Phar 6249: , Substance Abuse, and Chemical Dependency Course Syllabus

Table of Contents

Meeting Time, Place, Credits Course Instructional Teamh.30j0zll Overview of the courseh.1fob9te Computer/Technology Requirements Course Goals & Objectives Attendance Policy Course Materialsh.1t3h5sf Assessments and Grading Exam Policy Grading Information Detailed Course Outline & Schedule*

Meeting Time, Place, Credits

The class meets Wednesdays from 3:35-5:30 On the TC campus - Weaver-Densford Hall W7-193 On the Duluth campus (via ITV) - Life Sciences Bldg 165

2 credits Course Web Site: https://ay15.moodle.umn.edu/course/view.php?id=1225https://moodle2.umn.edu/ Term: Fall 2016 Dates: September 7th, 2016 - December 16, 2016 Location: Twin Cities/Duluth Target audience: P2 and P3 students

Course Instructional Team

Course Directors

Dan Berkner, Pharm.D. 320-249-1850 [email protected] [email protected]

*Any problems concerning the presentation of this curriculum or any problems related to this course should be directed to the course director. Dr. Berkner will have office hours by appointment. Please call to make arrangements; he will be more than happy to get together with you.

Course Instructors 1

Leo Sioris, Pharm.D. Professor, College of , University of Minnesota, & Senior Toxicologist and CEO, SafetyCall International, PLLC

Dan Berkner, Pharm.D Adjunct Professor, College of Pharmacy, University of Minnesota

Tracy Erfourth, MS Case Manager, Health Professionals Service Program (HPSP)

Kelly Sioris, Pharm.D. Adjunct Assistant Professor, College of Pharmacy, University of Minnesota and Senior Clinical Toxicologist - SafetyCall International, PLLC

Joe Cappello, DEA Officer Diversion Investigator Minneapolis/St. Paul Resident Office

Jim Alexander, RPh Director of PRN Minnesota

Ashley Brown, Pharm.D. Adjunct Assistant Professor, College of Pharmacy, University of Minnesota and Senior Clinical Toxicologist - SafetyCall International, PLLC

Teaching Assistants: None

Overview of the course

Course content: This course serves as an overview of addiction, chemical abuse and chemical dependency and how pharmacists can impact those affected. Topics include prevention, identification, treatment options, clinical aspects of treatment, and an understanding of support systems available for those (patients and co-workers) in recovery.

Course format: Instruction will be lecture based, with some work being required outside the classroom. There will be a midterm and a final exam based on the , and guest lecturers. The final is not comprehensive. For undergraduate courses, one credit is defined as equivalent to an average of three hours of learning effort per week (over a full semester) necessary for an average student to achieve an average grade in the course. We expect at least that much effort from our professional students. In this class you will be asked to do outside activities over and above classroom time.

Prerequisites

2 Must have successfully completed the first year of the professional pharmacy curriculum

Computer/Technology Requirements

The University of Minnesota computer requirements are listed here: ● http://www1.umn.edu/moodle/start/technical.htmlhttp://www1.umn.edu/moodle/start/technical.html

Course Goals & Objectives

Understand the disease of addiction (including Applicable domain & competency Scientific Foundation )

Describe the economic and social impact of addiction in Applicable domain & competency Scientific Foundation our society

Describe the problem of prescribed drug abuse and be Applicable domain & competency Scientific Foundation able to implement prevention techniques in practice.

Understand ways to identify those people with active Applicable domain & competency Scientific Foundation

Make ethical choices with regards to dispensing Applicable domain & competency Scientific Foundation controlled substances and patient care

Describe and understand the pharmacologic and non- Applicable domain & competency Scientific Foundation pharmacologic management and treatment used in various addictions and in chemical dependency.

Become aware of the existing support network for health Applicable domain & competency Scientific Foundation professionals and understand the ways to direct people (or yourself) to get help.

Identify and understand the existing forms of support for Applicable domain & competency Scientific Foundation the recovering individual, including 12-step based help programs and what part health professionals such as pharmacists can do to help.

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Attendance Policy

Students are expected to attend every class for which they are registered. Students are expected to attend classes on the

3 campus where they are enrolled. Attendance will be taken at every class. We expect all students to attend and participate in all classes. If you must miss a class, notify the course director PRIOR TO your absence.

Class participation is expected and we hope to foster an environment that will encourage discussion between instructor and students. Some material will involve emotional topics and discussion of these topics along with case studies is an important aspect to understanding the material.

Course Materials

There is no required textbook. Suggested readings, if applicable, will be provided with each lecture.

Graded Assessments

The following graded assessments will count toward your final grade for this course in the following amounts: # Date Title Assessment Goal Points % of Brief description (required to link to domain) final grade

1 10/12 Mid-term Exam 50 16.7%

2 Before finals Final Exam 50 16.7% week

3 10/12 AA Meetings and Assignment #1 50 16.7%

4 11/16 AA Meetings and Assignment #2 50 16.7%

5 10/19-11/30 Quitting a Habit Participation 50 16.7%

6 ongoing Attendance and Class Participation 50 16.7%

Total Points = 300 100%

There is a required activity of going to two meetings, when this is completed you are to write a short summary of your experience. Papers should include what you thought of the meeting, what was heard there, what role the meeting has in therapy, etc. Be very critical of what you thought of the meetings. See form on the class website. The first AA meeting will be attended and written up by 10/12 and the second by 11/16.

The second writing assignment involves quitting a habit and then writing about your experience. This assignment will start on 10/19 and go through 11/30. See below for more details.

Guidelines for Attending AA or or other 12-step meetings

Required activities of the class are attendance of an AA OPEN meeting and another 12-step based meeting. This meeting may be any meeting open to anyone – Alanon, NA, CA, OA, Adult Children of Alcoholics, GA, etc. The 1st meeting that you attend must be an AA group.

4 Listings of AA open meetings can be found online @ http://www.aaminneapolis.org/ or http://www.aastpaul.org/

For Duluth Students - http://www.area35.org/ (for northern MN and Superior, WI) http://www.minnesotanorth-al-anon.org/default.aspx The Duluth Roundup is on Sept 16-17,2016 – at the DECC – Many opportunities to go meetings a good way to get them done and out of the way! For more information see this website http://www.duluthroundup.org/ . There is a 20$ charge to attend, but this is a great way to get both meetings done and see a large enthusiastic group of recovering people.

The above sites are listed on the following website along with just about every other 12-step or recovery type group available in Minnesota. You can select any 12-step meeting that you can find on this website as long as the attendance is listed as being OPEN only. http://www.minnesotarecovery.info/

There are basically two types of meetings OPEN and CLOSED. OPEN is for anyone who is even remotely interested in their program. CLOSED is only for people who have a desire to stop doing the particular behavior that the program is about – i.e. drinking, , gambling, etc. Please only attend OPEN meetings – most of the meetings you will find in the Twin Cities and Duluth metro areas are OPEN.

All meetings with the ANONYMOUS designation are just that – who you see there, what you hear there – when you leave there – stays there. If asked to introduce yourself – state your first name and that you are a visitor or a friend. If you feel comfortable, tell them why you are attending. Most people attending will be very interested and appreciate that a health professional is taking time to learn about their way of life. Anonymity applies to you as well. If you respect their anonymity – they will respect yours.

If you wish to attend meetings as a small group of people, please only do so at larger meetings (i.e., speaker meetings). If it is a small meeting having a number of students there could be disruptive. I would ask that you limit the amount of people attending the same meeting to 2-3 students. Each meeting will be different; having numerous comparisons will help – as opposed to every student attending one meeting which turns out to be less interesting.

Many meetings allow smoking (less now after the smoking ban) – especially the ones in designated Alano or AA- Clubhouses. When looking for a meeting they are generally noted as being smoking or non-smoking.

You will hear some very personal information and possibly some vulgar language and things that people of the rooms of AA or other meetings will never encounter. Most people will not mind your presence since telling their stories is a vital part of their recovery.

Common practices at meetings: All 12-step recovery programs stress the importance of a Higher Power – hence God will be talked about frequently. This is more of a spiritual conception of God opposed to a religious conception – there will be various prayers used to open and close the meetings – most commonly the serenity prayer to open and the Lord’s prayer to close. If you choose not to participate just remain quiet while these are being said.

Likewise, if there is a reading involving the entire group, you may introduce yourself by first name and that you are a visitor. Then read a paragraph or two following what the people before you are doing. If asked to share something you may also do the same introduce yourself as a visitor and then say “pass”.

If you wish to learn more about the traditions of the meetings pamphlets are usually available at each meeting. Someone there can direct you to ones that may be most helpful for someone who does not understand much about recovery.

You will likely hear slogans and phrases unfamiliar to you that sound corny, but to those in recovery they are very helpful.

5 Most members of these programs will explain to you what they mean if you ask them.

st The writing assignment along with other info about AA meetings will be discussed on the 1 day of class

Quitting a Habit Assignment

This will be a six week assignment starting 10/19 and finishing on 11/30. Each week the writing assignments will be due by midnight on the following days 10/26, 11/2 11/9, 11/16, 11/23 and 11/30. For the 1st week think about some area of your life you wish to improve. It is strongly suggested to try to make this something meaningful to you personally. Think of some area in your life or behavior that causes you unhappiness and then try to come up with a plan to change it. If you currently have a something you or especially others consider a “bad habit” - this would be an excellent place to start.

Each week you will answer a few questions regarding how well you have been able to maintain abstinence from your selected habit or how well you were able to maintain your new good habit that replaces the bad one. The questions were written to be answered with more than yes/no, so please expand on your experience. All of your responses will be kept confidential (HIPPA really doesn’t apply, but I will respect any personal issues that you bring up) and will not be discussed in class – except if you are willing to do so yourself.

Statement on Penalties for Late Work Loss of one point per assignment for each week it is late.

Exam Policy

Exam Policies Instruction will be lecture based, with some work being required outside the classroom. There will be a midterm and a final exam based on the pharmacology, drug therapy and guest lecturers. The final is not comprehensive.

During Exams: · Your working area should be clear of all books, personal organizers, etc.. Exams will be done online and will be open to take for 24 hours the day of the exam. · Once examinations begin, no one is allowed to leave the room (i.e. to go to the restroom, etc.) until they have completed the examination.

Absence from Exam

There will be no make-up exams or any other opportunity to pass the course other than the scheduled exams, unless approval by the instructor is obtained in advance of the examination date. If you are ill or have a family emergency, CALL - don't email- in advance and speak with the instructor or one of the course teaching assistants. Email messages regarding absence from exams will not be accepted as an excused absence.

Grading Information http://www.policy.umn.edu/Policies/Education/Education/GRADINGTRANSCRIPTS.html

6 http://www.policy.umn.edu/Policies/Education/Education/GRADINGTRANSCRIPTS.html http://www.policy.umn.edu/Policies/Education/Education/GRADINGTRANSCRIPTS.html Course Letter Grades Grade Percentage

A 93.0 - 100

A- 90.0 - 92.9

B+ 87.0 - 89.9

B 83.0 - 86.9

B- 80.0 - 82.9

C+ 77.0 - 79.9

C 73.0 - 76.9

C- 70.0 - 72.9

D 60.0 - 69.9

F 0 - 59.9

Statement on Extra Credit Extra credit will sometimes be given on tests.

Minimum Passing Level Per University and College Policy, students who receive a grade below D in this course must successfully repeat the course before advancing to courses which require this course as a prerequisite.

Detailed Course Outline & Schedule*

Class Agenda/Topics Competency/ Activities / Assignments / Total Learning Objective Assessments EST [provide link to course HRS learning objectives]

9/7/16 See website for details

Berkner 3:35-4:25 Introduction

7 Video 4:40-5:30 Pathophysiology and Neurobiology of Addiction

9/14/16

L Sioris 3:35-5:30 Historical Perspectives of Addiction/Intoxication

9/21/16

Berkner 3:35-4:25 Amphetamines/ Cocaine

Berkner 4:40-5:30 OTC Drugs/ Caffeine

9/28/16

Berkner 3:35-4:25 Recognizing Addiction and Treatment

10/5/16

Berkner 3:35-4:25 Opiates/

Berkner 4:40-5:30 Inhalants

10/12/16 First AA meeting assignment due Erfourth 3:35-5:30 HPSP

MIDTERM

10/19/16 Start of Quit a Habit Alexander 3:35-4:25 Intervention assignment

Alexander 4:40-5:30 Suicide

10/26/16 3:35-5:30 Steroids Berkner Case Study/AA Discussions

11/2/16 3:35-5:30 Regulatory and Cappello Law Enforcement Issues

8 11/9/16

TBA Guest speaker

11/16/16 Second AA writing assignment due K Sioris 3:35-5:30 , ,

11/23/16 No Class Happy Thanksgiving!

11/30/16 3:35-5:30 Eating Disorders/ End of quit a habit Discussion time assignment Berkner

12/7/16 3:35-5:30 Marijuana/ Club Drugs Brown

12/12-16 Finals Week

* Subject to change at course instructor’s discretion.

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