C64. Improving access to care with people who have substance use disorder through grant funding in rural Colorado

About The Event

Learner category:

  •  Intermediate Level

Learning objectives:

  •  Participants will describe the relationship of increased Buprenorphine prescriptions and the statistics of fatal opioid overdoses in Mesa County.
  • Participants will know and understand the Community Opioid Response Group goals, i.e. goals for treatment, provider education, workforce development, and recovery goals. Two examples of each of these goals will be reviewed.
  • Participants will identify 3 patient teaching and training instructions that can increase harm reduction and lessen risks of opioid use in persons with opioid use disorders.


Mesa County, one of the most populated counties on the western slope of Colorado, has one of the highest opioid overdose rates in the state. Resources have been inadequate while the state tracked a record number of opioid overdoses only a year ago. This presentation will discuss both federal and state grants awarded to the community. We will describe how professionals and consumers in Mesa County have formed a team called Community Opioid Response Group with goals of treatment, provider education, workforce development and recovery using grant resources  


Dana Murphy-Parker, MS, PMHNP-BC, CARN-AP, FIAAN

Ms Murphy-Parker is an ANCC Certified Psychiatric/Mental Health Nurse Practitioner and a Certified Addictions Registered Nurse – AP (Advanced Practice). Ms Murphy-Parker is the Past President of the International Nurses Society on Addictions serving in that role from October 2014 – 2016. As a Fellow in the International Academy of Addictions Nursing, she is currently President of the FIAANs, and has been in that position since February 2019. Her area of expertise is in the practice of mental health and addictions nursing. And she has 19 years of experience as faculty in both undergraduate and graduate nursing degree programs. Ms. Murphy-Parker now works full time in a community mental health clinic in western Colorado with persons who have co-occurring mental health and substance use disorders. Ms. Murphy-Parker completed the buprenorphine waiver education requirements and is currently prescribing buprenorphine in her clinical practice with those who have an opioid use disorder.

J. K. Costello, MD, MPH

Dr. Costello is a physician and consultant on population health for addictions, and is the Director of Behavioral Health Consulting, Steadman Group, Denver. He works at the intersection of medicine, behavioral health, and community recovery, fostering recoveryoriented systems of care. He helped implement medication-assisted treatment in jails all over Colorado, resulting in hundreds of additional people being treated for OUD. He has worked with the state Medicaid agency to assess addiction treatment capacity, helped overhaul behavioral health in jails, and assisted a dozen clinics with their addiction treatment program implementation.

Terri Caton, CNM, ARNP, MS

Terri Caton, CNM, ARNP, MS started practicing in 1999 as a Certified Nurse Midwife in the Philadelphia, PA area. It had always been a goal of hers to work in a third world country so in 2007 she moved to Guatemala and served the rural Mayan Indians. There she worked in a clinic serving the very poor indigenous people of the country. After 4 years Terri moved back to the United States where she trained and worked in Bio-Identical Hormone Replacement. Her focus was caring for people with reproductive hormone and endocrine imbalance. Most recently Terri moved to western Colorado to start up an addiction medicine clinic which is rapidly growing.

Our Speakers

Dana Murphy-Parker
J. K. Costello
Terri Caton
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