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Advanced Issues in Opioid Dependence Treatment

This course is held under the auspices of the Office of Continuing Education and Professional Development, Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario.

Descriptions/Learning Objectives


This interactive workshop provides physicians, pharmacists, nurses and counsellors with the knowledge and skills to manage special issues related to people receiving opioid agonist treatment.  The workshop is a part of the Opioid Dependence Treatment Certificate Program.

The Advanced Issues in opioid dependence treatment course covers a range of topics addressing the complexity of opioid dependence treatment.  The workshop is offered once per year, and each year the topics covered in the workshop are based on a needs assessment survey conducted prior to the workshop.

Learning objectives:

  • list interventions to prevent pregnancy in women who are treated with methadone or buprenorphine
  • identify the indications to treat pregnant woment with opioid agonist treatment
  • describe best-practice & protocol of methadone initiation for pregnant women who are opioid dependent, including induction and maintenance
  • determine methadone dose adjustments often necessary during pregnancy and during the post-partum period
  • indicate what care is needed for methadone-exposed infant
  • describe the current practice for treating pregnant women who are opioid dependent with buprenorphine
  • develop a diagnostic and therapeutic approach to patients with common concurrent mental health and substance use disorders
  • explain how to manager acute pain in patients treated with methadone or buprenorphine
  • develop a diagnostic approach that allows to formulate a treatment plan to address poly-substance abuse by patients treated with or being considered for treatment with methadone or buprenorphine
  • describe the clinical approach to using common potential drug interactions related to methadone and buprenorpine
  • describe the clinical approach to using drugs which are associated with prolonged QTc or Torsade de Points
  • suggest approaches to treatment in rural/remote areas with reduced access to certain treatments  


Target Audience

Pharmacists, physicians, counsellors/case managers and nurses



Delivery Method

Classroom workshop - Case studies exploration and discussion

In planning for CAMH's annual Advanced Issues in Opioid Dependence Treatment workshop, we would like to hear from you about challenges in treatment with methadone and buprenorphine, which you would like to discuss in the workshop.  In particular, if you have challenging cases that are related to one of the topics listed below for the course:

  • Pregnancy and opioid use
  • Acute pain management
  • Drug interactions
  • Poly-substance use
  • Concurrent Disorders

To submit case studies, please follow the link:



​Fee: $225

At this time, we are not accepting cheques, due to a variety of issues surrounding this form of payment for our courses. We apologize for the inconvenience.



Participants must have completed the Opioid Dependence Treatment Core course, or have an experience of at least one year providing methadone maintenance treatment.


Participants who are not pursing the Certificate have the option of taking elective courses independently.

The certificate program consists of  the Opioid Dependence Treatment Core Course (ODT) and three or four elective courses (listed below):




University of Toronto


Coming late 2014

At this time, we are not accepting cheques, due to a variety of issues surrounding this form of payment for our courses.  


We apologize for the inconvenience.



Robyn Steidman

Education Assistant

416-535-8501 x36640

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