For More Information Contact: IAPecho@salud.unm.edu
The Integrated Addictions & Psychiatry (IAP) TeleECHO Clinic was created to expand access to high-quality and effective medical and behavioral treatment for addiction and mental illness in communities throughout New Mexico.
The IAP weekly teleECHO clinic session supports primary care clinicians by presenting them with a knowledge network that helps them identify and treat addiction and psychiatric illnesses in their patients. The clinic includes presentations by specialists and in-depth, case-based presentations by community clinicians for feedback and recommendations.
With a grant from the GE Foundation, Project ECHO is expanding access to mental health services in rural and underserved areas of New Mexico. Through this initiative, family nurse practitioners working in eight community health centers have been recruited by Project ECHO to receive additional training and experience in behavioral health treatment. These family nurse practitioners are paired with community health workers, who have also received specialized training and focused practice experience. The family nurse practitioners will learn to screen for, diagnose, and treat unipolar and bipolar depression, anxiety disorders, post-traumatic stress disorder, psychotic disorders, and addiction to alcohol, opioids, and tobacco. The community health workers will assist with tasks such as screening, conducting brief interventions to improve treatment adherence, basic case management, and health education.
The ECHO IAP program also participates in a number of advocacy projects, including the recent successful effort to approve the Pharmacist Prescriptive Authority of Naloxone Rescue Kit Protocol in New Mexico. This updated rule allows pharmacists to play a vital role in the prevention and treatment of opioid overdose by providing prevention education paired with the prescription of Naloxone Hydrochloride to patients at risk for unintentional overdose from prescription opioids. The ECHO Institute provides education and training to pharmacists to safely and effectively prescribe and dispense Naloxone to patients at risk for opioid overdose.
ECHO IAP Program has increased addiction-treatment expertise in poor, rural areas of New Mexico
Using zip code data from the Center for Substance Abuse Treatment, we tracked the number of buprenorphine-certified physicians per capita in rural zip codes where the population is impoverished and has a high percentage of Hispanics. The number of such physicians in the New Mexico is shown in blue. The ECHO IAP Clinic and ECHO buprenorphine trainings began in late 2005. The graph illustrates that after the start of ECHO IAP, the number of buprenorphine-certified physicians grew more rapidly in these underserved New Mexico zip codes compared with the rest of the country.
IAP Clinic meets every Friday from 12:00 noon – 2:00 p.m.
The American Society of Addiction Medicine National Practice Guideline: For the Use of Medications in the Treatment of Addiction Involving Opioid Use
The goal of the CARS Program is to expand access and improve outcomes of treatment for addiction in New Mexico by training and mentoring paraprofessionals – medical assistants, community health workers, health educators and peer support specialists to provide clinical support, health education and evidence-based behavioral interventions for patients in recovery or seeking treatment for addictions, with a focus on alcohol and opiate addiction.
News and Publications
Dr. Leslie Hayes named one of White House’s “Champions of Change”
On Friday, April 29, the White House recognized ten individuals from across the country as “White House Champions of Change for Advancing Prevention, Treatment, and Recovery” including Dr. Leslie Hayes for her work in Espanola, NM taking care of people with opioid use disorders. WHITE HOUSE Press Release – Champions of Change for Advancing Prevention Treatment and Recovery – Leslie Hayes – April 22 2016 #whitehouse (April 22, 2016)
Integrated Addictions and Psychiatry Team publish First Article in Substance Abuse
Miriam Komaromy MD, Dan Duhigg MBA, DO, Adam Metcalf LISW, Cristina Carlson PMHCNS-BC, Summers Kalishman Phd, Leslie Hayes MD, Tom Burke BS, Karla Thornton MPH, MD & Sanjeev Arora MD published “Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders” in Substance Abuse journal the official publication of the Association for Medical Education and Research in Substance Abuse (AMERSA).
Dr. Komaromy on NPR
Miriam Komaromy, MD, was interviewed by NPR for a story about the prescription drug Suboxone. Read the story and hear the interview (June 26, 2012).
Institute aims to spread Project ECHO care model
Family Practice News, June 24, 2013
ECHO Access program trains nurse practitioners and community health workers to provide mental health and substance abuse diagnosis and treatment to rural sites around New Mexico.
Link to the news
Project ECHO Launches National Institute to Spread Transformative Care Model; Embarks On Initiative With GE Foundation to Expand Mental Health Care Access RWJF, June 14, 2013
The Robert Wood Johnson Foundation (RWJF), the GE Foundation, and the University of New Mexico Health Sciences Center today announced a new national institute focused on replicating Project ECHO and launched an innovative mental health clinic that could serve as a model for expanding access to mental health care across the country.
Link to the news
Project ECHO: a model for expanding access to addiction treatment in a rural state(9/12/10)
Link to the file
Prescription Overdose Deaths in New Mexico
Link to the news
Michael Landen, MD, MPH
Forms and Information Sheets
- IAP Case Presentation Form
- Presenter Disclosure Form
- Contract for Patients on Patient Assistance Program
- ECFH Suboxone Start
- ECFH Suboxone Initial Visit
- ECFH Suboxone Follow-up
- HCH Buprenorphone (Suboxone) Treatment Agreement
- IAP Case Presentation Form
- Instructions for Starting Buprenorphine Outside of Clinic
- Instructions for Starting Buprenorphone (Suboxone) at Home
- Medications for Patients on Suboxone
- Office Buprenorphine Naloxone Log
- Opioid Withdrawal Record (Induction form)
- Patient Education: Pain on Suboxone
- Sample Dosing Guide
- Side Effects and Drug Interactions when taking Buprenorphone (Suboxone)
- Treating Pain in Patients with Suboxone
Below are the ECHO ACCESS treatment guidelines. Please ensure that you are using the current version. Please seek assistance from a specialist when you are unsure of what steps to take. Do not surpass your scope of practive.
- Alcohol Abuse and Addiction Management Protocol
- Anxiety Disorders Treatment Protocol
- Attention Deficit Hyperactivity Disorder Management Guideline
- Bipolar Disorder Treatment Guideline
- Eating Disorder Treatment Protocol
- Opioid Abuse and Addiction Management Protocol
- Schizophrenia Management Protocol
- Tobacco Cessation Treatment Guideline
- Unipolar Depression Management Protocol
The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Time to administer the MoCA is approximately 10 minutes. The total possible score is 30 points; a score of 26 or above is considered normal.
- Clinical Opiate Withdrawal Scale
- WHODAS World Health Organization Disability Assessment
- AUDIT Alcohol Screening Tool
- AUDIT Guidelines for Use in Primary Care
- Happiness Scale : A tool to estimate current happiness with life (From the Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach)
- Decisional Balance.
List of Pharmacies that carry Narcan
How to prescribe naloxone (Narcan) for overdose rescue:
Write for a nalaoxone nasal rescue kit. Naloxone 2 mg/ml leur-lock prefilled syringe with a leur-lock nasal atomizing device. #2/kit, 1 refill.
Sig: Spray 1 ml in each nostril prn signs of opioid overdose. Repeat after 3 min if no or minimal response.
- All of the UNM outpatient clinic pharmacies
- Highland Pharmacy, 717 Encino Pl. NE, Albuquerque, NM 87102 (505) 243-3777
- Walgreen’s Pharmacy# 6587, 9700 Menaul Blvd. NE, Albuquerque, NM 87112 (505) 299-9541
- Walgreen’s Pharmacy# 3366, 3400 Coors NW, Albuquerque, NM 87120 (505) 836-4111
- Smith’s Food and Drug Store #571, 1601 Arenal SW, Albuquerque, NM 87105 (505) 877-4542
- Kare Drug Pharmacy, 100-A N Church St, Bloomfield, NM 87413 (505) 632-3324
- Southwest Pharmacy, 2402 W Pierce St Ste 1A, Carlsbad, NM 88220 (575) 887-6611
- Advanced Medication Management Systems, 2402 W Pierce St Ste 2B, Carlsbad, NM 88220 (575) 885-2979
- Walgreen’s Pharmacy# 5157, 1115 N. Riverside DR., Espanola, NM 87532 (505) 753-7005
- Primm Drug, 700 N Union Ave, Roswell, NM 88201 (575) 622-6571
- Farmers Uptown Pharmacy, 2810 N Main St, Roswell, NM 88201 (575) 623-0830
- Walgreen’s Pharmacy# 5350, 1835 N. Main St., Roswell, NM 88201 (575) 624-0423
- Walgreen’s Pharmacy# 3934, 3298 Cerrillos Rd., Santa Fe, NM 87507 (505) 474-3507
- Nambe Drugs, 70 Cities of Gold Rd, Pojoaque, NM 87506 (505) 455-2256
- Medicap Pharmacy, 2801 Rodeo Rd Ste A1, Santa Fe, NM 87505 (505) 471-6177
- Signature Consult, 1421 Luisa St, Ste. I, Santa Fe, NM 87505 – Frances Lovett –
prescribing only and appointment only and then she will refer them to Nambe (505) 795-7953
- Walgreen’s Pharmacy# 12751, 811 Paseo Del Pueblo Sur, Taos, NM 87571 (575) 758-1704
Substance Abuse Helpline: Please call (505) 277-4505 or 1-855-505-4505 (statewide) if you or someone you love is struggling with substance abuse issues. A Substance Abuse Specialist is available from 5:00pm-9:00pm Mon-Fri. This line is sponsored by the City of Albuquerque and Agora Crisis Center. The expansion and continued funding of this line will be determined based on usage so please refer people to this number whenever possible and advertise to all of your contacts and support networks
- NIAAA Medication Guide for Alcohol 2015
- SAMHSA Pocket Guide for Alcohol Treatment 2015
- SAMHSA Guide on Alcohol Use Disorder 2015
- Harm-Reduction/Syringe Exchange Resources & Other Useful Services (Particularly for HIV+ Patients)
- SMART Recovery
- Milagro Outpatient Clinic: (Program for pregnant women with substance abuse/addiction issues)
- National Alliance on Mental Illness (NAMI) of New Mexico
- UNM Addiction and Substance Abuse Programs (ASAP)
- Substance Abuse in College
- Prescription Drug Abuse: Strategies to Stop the Epidemic
- Faces and Voices of Recovery site
- AGORA Crisis Center/Hotline
In Albuquerque: 505-277-3013, New Mexico outside of Albuquerque: 866-HELP-1-NM (they also have Suicide Hotline, Domestic Violence hotline and resources)
- AHRQ Alcohol Misuse Drug Therapy Report
PALS: The UNM Physician Access Line Service (PALS), is a consultation and referral service for medical providers. Albuquerque number: (505)272-2000, tollfree: 888-866-7257
Prescription Monitoring Program (PMP), New Mexico Board of Pharmacy: The New Mexico Prescription Monitoring Program (PMP) accumulates Schedule II-V controlled substance prescription and dispensing information into a restricted access online database in order to meet its mission to reduce the diversion of these controlled substances while serving as a valuable tool for legitimate medical practice and patient care.
- Suicide Prevention for Students
- Rethinking Drinking Assessment for Alcohol Use Disorders
- Certificate of Evaluation
- DSM-5 Diagnostic and Statistical Manual of Mental Disorders, Edition 5
- The New Mexico Coalition Against Domestic Violence
- Depression and Bipolar Support Alliance (national, with local links)
- GriefNet.org: An internet community of persons dealing with grief, death and major loss
- National Suicide Prevention Lifeline 1 (800) 273-TALK
- Common Bond (LGBT Resources in New Mexico)
- Transgender Resource Center of New Mexico