credit ™ or Resource for Management of Pain) Team. She also in New York. In 2015, along with his father ANNA STEEVES-REECE, MPH • Understanding the Importance of Tribal Relations JUSTINE POPE, MPH co-facilitates KPNW Pain Clinic multidisciplinary Benjamin Schwartz, MD, Bryan started Recovery Anna Steeves-Reece is a Research Associate equivalent. Total: 3.75 AMA PRA Category 1 Credits ™ Justine Pope is the Program Manager for pain management groups and assists in a Works NW, an outpatient chemical dependency with the Oregon Rural Practice-based Research Wheelhouse, which is an inter-agency effort to communication workshop for physicians focused clinic with a focus on Medication-Assisted Network at OHSU. She earned master’s degrees in NURSE PRACTITIONERS AND REGISTERED NURSES increase access to medication assisted treatment on having difficult conversations around pain Treatment. He now serves as the Chief Medical Public Health and Latin American Studies from the • Buprenorphine Wavier Training in the Tri-County Area. A former farmer, she management. As part of her passion for geriatric Officer. University of Arizona and is now a doctoral student For the purpose of recertification, the American Nurses Credentialing Total: 4.25 AMA PRA Category 1 Credits ™ received her Master of Public Health from the medicine, Katie is assisting with a pilot project in Community Health at the OHSU-PSU School of Center accepts AMA PRA Category 1 Credit ™ issued by organizations OHSU-PSU School of Public Health. She has a for Palliative Care, assisting with pharmacist chart AMIT SHAH, MD Public Health. Her research has focused on maternal/ accredited by the ACCME (Accreditation Council for Continuing Medical research background in health communications reviews on all new admissions, and she serves Dr. Shah is currently Chief Medical Officer at Care child health, rural health, and health equity. • Treating Persistent Pain: What Mental Health Professionals and messaging, and a deep commitment to as a backup for the regional Death with Dignity Oregon. He previously served as Senior Medical Education). Need to Know systems design to address the opioid epidemic. pharmacist. Director of Network Services at CareOregon, NORA STERN, PT, MS PT Total: 7.5 AMA PRA Category 1 Credits ™ Medical Director of Neighborhood Health Center, Nora Stern, PT, MS PT, is a pain educator and For the purposes of re-licensure, the Oregon State Board of Nursing SHARNA PRASAD, PT, TPS, MBSR SHERIFF MICHAEL REESE and Medical Director at the Multnomah County physical therapist with 20+ years of experience Sharna is a PT with 32 years of clinical experience Sheriff Reese started his career in 1989 as a Health Department. He also served as a board in complex pain. She is clinical program manager accepts AMA PRA Category 1 Credit ™ for attendance at structured Wednesday, May 29, 2019 in treating Chronic Pain. She currently co-leads Deputy Sheriff with the Multnomah County Sheriff’s member of Care Oregon and Northwest Regional for Comprehensive Pain Service at Providence learning activities offered by organizations accredited by the ACCME. CONFERENCE the MMAPS program at Lebanon Community Office. He transferred to the Portland Police Primary Care Association. He currently serves Oregon in Portland, and Chair of the Oregon (OAR 851-050-0142). St. Charles Health System is accredited by Hospital. She is enrolled in the tDPT program Bureau in 1994 and retired in 2015. He came as a board member of Quality Corporation and State Pain Management Commission (OSPMC). Total: 3.0 AMA PRA Category 1 Credits ™ and has completed the TPS (Therapeutic Pain out of retirement to serve as the interim director Jefferson Health Information Exchange. He is also Nora co-authored the second and third edition the Oregon Medical Association (OMA), which is recognized by ACCME Specialist) Program. She is a teacher in training of the Citizen’s Crime Commission, before he on Oregon HIMSS advisory board. He is Board of the OSPMC’s online module, “Changing the as an accreditor of CME providers in Oregon. The OMA’s system of Thursday, May 30, 2019 for MBSR (Mindfulness-Based Stress Reduction). was sworn-in as sheriff in 2016. Sheriff Reese is Certified in Family Medicine and received his Conversation about Pain,” and was creator of the accreditation is equivalent to that of ACCME’s national system. She has presented at the OPTA conference and committed to improving County-wide public safety Oregon State Medical License in June 2000. Dr. Providence Pain Toolkit and classes at Providence CONFERENCE Kaiser Permanente Rehab Day. She is an invited and health issues such as gang and gun violence, Shah has also been a member of the American Health and Services. Nora has trained clinicians Total: 5.5 AMA PRA Category 1 Credits ™ presenter at the 2019 San Diego Pain Summit. drug addiction, homelessness and reducing the Academy of Family Physicians since 1994. Dr. across disciplines within Providence Oregon, in PHYSICIAN ASSISTANT She is currently creating a curriculum for high number of mentally ill people incarcerated in our Shah is fluent in Spanish and enjoys hiking, addition to state-, national- and international- schools on opioid misuse, pain awareness and local jails. Mike has a BS in Psychology and an running, traveling, and everything about his 3 kids. level presentations. Nora now treats at Providence The National Commission on Certification of Physician Assistants Friday, May 31, 2019 healthy self-care skills. She is a co-founder of Executive Master of Public Administration from Comprehensive Pain Services, a multidisciplinary (NCCPA) states that the AMA PRA Category 1 Credits ™ are CONFERENCE Mid-Valley Pain Alliance. Her belief is transforming Portland State University. He lives in Portland pain service focused on cost reduction for the full- acceptable for continuing medical education requirements for Total: 3 AMA PRA Category 1 Credits ™ society (education) by optimizing movement with his wife Cindy where they raised their three risk population of Providence-insured Medicaid and recertification. (empowerment) to improve the human experience daughters. They enjoy spending as much time on Medicare patients. She is committed to improving (empathy). their sailboat as possible. clinical understanding of pain across disciplines and to helping the public to rethink pain. 4 | 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment | 21
Highlights opioid use, prescribing policies, and heroin- Caroline Cruz SAFINA KOREISHI, MD, MPH MICHELLE MARIKOS, PPS ALICE MOLLO-CHRISTENSEN, Safina Koreishi MD, MPH is the Medical Director related outcomes; a project with Boston Medical Michelle Marikos is a Certified Peer Support CADCII Confederated Tribes of Warm Springs, of Columbia Pacific CCO. She is also an adjunct Center to develop and evaluate a medical provider Specialist that has lived with chronic pain since Alice Mollo-Christensen currently works as the Health and Human Services Director associate professor of Family Medicine at OHSU course on prescription opioids in pregnancy; and a 2003; She attended the Mayo Clinic’s Pain Program Manager for Recovery Works NW at their and sees patients at OHSU Scappoose clinic. study of the impact of an Oregon Medicaid policy Rehabilitation Clinic (PRC) in 2012. Though the Portland location. She has worked in a variety of As the Health and Human Services General intended to reduce the use of opioids to treat back Dr. Koreishi completed the Clinical Innovations Fellowship through the Oregon Health Authority in pain and increase access to nonpharmacological PRC program she was able to taper from high dose opioids and benzodiazepines. Michelle medication assisted treatment (MAT) programs including daily dispense, MAT in primary care, and Wednesday, May 29, 2019 | 8:00 – 12:00 p.m. + 3:00 - 4:30 P.M. Manager for the Confederated tribes of Warm Springs, Ms. Cruz provides leadership, 2016. She is board certified in both family and therapies. became an Oregon Pain Guidance (OPG) Steering MAT in the outpatient setting. She has worked Thursday, May 30, 2019 | 10:00 – 11:30 a.m. management and vision to the Branch. In preventive medicine and has spent her career Committee member in the Fall of 2012, worked as an addiction counselor and done program practicing family medicine and providing clinical PAUL LEWIS, MD, MPH on the Southern Oregon Pain Conference planning development and coordination in these different Friday, May 31, 2019 | 8:00 – 9:30 a.m. this role, she leads, evaluates, develops and leadership in safety-net clinics. She has a passion Dr. Lewis joined the OHSU Pediatrics faculty team 2014-2017 and Became a Certified Peer settings. implements plans to enhance the health for public health, underserved medicine, serving in 1996, where he launched the region’s first Support Specialist (PSS) in May 2013. Oregon and welfare of the community members. pediatric HIV clinic. In 1997 he became the OHSU JOHN MUENCH, MD Tribal Workshops the community, and improving/transforming the Pain Guidance media campaign advisor and Throughout her career, Ms. Cruz has served in systems of care for patients as well as for those hospital epidemiologist, beginning a pivot toward participant in media campaign that won an EMMY. Dr. John Muench attended college at the University many professional positions. She worked for the who work within it. population health. He joined the Oregon Public Currently working with New Pathways Program as of Notre Dame and graduated from Wayne State Department of Human Services Addictions and Health Division in 2004 to work on bioterrorism Siskiyou Community Health in Grants Pass, Oregon, University School of Medicine in 1989. He clinician education, communicable disease We are pleased to feature workshops with a tribal focus Mental Health Branch for 21.5 years, serving in KRISTEN LACIJAN-DREW, MS, MPH 2018 – 2019 OHA Change Advisory Team Fall of received a Master in Public Health degree from numerous roles. Ms. Cruz is a former Deputy Kristen Lacijan-Drew, MS, MPH, is a Quality epidemiology and pandemic flu planning. In 2008, 2018 Spring 2019 OHSU Faculty for the persistent OHSU in 2000 studying diabetes epidemiology at the 2019 OPAT Conference. These workshops include: he moved to local public health to work under Sheriff for Santa Clara County, CA and worked Improvement Analyst at Health Share of pain ECHO project. 2019 Member of the Opioid in Oregon. He has been a faculty member in the Understanding the Importance of Tribal Relationships, Tribal Best Gary Oxman as the health officer for Washington in a housing project with underserved youth. Oregon. She leads Health Share’s performance Tapering Taskforce. OHSU Department of Family Medicine since 1995, improvement projects, including the two related and Clackamas Counties. In 2014, he became serving as Director of Behavioral Medicine for Practices, and Implementing an Integrated Medication-Assisted She has experience in Community Prevention, to reducing opioids prescribing and expanding the Multnomah and TriCounty Health Officer. He DENNIS MCCARTY, PHD the department from 2002 through 2016. He Treatment (MAT) Program at the Siletz Community Health Clinic Community Mobilization, Treatment, Training, MAT services. She brings 15+ years of experience is a practicing pediatrician and a member of the Dennis McCarty, PhD, a Professor Emeritus sees patients and teaches residents at the OHSU Curriculum Development, Grant Writing, and OHSU faculty; he is board certified in Preventive (SCHC). The workshop, Understanding the Importance of Tribal as a program evaluator and data analyst, and in the OHSU-PSU School of Public Health at Richmond Clinic, a community health center in Administration. Ms. Cruz played a key role in she thinks a lot about visualizing health data in Medicine, General Pediatrics and Pediatric Oregon Health & Science University, works at southeast Portland. Relationships, will be offered in a 4-hour format during the being the main author for Oregon Tribal Best understandable ways. She is the co-coordinator Infectious Diseases. His current projects include the intersection of policy, research and practice Preconference and a condensed, 90-minute format during the Practices, developing curriculum for certifying of the Tri-County Opioids Safety Coalition’s data decreasing opioid-related deaths, planning the assessing the organization, financing, and quality RILEY NELSON Caroline M. Cruz EMS system for the next generation, and improving Conference. Workshop descriptions are listed on pages 14-16. prevention specialists, and developing and workgroup. She received her Master of Public of prevention and treatment services for alcohol Riley went through an APG and Recovery High presenting numerous trainings nationally. Health and Master of Science (Agriculture, air quality through health-based regulation. He and drug use disorders. He served as a Principal School featured in the documentary Generation and his wife, obstetrician Ann Scott, nurture three We acknowledge and thank presenters Caroline Cruz, Ms. Cruz received her bachelor’s degree from Food, and the Environment) degrees from Tufts Investigator for the Western States Node of the Found. With 8 years of experience with the University. In her spare time, she can be found teenagers, a variety of animals, and fruit trees in National Drug Abuse Treatment Clinical Trials APG model both as a teen and a facilitator, he Eastern Oregon State College, Certificate of Portland. Confederated Tribes of Warm Springs, Health and Human Public Management Willamette University- Geo. dancing Zumba, chaperoning a high school Network from 2003 to 2018 (UG1 DA015815), understands and relates to the barriers of early robotics tournament, or enjoying time with her wife and for an evaluation of the impacts of Oregon’s recovery as a teenager and seeks to use his Services Director and Julie Johnson, Paiute-Shoshone, Tribal Atkinson Graduate School of Management. and two sons. JANE M. LINCOLN, LCSW Coordinated Care Organizations on prevention and experience to assist others in achieving sobriety. Affairs Director-Oregon Health Authority, for leading two of the Jane Lincoln is a licensed clinical social worker treatment for alcohol and drug use disorders from with 30 years’ experience working with clients workshops. We would like to also thank the Confederated Tribes JUDITH LEAHY, MPH 2012 to 2018 (R33 DA035640). In addition to KEVIN NOVAK, MS Judith Leahy, MPH has been OHA’s Adult Viral and families. She has worked in family counseling, his academic appointments, Dr. McCarty directed As a research assistant at HealthInsight Oregon, Kevin of Siletz Indians for their sharing of knowledge and experience Julie Johnson Hepatitis Prevention Coordinator since 2009. geriatric care management, home hospice social the Massachusetts Bureau of Substance Abuse supports the development and implementation of from a tribal community perspective. Paiute-Shoshone, Tribal Affairs Director-Oregon work, cancer counseling, interactive guided She supports local public health organizations to Services for the Massachusetts Department of many research projects. He has been involved Health Authority prevent, screen and link people with viral hepatitis imagery, and individual psychotherapy. She Public Health (1989 – 1995) and served on the in projects aimed at studying occupational to care. Judith co-leads the Oregon Viral Hepatitis has interest in treating substance use disorder, Oregon Alcohol and Drug Policy Commission health and retention in hospital settings, and in depression, anxiety, and LGBT issues. Jane received Julie is the Tribal Affairs Director for the Oregon Collective, a diverse group of stakeholders working (2009 – 2017). He received a doctorate in social educating patients on chronic pain management. Health Authority, serving for the last two years as to eliminate viral hepatitis using a collective a Bachelor of Arts from Oberlin College in Ohio and psychology from the University of Kentucky. He is experienced with quantitative methods, data Julie Johnson a Master of Social Work from The National Catholic a liaison to Oregon’s Nine Federally Recognized impact model. Before joining OHA, Judith management and analysis, survey design, and worked with two California community-based School of Social Service in Washington, DC. Jane is ANDREW MENDENHALL, MD technical report writing. Kevin’s current interests Tribes, the Urban Indian Health Program, and organizations. Centerforce is a Bay Area non-profit originally from DC, and finds the beauty and quiet Dr. Mendenhall is Board Certified in Addiction include big data analytics, occupational health other organizations serving American Indians that provides a broad range of programs and of Lake County to be refreshing and rejuvenating. Medicine and Family Medicine. He graduated from and well-being, and pain management. Wednesday, May 29, 2019 | 12:45 – 1:00 p.m. and Alaska Natives in Oregon. She is a senior services to people who are incarcerated and family She has grown children, and lives in Paisley with the University of Portland, trained as a medical advisor to the agency director, leadership team her partner, Valerie, and her cat, Moe. She knits SIMON PARKER-SHAMES, MPH KEYNOTE: O members during and following release. Project student and family physician at OHSU and worked and staff. She is an enrolled member of the Ft. Inform was a national non-profit organization and crochets whenever possible. at Providence Health Systems for five years. In Simon Parker-Shames is a Health Informatics pening Remarks McDermitt Paiute-Shoshone Tribe and has four that provided information to people living with partnership with Dr. Paul Conti he co-founded Consultant who provides guidance and coaching daughters who are enrolled members of the HIV and HCV, and advocated for effective HIV SARA LOVE, ND innovative outpatient integrated treatment on EHR tool implementation strategies and data Ellen Rosenblum Dr. Sara Love is currently Sr. Project Manager and Burns Paiute Tribe. Julie has worked with tribal and HCV treatment, quality affordable health care program called HealthWorks NW and continued to collection. He has over ten years of experience Oregon Attorney General Sr. Practice Facilitator for HealthInsight Oregon. people for over two decades. She first came to and medical strategies to prevent new infections. work there after it was acquired by Hazelden. Most working with EHRs, data analysis, and medical IT, Judith was a syringe exchange volunteer early in In this role, she enjoys working with clinics in recently, Dr. Mendenhall worked for CleanSlate with a public health perspective. He has particular OHA as a Tribal Liaison working in Substance the HIV/AIDS epidemic. rural Southern Oregon on a variety of quality Center as the regional medical director for a expertise in simple EHR tools to support opioid A former federal prosecutor and state trial and appellate judge, Ellen Abuse Prevention, Addictions and Mental improvement projects as well as serving as project network of 24 substance use disorder practices management in primary care settings. Rosenblum was first elected to a four-year term as Oregon’s 17th Health. Prior to that she lived and worked on GILLIAN LEICHTLING manager for the Opioid Safety in Older Adults across Massachusetts, Pennsylvania, Connecticut Attorney General in November, 2012 and was re-elected to a second the Burns Paiute Reservation, working to build Gillian Leichtling has 20 years of experience in Special Innovation Project. She is a licensed and several other states. Dr. Mendenhall is a term November 8, 2016. She is the first woman to serve as Oregon a healthier community, and prior to that worked evaluation and research in the areas of substance Naturopathic Physician who was honored to serve passionate clinical and community educator and Attorney General. Her priorities include consumer protection and on the Prescription Drug Monitoring Program- for the Confederated Tribes of Warm Springs as use disorder treatment and prevention. She a 25-year resident of Portland, happy to be of civil rights – advocating for and protecting Oregon’s children, seniors, a Head Start Teacher. Julie is committed to the currently manages a study with Oregon Health Advisory Commission from 2011-2018. service to the community. immigrants and crime victims and those saddled with education-related continued efforts of honoring the government to and Science University to implement peer services debt. Attorney General Rosenblum has been a pioneer in championing constructive solutions to the government relationships and improving health and telehealth in rural counties to increase access opioid crisis and in holding pharmaceutical companies accountable to ensure compliance with state services to Native people. to HCV and HIV testing, harm reduction services, and opioid use disorder treatment. Other projects and federal safety and consumer protection law. include a study with Oregon State University examining the relationship between prescription Attorney General Rosenblum has been active in local and national organizations of lawyers, judges and attorneys general. She has served on the Executive Committee of the National Association of Attorneys General and she is a past Chair of the Conference of Western Attorneys General. She has served as Secretary of the American Bar Association and as Chair of the ABA Section of State & Local Government Law. She co-founded the section’s Attorneys General and Department of Justice Issues Committee (AGDJ). 20 | 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment 2019 Oregon Conference on Opioids + Other Drugs, Pain + Addiction Treatment |5
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