Episode 42 – MI for people with opioid use disorder and stimulant use disorder 

In this episode exploring MI for people with Opioid Use and Stimulant Use Disorders, Glenn and Sebastian warmly welcomed Roy Stein, MD to the podcast. Roy received his MD degree from Duke Medical School in Durham, NC, followed by medical internship at Dartmouth-Hitchcock Medical Center in Hanover, NH and psychiatry residency at Duke. He is a Clinical Professor of Psychiatry in the UNC School of Medicine, working in the addiction treatment clinic and Addiction Medicine fellowship program. Before moving to UNC, Roy directed the Substance Use Disorders treatment program at the Durham VA Health Care System.  He is Associate Professor Emeritus in the Department of Psychiatry and Behavioral Sciences at Duke. He is board-certified in general and addiction psychiatry, and is a member of the Motivational Interviewing Network of Trainers. He served for almost 10 years as a consultant and trainer in the VA’S national MI/MET training initiative. He enjoys playing guitar, reading novels, gardening, and being a grandfather.  

        0:00 – Opening/introduction 

        2:00 – Roy’s early philosophical, theoretical, and early MI influences 

      18:45 – Opioids and Stimulants: Definitions, characteristics, challenges, and medication treatment options

      30:00 – Role of MI Spirit

      38:45 – Helping people who engage in potentially lethal behavior: Managing the  “righting reflex” and reducing risk for burnout

      48:45 – Focusing and the role of harm reduction for opioid use disorders

      54:50 – Adaptations of MI for stimulant use disorders

      57:45 – Medication Assisted Treatment (MAT)

   1:02:45 – Roy’s evolving career, the joys of grand-parenting, and baking

   1:09:10 – End of recording 

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