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Improving the Continuum of Care in Alcohol Dependence: Latest Evidence for Counselors and Clinicians

neuroscienceCME Webcast

Premiere Date: Friday, January 18, 2008

This activity offers CE credit for:

  1. Physicians (ACCME/AMA PRA Category 1)
  2. Nurses (CNE)
  3. Pharmacists (ACPE)
  4. Psychologists (APA)
  5. Social Workers (NASW)
  6. Addiction Professionals (NAADAC)


All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Sunday, January 18, 2009
Note: Credit Is No Longer Available

Faculty


Kyle M. Kampman, MDKyle M. Kampman, MD 
Associate Professor, Department of Psychiatry
University of Pennsylvania School of Medicine
Medical Director, University of Pennsylvania Treatment Research Center
Medical Director, Charles O'Brien Center for the Treatment of Addictions
Philadelphia, PA

Gail Kaempf, MSN, CRNPGail Kaempf, MSN, CRNP 
Nursing Services Manager
University of Pennsylvania Treatment Research Center
Philadelphia, PA

Statement of Need

According to a survey by the National Epidemiologic Survey on Alcohol and Related Conditions, approximately 8 million individuals in the United States are alcohol dependent. It is estimated that only 2.4 million individuals received treatment in 2004 for alcohol dependence, and of those in treatment, less than 20% received a medication to assist their quit attempt.(1) Clinicians and counselors continue to struggle with the need to close the gap between the number of people who are alcohol dependent and those who actually receive treatment.(2)

In a study by Anton and colleagues, it was demonstrated that patients who were given a combination of pharmacotherapy and psychosocial treatment were less likely to relapse. Those who did relapse experienced a longer time between relapses.(3) This study demonstrates the underlying impact that neurobiology can have on recovery. Overall, psychosocial interventions target the cortex, the center for decision-making; whereas, pharmacotherapy targets the limbic region, associated with brain reward pathways.

In this evidence-based, interactive format, faculty will explore the integration of pharmacotherapy into current treatment models to optimize patient outcomes. Faculty will also utilize patient case studies as examples to guide counselors and clinicians in the development of individualized treatment strategies.


  1. Williams SH. Medications for treating alcohol dependence. Am Fam Physician 2005;72:1775-1780.
  2. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Substance Dependence, Abuse and Treatment Tables; 2004. Available at: http://oas.samhsa.gov/nsduh/2k4tabs/Sect5peTabs1to99.htm#tab5.49a. Accessed August 28, 2007.
  3. Anton RF, et al. Naltrexone combined with either cognitive behavioral or motivational enhancement therapy for alcohol dependence. J Clin Psychopharmacol 2005;25:349-357.

Activity Goal

To examine the importance of neurobiology in addiction and to identify evidence-based psychosocial intervention and pharmacotherapy management strategies to improve outcomes for patients with alcohol dependence.

Learning Objectives

At the end of this CE activity, participants should be able to:

  • Recognize the importance of neurobiology in addiction.
  • Review the evidence for various psychosocial interventions in patients with alcohol dependence.
  • Discuss the FDA-approved pharmacotherapies for patients with alcohol dependence.
  • Evaluate the evidence for the efficacy of combination pharmacotherapy and psychosocial interventions in patients with alcohol dependence.

Target Audience

Physicians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, addiction professionals, and other healthcare professionals with an interest in managing alcohol dependence.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit (Nurses):
CME Outfitters, LLC, is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned code 6WASUP-PRV-0617. 1.0 contact hours will be awarded upon successful completion.
Note to Nurse Practitioners: The content of this CNE activity pertains to Pharmacology.

CEP Credit (Psychologists):
CME Outfitters is approved by the American Psychological Association to sponsor continuing education for psychologists. CME Outfitters maintains responsibility for this program and its content. (1.0 CE credits)

NASW Credit (Social Workers):
This program was approved by the National Association of Social Workers (provider #886407722) for 1 continuing education contact hour.

NAADAC Credit (Addiction Professionals):
CME Outfitters, LLC, is an approved education provider by NAADAC, the Association for Addiction Professionals. Provider Number 636. This activity is designated for 1.0 contact hour.

CPE Credit (Pharmacists):
ACPE CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Program Number: 376-000-07-019-H01-P

Post-tests, credit request forms, and activity evaluations can be completed online at www.neuroscienceCME.com (click on the Testing/Certification link under the Activities tab - requires free account activation), and participants can print their certificate or statement of credit immediately (70% pass rate required).

Kyle M. Kampman, MD
A board-certified psychiatrist specializing in addiction psychiatry, Dr. Kampman received his medical degree from Tulane University School of Medicine. He interned at the National Naval Medical Center in Bethesda, Maryland, and served as a general medical officer in the Navy until 1990. He completed his residency in psychiatry and fellowship in addiction psychiatry at the University of Pennsylvania.

Currently, Dr. Kampman is Medical Director of the Charles O’Brien Center for the Treatment of Addictions, Associate Professor of Psychiatry, and Medical Director of the Treatment Research Center at the University of Pennsylvania in Philadelphia. His research interests include pharmacotherapy for cocaine dependence and cocaine withdrawal syndrome.

Dr. Kampman and his colleagues at the Treatment Research Center developed a scale that measures cocaine withdrawal symptom severity, the Cocaine Selective Severity Assessment (CSSA). He has written several papers showing that cocaine withdrawal symptom severity, measured by this scale, can predict outcome in cocaine dependence treatment. He has also used this scale to identify a subgroup of cocaine-dependent patients who appear to respond well to medications aimed at reducing cocaine withdrawal symptoms such as amantadine and propranolol.

Dr. Kampman recently completed a successful pilot trial of topiramate for relapse prevention in the treatment of cocaine dependence. Based on the positive results of the pilot study and results from the University of Texas showing topiramate’s efficacy for the treatment alcohol dependence, Dr. Kampman received a grant from NIAAA funding a study of topiramate for alcoholism and comorbid cocaine dependence.

Dr. Kampman currently serves on the editorial board of the Journal of Addiction Medicine and is an active member of the American Society of Addiction Medicine, College on Problems of Drug Dependence, and the Pennsylvania Society of Addiction Medicine. His contributions to the field have been acknowledged by the Scott Mackler Award for Excellence in Substance Abuse Teaching presented by the University of Pennsylvania School of Medicine and the Caron Foundation’s Medical Professional- Physician Award.

Gail Kaempf, MSN, CRNP
Ms. Kaempf is currently the nursing services manager at the University of Pennsylvania Treatment Research Center (TRC). In addition to her management role, she provides direct care for study subjects in addiction clinical studies. Ms. Kaempf has also been a speaker for NAADAC, presenting on pharmacotherapy for alcohol disorders. Prior to her role as a family nurse practitioner, Ms. Kaempf was the perioperative clinical nurse specialist at an urban hospital. She has done extensive lecturing in the field of perioperative nursing and has co-authored several articles.

Christopher W. Shea, MA, CRAT, CAC-AD
Mr. Shea is currently the Clinical Director of Fr. Martin’s Ashley. In this capacity, he oversees all aspects of the treatment program for Ashley, one of the premier residential alcohol and drug rehabilitation facilities in the world. He has been a member of the counseling staff since 2001. Mr. Shea brings 14 years of experience, working in Baltimore City and Baltimore County as a chemical dependency counselor and administrator prior to coming to Ashley. Mr. Shea received his BA in Philosophy (with a concentration in Clinical Psychology) from St. Hyacinth College in MA, and his Masters in Pastoral Studies from the Washington Theological Union in Washington, D.C. In addition, he is State certified as a Chemical Dependency Counselor, Board approved as a Chemical Dependency Supervisor, and Nationally certified as a Rational Addictions Therapists. He also serves as an Adjunct Professor of Chemical Dependence at Baltimore City Community College; sits on various Boards, and is published in the field of Chemical Dependency.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all its CE activities. Faculty must disclose to the participants any significant relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Kampman has disclosed that he receives grants from Alkermes, Inc. He is also on the speakers bureaus of Cephalon, Inc., Forest Pharmaceuticals, Inc., and Reckitt Benckiser PLC.

Ms. Kaempf has no financial relationships to disclose in regard to the products and/or services discussed in this activity.

Mr. Shea has no financial relationships to disclose in regard to the products and/or services discussed in this activity.

Unlabeled Use Disclosure

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

CME Outfitters, LLC, the faculty, Cephalon, Inc., and Alkermes, Inc., do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).

GRV-001-011808-15

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