Thank you so much to everyone who participated in this year’s conference! Recordings and slides will be posted here in the next few weeks.
Agenda (version date: 20 September 2022)
The 2022 META:PHI Conference has been certified by Continuing Professional Development, Faculty of Medicine, University of Toronto for the following credits:
Jennifer Wyman (Chair) MD CCFP FCFP DABAM MPH
Rachel Alexander BAH
Leslie Buckley MD MPH FRCPC
Christina Henry RN BScN BA
Sean LeBlanc, CAPUD
Leslie Molnar MSW RSW
Lori Regenstreif MSc MD CCFP(AM) MScCH(AMH) FCFP
Josh Richardson RP RPN Psych Cert BAH
Anita Srivastava MD MSc CCFP
Maria Zhang BScPhm, PharmD
| Welcome Kate Hardy, Network Director, META:PHI Meldon Kahan, Medical Director, META:PHIPlenary Supporting First Nations right to health: What is the critical path? Dr. Carol Hopkins OC, Chief Executive Officer, Thunderbird Partnership Foundation |
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| Desperate times call for desperate measures: Breaking the barrier for treatment of OUD using macrodosing & depot buprenorphine Louisa Marion-Bellemare MD CCFP Julie Samson MD CCFP (EM) Timmins District Hospital Opioid Withdrawal Protocol Timmins District Hospital Admission Order Set |
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| Session 3A Opioid agonist treatment and the opioid crisis Meldon Kahan MD CCFP FRCPC |
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| Session 4A Re-imagining philosophies of care: Hiring, training, and mentorship of nurses in CTS Erin Telegdi RN, South Riverdale CHC Lara Small RN, South Riverdale CHC Jessica Arteaga RN, South Riverdale CHC Sushi Rosborough, Overdose Response Worker, South Riverdale CHC |
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| Session 4B STOPS – A journey of grassroots overdose prevention from Northeastern Ontario Karla Ghartey, STOPS Program Crystal Kimewon, STOPS Program Marie Pollock, STOPS Program |
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| Session 5A Medically supported alcohol withdrawal management: Outpatient and detox perspectives David Peterson NP-PHC MSc BNSc BPHE BSc Shawn Dookie NP-PHC RN (EC) BSc MPH |
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| Session 5B Addressing stigma through clinical judgment: Strategies for working with families Oona St-Amant RN PhD Angie Hamilton, Executive Director, Families for Addiction Recovery Brynlea Barbeau MD |
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| Session 6A Downtown east community-led trauma informed overdose response curriculum Seff Pinch, South Riverdale CHC Sunny Sultan, South Riverdale CHC |
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| Session 7A 5 years of treating perinatal substance use disorder at Kingston Health Sciences Centre Adam Newman MD FCFP (AM) CCSAM |
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| Session 7B From grief to advocacy: Family journeys to demanding safe supply, decriminalization and harm reduction Christine Wingate, Ontario Director, Moms Stop the Harm Missy McLean, Ontario Director, Moms Stop the Harm |
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| Session 8A Monthly depot buprenorphine XL: The first 100 patients (London RAAM Clinic) Ken Lee MD MCFP (AM) |
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| Session 8B A rural approach to the opioid crisis Micayla Ahearn MD Victoria Burke, ROCK Outreach Worker Sean Lee-Popham RN, Harm Reduction Lead, Bancroft Community FHT Ellen Buck-McFadyen PhD, Trent University School of Nursing |
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| Session 9A Drug decriminalization Matthew Bonn, Program Manager, CAPUD Sandra Ka Hon Chu, Co-Executive Director, HIV Legal Network |
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| Session 9B The structure, growth, and development of an addiction rural service: An inter-professional multi-regional community-wide approach Connie Foster NP-PHC MSc Katie Hogue NP-PHC |
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| Session 9C Inpatient naloxone kit distribution: Our first steps into hospital-based harm reduction initiatives Michael Roach, NE Ontario Regional Lead, RAAM and AMCT Paola Nikodem, Regional Education and Quality Lead for Addictions Services, Health Sciences North |
Workshop 1
Digging in to buprenorphine: Initiating and managing buprenorphine in ambulatory, ED, and inpatient settings
Katie Dunham BSc Hons BScN MN NP-PHC
Melissa Holowaty PhD MD CCFP (AM)
Robyn Nocilla BScN MSc NP-PHC
Mike Postic MSc NP-Adult
Elizabeth Shouldice MD MPH CCFP (EM) FCFP
Jennifer Wyman MD CCFP FCFP DABAM MPH
Workshop 4
Methadone treatment for people who use fentanyl: Using case discussions to explore the META:PHI guidelines
Lisa Bromley MD CCFP (AM) FCFP
Robin Lennox MD CCFP
Meredith MacKenzie MD BSc CCFP (AM) FCFP
Andrew McLeod
Lori Regenstreif MD CCFP (AM) FCFP MScCH (AMH) CISAM
Anita Srivastava MD MSc CCFP
Thank you to our conference planning committee for their input and expertise in the planning of this event:
Rachel Alexander BAH
Leslie Buckley MD MPH FRCPC
Katie Dunham BSc Hons, BScN, MN, NP-PHC
Kate Hardy MSW RSW
Christina Henry RN BScN BA
Louisa Marion-Bellemare MD CCFP (EM)
Josh Richardson RP RPN Psych Cert BAH
Michael Roach RN MN
Hasan Sheikh MD CCFP (EM) MPA
Jennifer Wyman MD CCFP FCFP DABAM MPH
Maria Zhang BScPhm, PharmD
| Session 1A Methadone treatment in the fentanyl era: New consensus guidelines Meldon Kahan MD CCFP FRCPC Lori Regenstreif MD CCFP (AM) FCFP MScCH (AMH) CISAM |
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| Session 1B Resources and strategies to support vulnerable and marginalized patients in RAAM clinics Christina Henry RN BA BScN |
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| Session 1C Caring for health professionals with SUD Adam Newman MD FCFP (AM) CCSAM Lisa Lefebvre MDCM MPH CCFP (AM) DABAM FASAM CCSAM CMRO Mark Weiss MD MCFP (AM) |
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| Session 2A Co-prescribing for concurrent disorders Valerie Primeau MD FRCPC |
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| Session 2B RAAM innovations (1) Lakeridge opioid navigator Lindsay Reynolds MEd RP (2) The Alex RAAM Jennifer Eyford MSc BSc BN RN |
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| Session 2C Harm reduction for hospitalized patients and people who inject drugs Tali Cahill BScN RN |
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| Panel Innovations in care for people with SUDs during COVID: What can we learn going forward? Moderator: Vincent Lam MD CCFP (AM) ASAM CSAM (1) Working with managed alcohol/managed stimulant programs during COVID Michelle Klaiman MD FRCPC DABAM (2) Virtual care Michael Roach, Regional Lead, Addictions Services, Mental Health and Addictions Programs, Health Sciences North (3) COVID-OAT changes Tara Gomes PhD MHSc |
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| Session 3A Long-acting buprenorphine options Katie Dunham BSc BScN MN NP-PHC Ken Lee MD MCFP (AM) |
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| Session 3B The roles of peer support and lived experience in addiction medicine Josh Richardson RP RPN Psych Cert BA Hons Charles Coke, Peer Support Advocate |
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| Session 3C MI and brief interventions in the addictions setting Julie Henderson MD FRCPC DABAM Leslie Molnar MSW RSW |
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| Session 4A Case discussions: Managing non-opioid substance use issues Jennifer Wyman MD CCFP FCFP DABAM MPH |
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| Session 4B Family-centred care Angie Hamilton LLB BCL Louise Lemieux White BScN RN |
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| Session 4C Contingency management Melissa Holowaty PhD MD CCFP (AM) |
Thank you to our conference planning committee for their input and expertise in the planning of this event:
Leslie Buckley MD MPH FRCPC
Katie Dunham BSc Hons, BScN, MN, NP-PHC
Kate Hardy MSW RSW
Christina Henry RN BScN BA
Elizabeth Shouldice MD CCFP(EM) FCFP MPH
Jennifer Wyman MD CCFP FCFP DABAM MPH
Maria Zhang BScPhrm, PhmD
Provincial overview and META:PHI supports – Kate Hardy (META:PHI), Sarah Clarke (META:PHI)
Clinical best practices in addiction medicine – Meldon Kahan MD CCFP FRCPC
Knowledge dissemination of addiction skills across clinical settings – Ken Lee MD MCFP(AM), Lori Regenstreif MD CCFP(AM) FCFP MScCH(AMH) CISAM, Jennifer Wyman MD CCFP FCFP DABAM MPH
Engaging community partners: Pilot with the Ontario Provincial Police – John Gorchinsky (OPP)
Engaging community partners: Collaborating with CAS – Ambreen Ladha (Children’s Aid Society of Toronto)
Engaging community partners: Building pathways with social services – Barbara Andrade (City of Toronto)
Management of substance-induced psychosis, depression, and anxiety – Darren Holub MD FRCPC FASAM DABAM CCSAM
Thunder Bay RAAM clinic: Trauma-informed progress – Julia MacArthur (Thunder Bay Counselling), Darcy McWhirter (St. Joseph’s Care Group), Georgina McKinnon (People Advocating for Change through Empowerment), Carleigh Taylor, Dilico Anishinabek Family Care
Making RAAMs accessible: Delivering culturally safe care to Indigenous clients – Sheryl Lindsay (Anishnawbe Health Toronto)
HIV and Hep C: Screening, educating, and referring patients in addiction settings – Courtney Thompson MD FRCPC MSc
Adjunct psychosocial services to RAAM – Leslie Molnar (Women’s College Hospital)
Challenges in OAT treatment in fentanyl users – Anita Srivastava MD MSc CCFP
Transfer of care to PCP letter template (alcohol / opioids)
Initial visit letter template
Discharge letter template
Microdosing
Children’s Aid Society of Toronto: How and why children enter CAS care
Child and Family Services: Reporting child abuse and neglect
FAR services
FAR summer newsletter
Introduction and welcome – Kate Hardy, Sarah Clarke (META:PHI)
Engaging patients in care: Lessons learned from the Ottawa RAAM clinic – Kim Corace, Melanie Willows (The Royal Ottawa Mental Health Centre)
Anishnawbe Health Toronto: Rapid Access to Addiction Medicine – Peter Wynne, Sheryl Lindsay, Leslie Saunders (Anishnawbe Health Toronto)
Considerations when working with women – Lindsay Williams (Breakaway Addiction Services)
Special population considerations: The older adult – Marilyn White-Campbell (Reconnect Community Mental Health Services)
Approaches for working with adolescents and youth who use alcohol and drugs – Sharon Cirone (St. Joseph’s Health Centre)
Substance use in pregnancy: Top 10 tips for working with pregnant women – Suzanne Turner (St. Michael’s Hospital)
Medical and psychosocial management of benzodiazepines, crystal meth, cocaine, and cannabis – Wiplove Lamba (St. Michael’s Hospital)
Engaging communities in the RAAM clinic process – Mike Franklyn, Stephanie Paquette, Paola Folino (Health Sciences North)
Supporting families of those who use substances – Irene Njoroge, Leslie Molnar (META:PHI)
Best practices for RAAM clinics – Meldon Kahan (META:PHI)
Developing community pathways – Camille Keith (META:PHI)
Emergency department care in the RAAM era: A critical partnership – Larry Nijmeh (Lakeridge Health)
Trauma-informed care – Leslie Molnar, Irene Njoroge (META:PHI)
76 Grenville St.
Toronto, ON M5S 1B2
416-323-6400 x7511
Kate Hardy
Network Director
Ontario Ministry of Health
Program Sponsor