OasisLMS

Culture refers to the shared beliefs, behaviors, and expectations that shape how clinicians understand and treat patients. It emerges through repeated interactions and the development of common practices within treatment settings. Addiction treatment, however, has deep historical roots in social control and crime prevention. This legacy has produced expectations and routines that often reflect criminal‑justice logic and carceral architecture rather than patient‑centered, evidence‑based care. Within this framework, clinicians may struggle to recognize patient needs, progress, and autonomy.

This lecture will examine the historical foundations of opioid use disorder treatment and highlight treatment conventions that diverge from modern evidence‑based, patient‑centered practice.

At the conclusion of this seminar, attendees should be able to:

1. Review the history of medication treatment for Opioid Use Disorder in the United States.
2. Recognize carceral architecture and criminal justice logic embedded in modern addiction treatment.
3. Implement patient-centered medical practices when treating Opioid Use Disorder.

• Help is here! The Opioid Response Network (ORN) is your resource for no-cost education, training and consultation to enhance efforts addressing opioid and stimulant use disorders.
• ORN has consultants in every state and territory to deploy across prevention, treatment, recovery and overdose prevention.
• Share your needs via the “Submit a Request” form at www.OpioidResponseNetwork.org. Within one business day, your regional point person will be in touch to learn more.

Jon Lepley, DO Jon Lepley is a family physician with over 20 years of experience treating addiction in primary care, addiction treatment facilities, and correctional institutions. In 2018, he spearheaded the implementation of buprenorphine treatment for all patients with opioid use disorder in the Philadelphia jail system, regardless of their treatment status at the time of entry. He then transitioned to the University of Pennsylvania Health System and served six years as the medical director of addiction medicine at Lancaster General Health. Currently, he treats addiction as a family medicine physician in Lancaster County, Pennsylvania. Dr. Lepley is a past president of the American Osteopathic Academy of Addiction Medicine (AOAAM) and serves as a trustee for the Foundation of the Pennsylvania Medical Society.

ACCREDITATION: 
In support of improving patient care, American Academy of Addiction Psychiatry 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.

DISCLOSURE AND CONFLICT OF INTEREST RESOLUTION:
All conflicts of interest of any individual(s) in a position to control the content of this CME activity will be identified and resolved prior to this educational activity being provided. Disclosure about provider and faculty relationships, or the lack thereof, will be provided to learners.

Funding for this initiative was made possible (in part) by grant no. 1H79TI088037 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.