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Stigma Kills - Addressing Opioid and Substance Use Disorder by Changing Health System Culture


    Doctor taking vitals
 

Texas Opioid Training Initiative

Stigma Kills - Addressing Opioid and Substance Use Disorder by Changing Health System Culture

This course is part of the Texas Opioid Training Initiative (TXOTI), an educational initiative that provides free continuing education training to healthcare professionals about topics related to the opioid crisis. Visit TXOTI.org to view the full list of courses offered by TXOTI.  This module takes a look at how stigma in healthcare impacts the delivery of evidence-based care for people who use drugs. It describes interventions that health systems and organizations can take to address stigma, ultimately to improve clinical outcomes for patients.

LEARNING OBJECTIVES

  • Define stigma and describe its impact on delivering evidence-based addiction care. 
  • Discuss opportunities for improved clinical outcomes for patients who use drugs. 
  • Summarize interventions health system executives can perform within their respective organizations.

Format

This course consists of a video module (MP4 format) along with presentation slides (PDF format). CE credit is awarded for each module that is completed. Completion of each module includes reviewing the course materials, completing the post-test (no minimum score), and submitting an evaluation. CE Credit is listed on your CE certificate, which is accessed by clicking "View/Print CE Credit" listed at the top of the page.  The CE certificate remains available in the learner's CE profile for future access. NOTE: Pharmacy CE credit is automatically transmitted via CPE Monitor using the NABP e-profile ID entered during registration.


Faculty

Thank you to the following faculty who developed the content for this course. Faculty biographies and disclosure statements are listed in their respective modules (see light blue tabs below).

Richard Bottner, DHA, PA-C, CPHQ, FACHE • Vice President of Clinical Excellence, Colorado Hospital Association
 
Richard Bottner, DHA, PA-C, CPHQ, FACHE is the Vice President of Clinical Excellence at the Colorado Hospital Association (CHA) and exceptionally passionate about effective, efficient, and interprofessional acute care in hospitals nationwide. In his current role, Dr. Bottner supports strategy and implementation related to a statewide alternative payment pilot associated with care delivery in hospitals. Dr. Bottner also focuses on statewide quality and process improvement programs surrounding several critical areas including substance use disorders, maternal health, rural and critical access hospitals, and social determinants of health.

Financial Disclosure

This training is supported by Texas Targeted Opioid Response, a public health initiative operated by the Texas Health and Human Services Commission through federal funding from the Substance Abuse and Mental Health Services Administration, grant award number - H79TI085747. Click here to view the financial disclosure statements for the planning committee. The financial disclosure statement for each individual faculty member is available by clicking their respective module below (see light blue tabs below).


   
 

Registration (FREE)

  • Register for this activity using the BLUE button at the bottom of this page (NOTE: If you have not claimed CE credit through this UT Austin College of Pharmacy CE Site, you will be prompted to create a CE profile before you can proceed with registration).
  • After registration is complete, save your email & password and bookmark this page for easier access in the future.
  • Once you are logged in (your name appears in the top right of the screen), you will have access to course materials via the steps below.
  • Return Visits : Click login (upper right screen) and enter your email & password. Do NOT use the blue button to log back in. 

Steps to Complete Modules for CE Credit

  • Make sure you are registered and logged in (your name should appear in the top right of the screen).
  • View the videos/slides listed in the module, under Course Materials.
  • After viewing the video/slides, take the POST-test (no minimum grade required).
  • Upon completing the post-test, submit the evaluation to earn CE credit.

Questions

If you have questions about course content or CE credit, please email the UT College of Pharmacy Continuing Education Office: UTpharmacyCE@austin.utexas.edu


Fee

$0.00

CE Hours

1.00

CE Units

0.100

Activity Type

  • Knowledge

Target Audience(s)

  • Advance Practice Nurses (CME)
  • Counselors
  • Nurse Practitoners (CME)
  • Nurses
  • Pharmacists
  • Pharmacy Technicians
  • Physician Assistant
  • Physicians
  • Psychologists
  • Social Workers

 

 

Activity Content - Post-Test - Evaluation

   

Stigma Kills - Addressing Opioid and Substance Use Disorder by Changing Health System Culture

 
Richard Bottner, DHA, PA-C, CPHQ, FACHE
Vice President, Clinical Excellence
Colorado Hospital Association
 
 

OVERVIEW

This module takes a look at how stigma in healthcare impacts the delivery of evidence-based care for people who use drugs. It describes interventions that health systems and organizations can take to address stigma, ultimately to improve clinical outcomes for patients.


SPEAKER

Richard Bottner, DHA, PA-C, CPHQ, FACHE is the Vice President of Clinical Excellence at the Colorado Hospital Association (CHA) and exceptionally passionate about effective, efficient, and interprofessional acute care in hospitals nationwide. In his current role, Dr. Bottner supports strategy and implementation related to a statewide alternative payment pilot associated with care delivery in hospitals. Dr. Bottner also focuses on statewide quality and process improvement programs surrounding several critical areas including substance use disorders, maternal health, rural and critical access hospitals, and social determinants of health.


SPEAKER DISCLOSURE  

Richard Bottner does not have any relevant financial relationship(s) with ineligible companies (as defined by the Standards for Integrity and Independence).


LEARNING OBJECTIVES

  • Define stigma and describe its impact on delivering evidence-based addiction care. 
  • Discuss opportunities for improved clinical outcomes for patients who use drugs. 
  • Summarize interventions health system executives can perform within their respective organizations.

FUNDING DISCLOSURE

This project is funded by the Texas Targeted Opioid Response, an public health initiative operated by TX Health & Human Services.


Activity Number

0067-9999-23-004-H08-P/T

Release Date: Jul 1, 2025
Credit Expiration Date: Jul 1, 2028

CE Hours

1.00
   

Continuing Education Credit Information

   

 

Texas Opioid Training Initiative

Stigma Kills - Addressing Opioid and Substance Use Disorder by Changing Health System Culture

This course is part of the Texas Opioid Training Initiative (TXOTI), an educational initiative that provides free continuing education training to healthcare professionals about topics related to the opioid crisis. Visit TXOTI.org to view the full list of courses offered by TXOTI. This module takes a look at how stigma in healthcare impacts the delivery of evidence-based care for people who use drugs. It describes interventions that health systems and organizations can take to address stigma, ultimately to improve clinical outcomes for patients.


Financial Disclosure: This training is supported by Texas Targeted Opioid Response, a public health initiative operated by the Texas Health and Human Services Commission through federal funding from the Substance Abuse and Mental Health Services Administration, grant award number - H79TI085747. Click here to view the financial disclosure statements for the planning committee. The financial disclosure statement for each individual faculty member is available by clicking their respective module below (see light blue tabs below).


Continuing Education Information

ACPE Logo

The University of Texas at Austin College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.  This online activity is approved for a total of 0.1 CEUs (1.0 contact hours) of continuing education credit. In order to earn 1.0 contact hours of CE credit, the participant must watch all videos in their entirety, complete the online post-tests (no minimum grade required), and complete the online evaluations. Pharmacy CE credit is automatically transmitted to CPE Monitor following completion of each module evaluation.  Please make sure your NABP e-ID number and date of birth (month/year) were entered correctly when you set up your profile in this learning management platform.


The UT Health San Antonio Joe R. & Teresa Lozano Long School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Long School of Medicine designates this material for a maximum of 1.0 AMA PRA Category 1 Credit™


 
University of Texas at Austin School of Nursing is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
 
This activity expires July 1, 2028, and after that time, even if the course is still accessible it cannot be used for nursing continuing education credits. UT Austin School of Nursing Accredited Provider Unit is not responsible for any use of the program beyond its expiration date. 
 
Requirements for Successful Completion: To receive contact hours for this continuing education activity, the participant must register for the online course, complete the entire activity, and complete and submit the evaluation form. Once successful completion has been verified, a “Certificate of Successful Completion” will be awarded for 1.0 contact hours, for a total of up to 1.0 CNE.
 
Conflicts of Interest All planners and presenters/authors/content reviewers must disclose the presence or absence of a conflict of interest relative to this activity.  All potential conflicts are resolved prior to the planning, implementation, or evaluation of the continuing nursing education activity.  All activity planning committee members and presenters/authors/content reviewers have had their Conflict of Interest assessed, identified and resolved by the nurse planner.
 
Education Disclaimer
The author(s) of this continuing education activity have made reasonable efforts to ensure that all information contained herein is accurate in accordance with the latest available scientific evidence at the time of publication. However, because information regarding medications, treatment guidelines, and other healthcare information is subject to constant change, the participant is advised to always confirm practice resources before applying any learned information in practice. Activities produced by UT Austin School of Nursing are intended solely for purposes of supplementing health care professionals’ knowledge. The opinions expressed in this educational activity are those of the speaker and do not necessarily represent the views of The University of Texas at Austin School of Nursing.
 

The Office of Professional Development at The University of Texas at Austin Steve Hicks School of Social Work is accredited by the Council on Social Work Education, and as such receives automatic approval as a continuing education provider by the Texas Board of Social Work Examiners under Texas Administrative Code, Title 22, Part 34. § 781.511(c). The program represented by this certificate was provided in accordance with the criteria and standards of the Texas State Board of Social Worker Examiners, and has been approved for Social Workers, Licensed Professional Counselors, and Licensed Marriage and Family Therapists.  Please note that 1 hour = 1 CEU.  Complaints about this program may be made to TSBSWE  333 Guadalupe St, Tower 3, Room 900, Austin, TX 78701  •  512-305-7700 • 800-821-3205  bhec.texas.gov/texas-state-board-of-social-worker-examiners/



Steps to Complete Modules for CE Credit

  • Make sure you are registered and logged in (your name should appear in the top right of the screen).
  • View the videos/slides listed in the module, under Course Materials.
  • After viewing the video/slides, take the POST-test (no minimum grade required).
  • Upon completing the post-test, submit the evaluation to earn CE credit.

Disclosure to Participants

Expiration Date: This activity expires 9/30/28, and after that time, even if the course is still accessible it cannot be used for nursing continuing education credits. UT Austin School of Nursing accredited provider unit is not responsible for any use of the program beyond its expiration date.

Accreditation Statement: University of Texas at Austin School of Nursing is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Requirements for Successful Completion: To receive contact hours for this continuing education activity, the participant must sign in, attend the entire activity, and complete and submit the evaluation form. Once successful completion has been verified, a “Certificate of Successful Completion” will be awarded for 1 contact hour.

 Conflicts of Interest: A conflict of interest occurs when an individual has an opportunity to affect or impact educational content with which he or she may have a commercial interest or a potentially biasing relationship of a financial nature.  All planners and presenters/authors/content reviewers must disclose the presence or absence of a conflict of interest relative to this activity

[The activity’s Nurse Planner has determined that the following planning committee member(s) and/or presenter(s)/author(s)/content reviewer(s) have a conflict of interest.  Those conflicts of interest have been appropriately resolved.]

  • Lucas Hill, PharmD (planner) -  Community advisory board member of Hikma Specialty USA, Inc. Mitigation Plan: Peer review of planning decisions by persons without relevant financial relationships.
  • Carlos Tirado, MD (speaker) -  Medical Advisor for Spark Biomedical. Mitigation Plan: Peer review of content development by persons without relevant financial relationships.

Education Disclaimer: The author(s) of this continuing education activity have made reasonable efforts to ensure that all information contained herein is accurate in accordance with the latest available scientific evidence at the time of publication. However, because information regarding medications, treatment guidelines, and other healthcare information is subject to constant change, the participant is advised to always confirm practice resources before applying any learned information in practice. Activities produced by UT Austin School of Nursing are intended solely for purposes of supplementing health care professionals’ knowledge. The opinions expressed in this educational activity are those of the speaker and do not necessarily represent the views of The University of Texas at Austin School of Nursing.


Questions

If you have questions about course content or CE credit, please email the UT College of Pharmacy Continuing Education Office: UTpharmacyCE@austin.utexas.edu

Release Date: Jul 1, 2025
Credit Expiration Date: Jul 1, 2028