DEMO

Program Summary:
This course describes the impact of the opioid epidemic on the Hispanic/Latino population and to understand and discuss challenges to opioid prevention, treatment and recovery.

Course Objectives:
To enhance professional practice, values, skills and knowledge by exploring issues faced by the Hispanic/Latino communities related to the opioid crisis.

Learning Objectives:
Upon completion of the article The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue the reader will be able to:
1. Identify the prevalence of opioid misuse and opioid use disorder (OUD) within the Hispanic/Latino community.
2. Compare Medication Assisted Treatment (MAT) and describe the differences and impact of MAT within the Hispanic/Latino community.
3. Describe the Hispanic/Latino sociocultural factors that influence opioid use, prevention, treatment and recovery.
4. List strategies that address Opioid use, treatment and recovery within the Hispanic/Latino community.

Opioid Crisis and the Hispanic/Latino Population (11/2020)

In 2018, 10.3 million people misused, including prescription opioids and heroin, and __________ had an opioid use disorder.
One million
Two million
Three million
Four million



A demographic shift demonstrates a _________ in opioid misuse and overdose deaths among Hispanic/Latino, African Americans and American Indians/Alaska Natives populations.
Dramatic increase
Dramatic decrease
Slight change



According to SAMHSA NSDUH, the opioid misuse rate among Hispanic/Latino is ________ the national population rate, about ____%.
Higher than; 8%
Lower than; 4%
Similar to; 4%



Table 2, indicated that in 2017, synthetic opioids accounted for nearly 55 percent of the opioid-related overdose deaths and 36 percent of the total drug overdose deaths for Hispanics, compared to 41-70% and 25-43% of deaths, for all other race/ethnicities.
25-43%; 41-70%
50-65%; 24-43%
41-70%; 24-43%
24-53%; 40-70%



What prompted the CDC to issue opioid prescribing guidelines?
Increase in number of immigration cases seeking asylum
Increase in prescription opioids for patients with acute and chronic pain
Increase in number of family members with a OUD
Decrease in number of opioid related deaths



____________________ exposures have been associated with the use of opioid pain medications in the Hispanic/Latino population.
Employment
Deportation
Lead
Occupational



Which of the following are sociocultural factors associated with accessing services for prevention, treatment and recovering services and supports?
Familismo; Religion, faith and spirituality; immigration issues
Discrimination and trauma; Heterogeneity of the Hispanic/Latino population; Intergenerational substance misuse and polysubstance use
Risk for youth; language barriers; stigma, misperceptions and negative narratives about SUD; Fear of seeking treatment; lack of culturally responsive prevention and treatment; less access to MAT
All of the Above



“Immigration is a chronic stressor” refers to the traumatic experiences of immigrants, including:
Fleeing persecution
Fear of detention and deportation
Leaving one’s native country and acculturating to a new country
All of the above



Multigenerational houses are misusing opioids and other substances unintentionally.
True
False



One of the most common challenges with preventing, treatment and recovery strategies within the Hispanic/Latino communities is
“pill mills”
Need for bilingual providers and materials
Familismo
None of the above



Medication-Assisted Therapy (MAT) is made up of two components:
Methadone and naltrexone
MAT and methadone-
Use of an FDA approved medication and psychosocial intervention
All of the above



Buprenorphine is a less stigmatizing treatment option because it is an office-based treatment prescribed by physicians or nurses.
True
False



Which medication places more burden on the patient, such as daily clinic visits, random drug testing, employment disruptions, and required counseling.
Methadone
Buprenorphone
Naltrexone
All of the above



Which medication blocks the euphoric and sedative effects of opioids, is not an opioid, intoxicating or addictive.?
Methadone
Buprenorphone
Naltrexone
All of the above



Which of the following is NOT a community-informed strategy to address opioid misuse and OUD in Hispanic/Latino Communities?
Implement an approach that only focuses on the opioid use
Create culturally tailored public awareness campaigns in native lanugages
Utilize schools
Develop culturally and linguistically appropriate prevention and treatment



Hispanic/Latino faith leaders can be “trusted messengers” to help link individuals with SUDs to treatment.
True
False



Literature demonstrates that the “transition after completion of detoxification to be a critical touchpoint with elevated risk for opioid-related mortality.” A peer recovery coach can work with individuals to address perceived barriers because they know the community, resources and language. Peer recovery coaches are from the Asian American community and are individuals with a SUD who are in longer term recovery.
True
False


The treatment environment that conveys cultural familiarity can influence whether an individual remains in treatment or not. Which of the following help to build trust and comfort for treatment engagement?
Food, staff and décor
Seeing individuals with a similar culture
A and B
None of the above

Question and Choices