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Opioid Use Disorder in a Psychiatric Emergency Room Setting (Archived Webinar)

Activity Type:

  • On Demand

Release Date: 11/17/2015

Expiration Date: 12/31/2020

  • AMA PRA Category 1: 1
  • Participation: 1



Opioid use disorder is a rapidly growing and costly public health problem.  It is associated with consequences in every domain of life, including social, legal, medical and occupational.  It is associated with mortality from overdose, homicide, infectious disease and accidents.  Many patients seeking detox and referral to treatment present to an emergency room as their first contact with the healthcare system.  An emergency room assessment involves appropriately triaging the patient to the appropriate level of care.  The VA Connecticut Healthcare System offers a variety of levels of care and is used to demonstrate examples.  Patients are often deemed appropriate for initiation of buprenorphine in the emergency setting.  This may be beneficial to the patient for both symptom control, short term sobriety and connection to ongoing treatment.

Funding for this initiative was made possible (in part) by grant no. 5U79TI026556-03 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


  • General Member - Free
  • Resident-Fellow Member - Free
  • Medical Student Member - Free
  • Non-Member - Free

Educational Objectives

  1. Explain the various levels of care for triaging the treatment of opioid use disorder.
  2. Describe the induction of buprenorphine in a psychiatric emergency room setting and articulate why it is beneficial.

Target Audience

Physicians who have a waiver to treat opioid dependence in an office-based setting and other interested clinicians

Estimated Time to Complete

Estimated Duration: 1 hour
Program Begin Date: November 17, 2015
Program Review Date: November 1, 2018
Program End Date: December 31, 2020

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 60% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the date of completion and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures


  • Brian S. Fuehrlein, M.D., PhD, Director, Psychiatric Emergency Room, VA Connecticut Healthcare System. Reports no financial relationships with commercial interests

Program Planners

  • Beatrice Eld, Associate Director, Addiction Psychiatry, American Psychiatric Association. Reports no financial relationships with commercial interests
  • John A. Renner, Jr., M.D., Boston University School of Medicine, Director, Addiction Psychiatry Residency Training, Boston University Medical Center and VA Boston Healthcare System. Disclosure: Stock/other financial options: Johnson & Johnson and General Electric.
  • Frances R. Levin, M.D., Kennedy Leavy Professor of Psychiatry at Columbia University Medical Center; Director, Addiction Psychiatry Fellowship, New York Presbyterian Hospital; Director of Clinical and Educational Activities for the Division on Substance Abuse, New York State Psychiatric Institute. Disclosure: Consultant: Major League Baseball, Grant/Research Support: US World Med.

Program Reviewer

  • John A. Renner, Jr., M.D., Boston University School of Medicine, Director, Addiction Psychiatry Residency Training, Boston University Medical Center and VA Boston Healthcare System. Disclosure: Stock/other financial options: Johnson & Johnson and General Electric.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.1+ 
  • Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+ 
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

Windows PC:
500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera

Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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