Continuing Education Credits

  • Most ECHO programs offer continuing education credits.

Important note about new DEA training requirements

In late December 2022, the DEA was required to implement a new Substance Use Disorder (SUD) training requirement for all DEA-registered providers; this has replaced the previous X-DEA waiver for buprenorphine prescribing for opioid use disorder.

Per the DEA letter, programs that teach “treatment and management of patients with opioid or other substance use disorders” will fulfill this requirement.

It is our assessment that most of Oregon’s Addiction Medicine ECHO Programs meet all the training requirements towards the 8 hours needed.

Addiction Medicine 2026 - 2027 Programs


Chronic Pain and opioids

Purpose: Helping clinicians and their teams provide enhanced pharmacological and non-pharmacological treatment for chronic pain in medical settings.

Audience: Clinicians (prescribing MD, DO, NP, PA), nurses, social workers, pharmacists, behavioral health specialists, practice managers, and quality improvement specialists.

Sample topics: Pain education; Movement and pacing for chronic pain; Buprenorphine and pain; Recognize, diagnose, and treat mood disorders in; patients with chronic pain; Resiliency.

Schedule: 12 sessions. Tuesdays, 12:00 - 1:00 p.m. PT, January 5 - March 30, 2027

Faculty:

  • Catriona Buist, PsyD, Assistant Professor of Anesthesiology and Perioperative Medicine, OHSU

  • Briana Susteric, MD, Associate Professor of Medicine, Division of General Internal Medicine & Geriatrics Section of AM, OHSU

  • Debra BuffaloBoy, CADCII, PWS, PSS; President of MHACBO board of directors; owner and administrator, Multicultural Consultants Limited; clinical peer supervisor

  • Erin Jobst, DPT, PhD, Associate Professor of Physical Therapy, OSU

 

Co-occuring Mental health and Substance Use Disorders

Purpose: Increasing knowledge and skills in addressing co-occurring mental health and substance use disorders (SUDs).

Audience: Primary care clinicians, behavioral health clinicians, and other medical professionals including nurses, social workers, and peer support specialists working in outpatient primary care and mental health settings

Sample topics: SUDs and Anxiety Disorders; Stimulants-induced Psychosis; Mental Health and Cannabis Use; Use of Motivational Interviewing and Cognitive Behavioral Therapy Strategies in SUDs Care

Schedule: 12 sessions. Wednesdays, 12:00 - 1:00 p.m., PT, January 6 - March 31, 2027

Faculty:

  • Eleasa Sokolski, MD, Assistant Professor of Medicine and Psychiatry, OHSU

  • Heather Starbird, LPC, BHC, Clinical Services and Consultation, Mosaic Community Health

  • Lydia Barthlow, DNP, PMHNP, CARN-AP, FIANN, Assistant Professor of Psychiatry, School of Medicine, Assistant Professor, School of Nursing, OHSU

 

Hepatitis C: Treatment and Elimination

Purpose: Supporting Hepatitis C screening, diagnosis, and treatment in primary care clinics, behavioral health clinics, carceral facilities, and other settings.

Audience: Primary care teams, including prescribing clinicians, nurses, social workers, pharmacists, nurse care managers, behavioral health specialists, administrators, and quality improvement specialists

Sample topics: Diagnosis, screening, and treatment of hepatitis B & C; Prevention of transmission and re-infection; Assessing fibrosis and cirrhosis; Management of decompensated cirrhosis and when to consider liver transplant; Developing community partner networks; Harm reduction

Schedule: 14 sessions. Thursdays, 12:00 - 1:00 p.m. PT, January 7 - April 15, 2027

Faculty

  • Hunter Spencer, DO, Assistant Professor, School of Medicine, OHSU

  • Manida Wungjiranirun, MD, Gastroenterologist and Hepatologist, OHSU

  • HaYoung Ryu, PharmD, Hepatitis C/HIV Pharmacist, OHSU

 

Substance Use disorders in Emergency Departments

Purpose: Improve services provided to people with substance use disorder accessing emergency departments for care. Throughout ECHO, we address clinical care, patient and provider experience, and stigma towards people who use drugs. Interprofessional faculty includes physicians, social workers, and peers.

Audience: ED clinicians (prescribing MD, DO, NP, PA), nurses, social workers, pharmacists, behavioral health specialists, practice managers, and quality improvement specialists are encouraged to register. ED teams are highly encouraged to participate together including prescribers and other care team members.

Sample topics: Reducing stigma and using best practice language for substance use disorder care; Medication for Opioid Use Disorder, including buprenorphine and methadone; Management of precipitated opioid withdrawal; Managing alcohol withdrawal; Methamphetamine Use Disorder; Recovery Peers in emergency departments.

Schedule: 12 sessions. Tuesdays, 12:00 - 1:00 p.m., PT, February 23 – May 18, 2027

Faculty

  • Ulrika Agnew, MD, Emergency Department/ Addiction Medicine Clinician, Astoria Sunnyside Hospital; Boulder Care

  • Beth Williams, AGNP/WJNP, MPH, Harm Reduction & Bridges to Care (HRBR) Clinic, OHSU

  • Shaun Babcock, MSW, Medical Social Worker, OHSU Hillsboro Medical Center

  • Brennan Washburn, CADC-R, CRM I, PSS, Bend Peer Supervisor and Peer Support Specialist, BestCare Treatment Services

 

Substance use disorders in Hospital Care: Beyond the Basics

Purpose: Supporting clinicians and interprofessional teams advance addiction care in hospitals and support the development of sustainable hospital-based addiction care programs.

Audience: Hospital clinicians (prescribing MD, DO, NP, PAs), nurses, social workers, pharmacists, behavioral health specialists, administrators, and quality improvement specialists are encouraged to register and forward to your colleagues and networks. Previous participants in SUD in HC and SUD in ED will be prioritized

Sample topics: Methadone in the era of fentanyl; Emerging substances; 72-hour methadone dispensation; Complicated alcohol withdrawal

Schedule: 12 sessions. Wednesdays, 12:00 - 1:00 p.m. PT, January 13 - March 31, 2027

Faculty:

  • Honora Englander, MD, Professor of Medicine, Director Improving Addiction Care Team (IMPACT), OHSU

  • Emily Skogrand, PharmD, Pharmacist, Improving Addiction Care Team (IMPACT), OHSU

  • Amelia Goff, NP, Assistant Professor of Medicine, Improving Addiction Care Team (IMPACT), OHSU

  • Syrrita Mason, CRMII, PSW, Peer Support Specialist, IMPACT Team, OHSU

 

Substance Use Disorder Prevention and early intervention

Purpose: This ECHO is focused on substance use prevention and early intervention systems in school contexts. Prevention work is complex, interprofessional, and requires strong partnerships. Sessions will exemplify successful models, empower teams to vision together, and assist champions to advance their own prevention efforts.

Audience: School counselors, teachers, coaches, athletic directors, school-based health professionals, school administrators, youth services officers, youth behavioral health professionals, youth peer support, public health professionals, juvenile justice professionals.

Sample topics: Evidence-Based Early Intervention; Universal and Culturally Specific Screening; School-Community Prevention Partnerships; Youth Peer Support Models; Family-Integrated Screening and Early Intervention; Collaboration and Leveraging Cross-Sector Funding.

Schedule: 12 sessions. Alternating Thursdays, 4:00 - 5:00 p.m., PT, January 7 - June 3, 2027

Faculty:

  • Rae Wright, MD, Family Medicine, Addiction Medicine Specialist

  • Jenny Cary, LCSW, Mental and Behavioral Health Coordinator, Hillsboro School District

  • Mike McCart, Ph.D., Senior Research Scientist, Oregon Social Learning Center (OSLC)

  • Ashley Silver, CADC-I, QMHA-II, Case Manager, Assertive Community Treatment (ACT) Team, Jackson County

 

Deflection ECHO

Purpose: The purpose of the Deflection ECHO is to connect Oregon teams to deflection experts, develop core skills for the deflection workforce, and function as a peer-to-peer networking space for Oregon’s deflection programs.

Audience: Deflection coordinators, project managers, case managers, certified recovery peers, law enforcement who interface with deflection teams, prosecutors, deflection SUD treatment partners, deflection community partners.

Program Goals: Showcase models of expanding deflection pathways and impact; Guide quality improvement for deflection programs; Train multidisciplinary staff for effective deflection encounters in the field; Build competency in navigating social services and behavioral health services; Promote awareness of substance use disorder medication treatments; Connect to share resources and success examples.

This ECHO is produced by OHSU’s Deflection Implementation Technical Assistance team in collaboration with the Oregon ECHO Network. This ECHO is funded by the Oregon Criminal Justice Commission to support the Behavioral Health Deflection Grant Program. Go to our comprehensive deflection TA page to access all resources we offer.

Schedule: Second Wednesday of each month, 12:00 - 1:00 p.m., PT, September 9, 2026 - May 12, 2027

Faculty:

  • Dan Hoover, MD, Associate Professor, Deflection Implementation Technical Assistance Director, OHSU

  • Chris Campbell, PhD, Associate Professor, Portland State University, Department of Criminology and Criminal Justice

 

Foundations of Substance Use Disorder care

Purpose: Support clinicians and their teams practicing in primary care clinics and other settings to identify and treat substance use disorders.

Audience: Prescribing clinicians, nurses, social workers, pharmacists, behavioral health clinicians, practice managers, and quality improvement specialists.

Sample topics: Neurobiology and diagnosis of substance use disorders; cannabis use disorder in primary care; chronic pain and opioids; building a sustainable system for SUD treatment.

Schedule: 11 sessions. Wednesdays, 12:00 - 1:00 p.m., Pacific time, September 9 - December 2, 2026

Faculty:

  • Eleasa Sokolski, MD, Assistant Professor of Medicine and Psychiatry, OHSU; Addiction Medicine ECHO Deputy Director

  • Heather Starbird, LPC, Counselor, Mosaic Community Health

 

Substance use disorders in Adolescents

Purpose: Improving care for adolescents with substance use disorder and risky substance use who are treated in primary and pediatric care settings.

Audience: Primary care providers, family medicine providers, pediatricians, nurses, behavioral health counselors, social workers, peers, case managers, pharmacists, care coordinators, administrators, quality improvement specialists, and other interested care team members are encouraged to register and forward to your colleagues and networks

Sample topics: Brains and behaviors; fentanyl and youth; cannabis and vaping; mental health and SUD

Schedule: 12 sessions. Thursdays, 12:00 - 1:00 p.m. Pacifc time, September 17 - December 10, 2026

Faculty:

  • Olivia Rae Wright, MD, Family Medicine, Addiction Medicine Specialist

  • Ana Hilde, MD, MPH, Child and Adolescent Psychiatrist, Great Circle Recovery

  • Becca Paust, LPC, LMHC, ACS, Clinical Supervisor, Haven Counseling Collective

  • Kaleb Gambee, Co-Chair, Oregon Youth Addiction Alliance

 

Substance use disorders in Hospital Care

Purpose: Helping clinical teams build or improve systems of care that effectively treat addiction in hospital settings and emergency departments.

Audience: Hospitalists, physician assistants, nurse practitioners, ED providers, nurses, social workers, peers, case managers, pharmacists, care coordinators, quality improvement specialists, and other interested care team members are encouraged to register and forward to your colleagues and networks.

Sample topics: Medication for opioid use disorders; managing alcohol and methamphetamine use disorders in hospital care; overdose prevention; community SUD treatment settings; acute pain management in patients with SUD; trauma-informed care.

Schedule: 12 sessions. Wednesdays, 12:00 - 1:00 p.m. Pacific time, September 9 - December 2, 2026

Faculty:

  • Honora Englander, MD, Professor of Medicine, Director Improving Addiction Care Team (IMPACT), OHSU

  • Emily Skogrand, PharmD, Pharmacist, Improving Addiction Care Team (IMPACT), OHSU

  • Amelia Goff, NP, Assistant Professor of Medicine, Improving Addiction Care Team (IMPACT), OHSU

  • Kathleen Young, BSN, RN, CARN, Infectious Diseases and Improving Addiction Care Team (IMPACT), OHSU

  • Syrrita Mason, CRMII, PSW, Peer Support Specialist, IMPACT Team, OHSU

 

Substance Use disorders in jails

Purpose: Learn and share emerging best practices in the areas of substance use disorders and foster community among a group of jail administrators and healthcare providers.

Audience: Jail administrators, jail healthcare staff, and community healthcare providers.

Sample topics: Neurobiology and the chronic disease model of SUD; understanding MOUD program design and evidence in corrections; corrections officers in MOUD and SUD services; The Medicaid 1115 Waiver and carceral settings; recovery peers; planning for release.

Schedule: 13 sessions. Second and Fourth Mondays, 12:00 - 1:00 p.m., Pacific time, September 14, 2026 - March 22, 2027

Faculty

  • Daniel Hoover, MD, Assistant Professor of Medicine, OHSU; Addiction Medicine ECHO Director

  • Melanie Menear, MHA, MSN, RN CCHP, Healthcare Administrative Services Manager, Clackamas County Jail

  • Edward Buntin, Lieutenant, Kittitas County Jail

  • Amber Chaney, Operations and Policy Analyst, OHA Reentry Health CareProgram

 

Substance Use Disorder in Pregnancy and postpartum Care

Purpose:  Increase Substance Use Disorder (SUD) identification and treatment for prenatal and perinatal people, with a special focus on opioid use disorder and illicit non-pharmaceutical fentanyl.

Audience: People who work to support pregnant and postpartum people and their families including physicians, nurses including prescribing clinicians, nurses, social workers, pharmacists, nurse care managers, behavioral health specialists, administrators, and quality improvement specialists.

Sample topics: SUD and trauma-informed care in pregnancy; MOUD in pregnancy; developing safe discharge plans; DHS referrals, evaluation, and services; labor analgesia for the patient with OUD, trauma-informed urine drug testing.

Schedule: 12 sessions. Thursdays, Noon - 1 p.m., Pacific time, September 17 - December 10, 2026

Faculty

  • Wendy J. Smith MD, MPH, OB/Gyn and Addiction Medicine, OHSU

  • Josh Reagan, MD, Obstetrics and Family Medicine, Providence

  • Gina Myers, CADC II, CRM, PSS, Counselor, Peer Mentor and Doula, Nurture Oregon

  • Teri Morgan, CADC-II, QMHA-II, Certified Narcan Training Instructor, Program Manager, Addictions Treatment, Marion County Health & Human Services

 

Communities of Practice

Addiction Medicine communities of practice are designed for those who have attended Addiction Medicine ECHO programs to come together and present their challenging cases for a facilitated discussion in an informal setting. These programs meet monthly and do not offer didactic presentations; they are 100% case-based. Learners receive CME credits for attendance.


Addiction Medicine Community of Practice

Audience: Primary care clinicians, hospital clinicians, pediatricians treating adolescents, clinicians treating pregnancy, jail healthcare personnel, and other healthcare professionals. Recommended for graduates of Foundations of Substance Use Disorder Care I and II, Substance Use Disorders in Hospital Care, Chronic Pain and Opioids. SUD in Pregnancy, SUD in Jails.

Schedule: 10 Sessions. Second Monday of each month, 12:00 - 1:00 p.m., PT, September 14, 2026 - June 14, 2027


Pregnancy MOUD Prescribing Community of Practice

Audience:

  • Maternal health providers: OB, family medicine-OB, certified nurse midwives

  • Care teams including nurses, nurse care managers, pharmacists

Schedule: 8 Sessions. Second Wednesday of each month, 12:00 - 1:00 p.m., PT, January 13 - August 11, 2027

Faculty

  • Wendy Smith, MD, OB/Gyn and Addiction Medicine, OHSU

  • Carissa Marston, PA-C, Improving Addiction Care Team (IMPACT), OHSU

  • Diana Smith, CNM, MPH, Clinical Lead, Oregon Perinatal Collaborative SUD Initiative

  • Maria Wunderbro, LCSW, Lead Social Worker, Providence Project Nurture