Conference Online Registration May 30, 2017 Thursday, November 2nd, 2017 – Saturday, November 4th, 2017 Rates increase by $50 on September 1st, 2017 Name* First Last Degree(s)Presenter* Yes No DepartmentOrganizationAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Is this address for:*HomeInstitutionPhone*FaxEmail* Race/Ethnicity (optional)Registration TypeAMERSA Members - $495.00Non-Members -$595.00Sponsored First Time Attendee - MUST be sponsored by an AMERSA member – includes Membership and Registration (please submit membership application) $495.00Non-Sponsored First Time Attendee - $545.00Student (Pre-doctoral, health professional full-time student): letter from registrar confirming status MUST accompany registration form: fax letter to (877) 418-8769 or e-mail to firstname.lastname@example.org or email@example.com - $400.00Award Winner (Best Abstract, Best Workshop, McGovern, Betty Ford, Conference Travel) or Plenary Speaker - $0.00One day attendee - $375.00Name of AMERSA SponsorAre you applying for*No credits - $0.00CE credits for Nurses - $25.00CME credits for Physicians - $125.00CE credits for Counselors - $25.00CE credits for Social Workers - $25.00(cost is not included in conference fee)Total $0.00 Rates increase by $50 on September 1st, 2017 No registration refunds after October 1st, 2017Workshop you plan to attend.Friday, November 3rd, 3:30 - 5:00 pm*Please select ONE workshop to attend1. Get on the TOPCARE/TEACH Train! An Interactive Skills Building Workshop for a Multicomponent Model for Opioid Prescribing Chris W. Shanahan MD, MPH; Jane M. Liebschutz MD, MPH; Donna Beers, MSN, RN-BC, CARN; George Guara RN-ADA; Kristen O'Connor BSN, RN, CARN, ACRNWorkshop Description: Prescription opioid misuse is a national crisis, yet clinical systems struggle to improve adherence to opioid prescribing guidelines. This interactive workshop will train attendees on the key components of the Transforming Opioid Prescribing in Primary Care (TOPCARE) / Targeting Effective Analgesia in Clinics for HIV (TEACH) model. The model is a systems-level intervention that incorporates a nurse care manager, an electronic registry, data-driven academic detailing, and electronic decision tools. Participants will develop strategies to facilitate clinical interventions with patients exhibiting aberrant behaviors, learn how to incorporate audit and feedback into quality improvement of chronic opioid therapy, familiarize themselves with an online resource to improve opioid prescribing, and identify barriers and facilitators to adopting the TOPCARE/TEACH model.2. Developing Addiction Medicine Fellowships for ACGME Accreditation Randall Brown, MD, PhD; Andrew Danzo, BA; Alex Walley MD, MSc; Jeanette Tetrault, MDWorkshop Description: Now that Addiction Medicine is a formally recognized medical subspecialty, fellowship training programs are becoming the cornerstone of the discipline. This workshop is for those interested in learning more about fellowships, with a particular focus on the process for developing a program and applying for accreditation from the ACGME (Accreditation Council for Graduate Medical Education). The interactive session will be guided by leaders from The Addiction Medicine Foundation and the Addiction Medicine Fellowship Directors Association, and ongoing technical assistance will be arranged for those who are interested.3. Becoming an Effective Drug Policy Reform Advocate Julie Netherland, PhDWorkshop Description: Though few clinicians and researchers are trained in how to influence policy, the policy environment has an enormous impact on patient health. Our policies- whether federal, state, or municipal shape everything from the delivery of health care to the patient’s physical and social environment. Drug policy also profoundly impacts health. Physicians arguably have an enormous role to play in shaping these debates and drug policy and by owning the issue could improve outcomes, though they haven’t always done so. Because they are well respected, knowledgeable, highly credentialed, and can speak directly to the impact of policies on their patients, the voices of physicians as policy advocates are both powerful and desperately needed. This workshop will provide participants with information about how drug policy gets made and the unique role of physician and researchers in advancing reform. The workshop will cover: the role of clinicians and researchers in influencing drug policy, strategies for engaging and developing relationships with key policymakers, working with advocacy groups to generate new legislation and/or support existing policy campaigns, using the media to advance reform, and the function of research in a “post-truth,” “alternative facts” policy environment. The workshop will also address how to overcome common obstacles to participating in policy advocacy, including lack of time and institutional incentives for doing so.4. Exploring the link between Black Identity and Mental Health and Using the Screening, Brief Intervention, and Referral To Treatment (SBIRT) Model to Enhance Social Work Practice With Field Education Graduating BSW and MSW Students at Historically Black Colleges and Universities Christopher Solomon MSW; Monique Holsey-Hyman, Ed.D, MSW; S. Lavi DSW, MSSWWorkshop Description: Historically Black Colleges and Universities (HBCUs) have a rich history in utilizing innovative ideas and techniques to educate students of diverse cultural backgrounds. The aim of this workshop is to draw attention to the psychological effects of racial identity on people of color. All the theorists discussed will support the notion a positive racial identity will result in having a healthy psychological and mental functioning. Participants will learn how to incorporate the racial identity theorists, generalist intervention model, and person centered motivational interviewing techniques to teach students of color the knowledge needed to practice strategies with social work students.5. Woohoo! I got my article accepted! Now what? Promoting Your Work After the Paper is Published Adam Gordon, MD, MPH; Marianne Pugatch, MSW, MA, LICSW Workshop Description: This workshop, led by members of the Substance Abuse journal editorial team, is for participants who are seeking to promote their scholarly work after publication. The knowledge and skills gained from this workshop will be of value to new and more experienced authors. A primary outcome is for each participant to leave the workshop with a tailored strategic plan to promote their published work that includes a concise statement regarding the importance of their scholarly work to the lay press. Furthermore, participants will increase their knowledge of how to develop, operationalize and actualize their plan in order to effectively promote their scholarly efforts to media and social media outlets. Participant clinicians, educators and researchers will be equipped with specific strategies and tools to achieve ongoing success in promotion of their scholarly work. Participants should bring a sample of a draft or completed abstract or publication writing sample to this workshop.6. When Less is More: A Practical, Patient-Centered Guide to Tapering Prescription Opioids Scott Steiger, MD; William Becker, MD; Sara Edmond, PhD; Joseph Frank, MD, MPH; Joanna Starrels, MD, MS Workshop Description: Reducing adverse events from opioids often requires limiting or discontinuing opioid therapy, but the situation is complicated. In pain management, high-dose opioid therapy is associated with adverse effects both in individual patients and the community at large. But tapering or discontinuing opioids may lead to patient disengagement, uncomfortable withdrawal symptoms and even risky substance use. Our workshop seeks to reconcile these challenges to help learners build a framework for safe opioid dose reduction through brief literature review, case discussion, and skills practice.I won't attend a workshop this yearFunctions Thursday Morning Continental Breakfast Thursday Evening Welcome Reception & Poster Session Friday Breakfast Meeting Friday Program Planning Luncheon Friday Evening Dinner and Auction Saturday Morning Yoga Session Saturday Breakfast Saturday Business Meeting Please indicate function(s) you plan to attend. Cost is included in registration fee if reserved in advance.Dietary RestrictionsPlease list any of your dietary restrictionsTotal $0.00 Credit Card American ExpressMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle AJAX powered Gravity Forms.