CCBOAM 14.0
Certificate Course on Basics of Addiction Management
NIMHANS Digital Academy | October 2023 - January 2024
Impact of CCBOAM 14.0
The Challenge: Substance Use Disorders
Substance use disorders (SUDs/Addiction) account for 5.4% of the world's annual disease burden. While tobacco and alcohol have been the major legal substances of abuse in India, there has been a rapid and substantial increase in the use of marijuana, newer drugs of abuse (methamphetamine, LSD) and pharmaceuticals.
Adolescents are experimenting with drugs much earlier, placing them at a higher risk for addiction and related harm. Substance use has a substantial impact not only on the user's physical and mental health, but also has devastating consequences for the family and society at large.
The Treatment Gap: The growing problem of addictions on one hand and lack of trained service providers on the other has led to a huge "treatment gap" up to 75%. There is an urgent need to bridge this treatment gap in this specialized area of public health importance.
About NIMHANS Digital Academy ECHO: Democratizing Knowledge
NIMHANS Digital Academy ECHO uses HUB and SPOKE knowledge-sharing networks, led by expert teams of NIMHANS (an academic center). They use smartphone app multipoint videoconferencing to conduct virtual sessions with community health providers.
Focus of Weekly Sessions
- Case-based learning to understand the complexities
- Following best practices like algorithms, guidelines along with clinical wisdom for knowledge diffusion
- Using technology to leverage scarce resources
- Web-based monitoring for outcomes
These live virtual sessions are accessible through smartphones and are linked to a mobile e-learning certification/accreditation through which learners can access learning materials as well as relevant questions anytime and anywhere.
Proven Impact
In a recent study, 26 primary health care providers could screen 2,695 individuals and identify 832 (30.8%) as Alcohol use disorders. The PCPs reported retaining 49.1% of the cases for at least one follow-up and needed to refer only 80 (3%) cases to specialists in higher centers for further management.
In another study, primary care physicians could provide care to 23,000 patients and rated an average of 4.5/5 on learning through NIMHANS ECHO tele-mentoring model.
Partner Institution
State Drug Dependence Treatment Center (SDDTC)
Institute of Mental Health, Pt. BDS University of Health Sciences, Rohtak
State Drug Dependence Treatment Center (SDDTC), Institute of Mental Health is an apex center for the treatment and training in substance use disorder management in the state of Haryana.
Services & Facilities:
- Both inpatient and outpatient services for SUDs
- Dedicated manpower with consultants in Psychiatry, psychology and social work
- 18 bedded inpatient facilities with recreational, occupational and integrated yoga services
- Training for postgraduate psychiatry, psychiatry social work and nursing students
Partnering with ECHO India and NIMHANS Digital Academy, SDDTC initiated online training for the management of substance use disorders for professionals from different backgrounds in the state of Haryana.
CCBOAM 14.0 Cohort
Course Overview
| Aspect | Details |
|---|---|
| Duration | 30 hours approximately over 4 months (Oct 19, 2023 - Jan 25, 2024) • Weekly Tele-ECHO clinics: 24 hrs • Self-learning and assessment: 6 hrs |
| Schedule | Every Thursday from 2:30 PM to 4:00 PM |
| Target Audience | Medical Doctors (MBBS/MD/MS/DNB), Nurses, Counselors, and Healthcare providers directly involved in patient/client care |
| Capacity | 50 participants (45 enrolled, enrollment closed) |
| Primary Focus | Alcohol Use Disorder (the commonest SUD) |
| Course Fees | Rs. 4,000/- (paid through SBI collect to NIMHANS) Scholarship available on request |
| Recognition | Continued Professional Development Course recognized by NIMHANS Digital Academy Board of Studies Not recognized by NMC/MCI/RCI |
Scholarship Information
If you find it challenging to cover the course fee and require financial assistance in the form of a scholarship, reach out to us via email at vk*@********ns.in. Please include a request for a scholarship and explain how participating in this program will benefit your professional practice.
Weekly Tele-ECHO Clinic Structure (90 minutes)
| Activity | Duration |
|---|---|
| Introduction - Announcements - Updates - Clarification | 10 minutes |
| Recap Quiz | 15 minutes |
| Didactic Session | 15 minutes |
| Q&A on Didactic | 10 minutes |
| Breakout Room Case Presentation | 35 minutes |
| Anonymous Feedback | 5 minutes |
Course Objectives
- Differentiate various factors leading to Addiction/abuse by integrating hereditary, neurobiological and psycho-social factors for a holistic approach
- Incorporate screening and assessment for Alcohol use disorder in practice
- Increase ability to decide safe and appropriate pharmacological agents and psychosocial intervention as per evidence-based practice for AUD
- Decide when to refer the patient to an expert
Core Competencies
What a CCBOAM Certified Champion CAN Do:
- Effectively assess patients for Alcohol Use Disorders
- Detoxify a person with Alcohol Use Disorders (for doctors)
- Provide anti-craving medications for AUD (for doctors)
- Use brief intervention and components of Motivational Interviewing
- Implement relapse prevention strategies
What a CCBOAM Certified Champion CANNOT Do:
- Start specific treatment for Opioid, cocaine, Stimulant use disorders
- Manage patients with addiction and severe mental disorders like psychosis
- Call themselves an Addiction Psychiatrist or psychiatrist
Accreditation Criteria
To receive the Certificate of Accreditation, participants must fulfill ALL of the following criteria:
- Attendance: More than 75% attendance (11/14 live sessions) with >60 minutes video presence for each session
- Case Presentation: One case presentation during weekly live tele-ECHO session
- Assignments: Completion of three e-Assignments with score >75% for each (second attempt allowed for those who take first attempt)
- Patient Reports: Monthly reports of patients seen/evaluated during the course and six months after
- Pre-test and Post-test: Completion of both assessments (no scoring involved)
Important Note: Each assignment has TWO attempts to clear (>75%). Each assignment must be completed within 48 hours of being assigned. There is NO participation certificate.
Digital Tools
Please download on phone for better interface
- Live tele-ECHO: Zoom telehealth ECHO video conference and iECHO.org
- Case record proforma: Jotform (HIPAA compliant)
- E-learning, Assignment, chat and forum: elearn.vknnimhans.in with Android app and iOS app
- Pre-test and post-test: Jotform
- Interaction during VKN ECHO: slido.com
- Feedback: iecho.org
Comprehensive Curriculum
Benefits
- Ready to work with patients with Addiction-related issues
- Focus on Patient-Centric care and Evidence-based Practice in Addiction
- Part of the Addiction Experts Network connected through Addiction-Champions app
- Certificate from NIMHANS Digital Academy VKN CAM upon successful completion
How Course Fees Are Utilized
The fees goes to NIMHANS, Government of India and is NON-refundable. All the fees collected will be utilized for improving the following:
- Information Technology: Providing secured website for eLearning, cloud access and data security with respect to learners-related details
- Learning Management System: For better user interface
- Mobile Platform App: Developing and maintaining mobile applications
- Content Development: Creating and managing educational content
- Program Expansion: Funds are utilized to expand future programs
Contact Information
NIMHANS Digital Academy
Centre for Addiction Medicine, NIMHANS
Email for Suggestions: vk*@********ns.in
Websites:
For more details about experts and team members, visit the Addiction Champion Network
Join the Movement to Bridge the Treatment Gap
Certificate is a by-product of this programme. The core philosophy is democratizing knowledge through case-based learning.
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